Clinical Translational Potentials of Stem Cell-Derived Extracellular Vesicles in Type 1 Diabetes

Front Endocrinol (Lausanne). 2022 Jan 12:12:682145. doi: 10.3389/fendo.2021.682145. eCollection 2021.

Abstract

Type 1 diabetes (T1D) is an organ-specific disease characterized by the deficiency of insulin caused by the autoimmune destruction of pancreatic islet β cells. Stem cell-based therapies play essential roles in immunomodulation and tissue regeneration, both of which hold great promise for treating many autoimmune dysfunctions. However, their clinical translational potential has been limited by ethical issues and cell transplant rejections. Exosomes are small extracellular vesicles (EVs) released by almost all types of cells, performing a variety of cell functions through the delivery of their molecular contents such as proteins, DNAs, and RNAs. Increasing evidence suggests that stem cell-derived EVs exhibit similar functions as their parent cells, which may represent novel therapeutic agents for the treatment of autoimmune diseases including T1D. In this review, we summarize the current research progresses of stem cell-derived EVs for the treatment of T1D.

Keywords: autoimmunity; exosome; extracellular vesicle; immunomodulation; stem cell; type 1 diabetes; β-cell regeneration.

Publication types

  • Review

MeSH terms

  • Antigen-Presenting Cells / immunology
  • Cell Differentiation
  • Cell Proliferation
  • Diabetes Mellitus, Type 1 / immunology
  • Diabetes Mellitus, Type 1 / metabolism
  • Diabetes Mellitus, Type 1 / therapy*
  • Exosomes / immunology
  • Exosomes / metabolism
  • Exosomes / transplantation
  • Extracellular Vesicles / immunology
  • Extracellular Vesicles / metabolism
  • Extracellular Vesicles / transplantation*
  • Humans
  • Insulin-Secreting Cells / immunology
  • Insulin-Secreting Cells / metabolism*
  • Stem Cells / immunology
  • Stem Cells / metabolism*
  • T-Lymphocytes / immunology