Crosstalk between exosomes and autophagy in spinal cord injury: fresh positive target for therapeutic application

Cell Tissue Res. 2023 Jan;391(1):1-17. doi: 10.1007/s00441-022-03699-6. Epub 2022 Nov 16.

Abstract

Spinal cord injury (SCI) is a very serious clinical traumatic illness with a very high disability rate. It not only causes serious functional disorders below the injured segment, but also causes unimaginable economic burden to social development. Exosomes are nano-sized cellular communication carriers that exist stably in almost all organisms and cell types. Because of their capacity to transport proteins, lipids, and nucleic acids, they affect various physiological and pathological functions of recipient cells and parental cells. Autophagy is a process that relies on the lysosomal pathway to degrade cytoplasmic proteins and organelles and involves a variety of pathophysiological processes. Exosomes and autophagy play critical roles in cellular homeostasis following spinal cord injury. Presently, the coordination mechanism of exosomes and autophagy has attracted much attention in the early efficacy of spinal cord injury. In this review, we discussed the interaction of autophagy and exosomes from the perspective of molecular mechanisms, which might provide novel insights for the early therapeutic application of spinal cord injury.

Keywords: Autophagosome; Autophagy; Exosomes; Extracellular vesicles; Spinal cord injury; Stem cells.

Publication types

  • Review

MeSH terms

  • Autophagy
  • Exosomes* / metabolism
  • Humans
  • Mesenchymal Stem Cells* / metabolism
  • Neurons / metabolism
  • Spinal Cord / pathology
  • Spinal Cord Injuries* / therapy