Schwann cell-derived exosomes: Janus-faced mediators of regeneration and disease

Glia. 2022 Jan;70(1):20-34. doi: 10.1002/glia.24087. Epub 2021 Sep 14.

Abstract

The phenotypic plasticity of Schwann cells (SCs) has contributed to the regenerative potential of the peripheral nervous system (PNS), but also pathological processes. This double-sided effect has led to an increasing attention to the role of extracellular vesicles (EVs) or exosomes in SCs to examine the intercellular communication between SCs and their surroundings. Here, we first describe the current knowledge of SC and EV biology, which forms the basis for the updates on advances in SC-derived exosomes research. We seek to explore in-depth the exosome-mediated molecular mechanisms involved in the regulation of SCs and their microenvironment. This review concludes with potential applications of SC-derived exosomes as delivery vehicles for therapeutics and biomarkers. The goal of this review is to emphasize the crucial role of SC-derived exosomes in the functional integration of the PNS, highlighting an emerging area in which there is much to explore and re-explore.

Keywords: Schwann cells; axonal regeneration; exosomes; extracellular vesicles; peripheral diseases.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Cell Communication
  • Exosomes*
  • Extracellular Vesicles*
  • Nerve Regeneration / physiology
  • Schwann Cells / pathology