Extracellular Vesicles and Exosomes in the Control of the Musculoskeletal Health

Curr Osteoporos Rep. 2024 Apr;22(2):257-265. doi: 10.1007/s11914-024-00866-2. Epub 2024 Mar 1.

Abstract

Purpose of review: The present review will highlight recent reports supporting the relevance of extracellular vesicles to the musculoskeletal system in health and disease.

Recent findings: Preserving the health of the musculoskeletal system is important to maintain a good quality of life, and the bone-muscle crosstalk is crucial in this regard. This latter is largely mediated by extracellular vesicles released by the different cell populations residing in muscle and bone, which deliver cargoes, microRNAs, and proteins being the most relevant ones, to target cells. Extracellular vesicles could be exploited as therapeutic tools, in view of their resistance to destruction in the biological fluid and of the possibility to be functionalized according to the need. Extracellular vesicles are recognized as crucial players in the bone-muscle cross-talk. Additional studies however are required to refine their use as biomarkers of early alterations of the musculoskeletal system, and as potential therapeutic tools.

Keywords: Bone loss; MicroRNAs; Muscle-bone cross-talk; Sarcopenia; Therapeutic tools.

Publication types

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

MeSH terms

  • Biomarkers / metabolism
  • Bone and Bones / metabolism
  • Exosomes* / metabolism
  • Extracellular Vesicles* / metabolism
  • Humans
  • MicroRNAs*
  • Muscle, Skeletal / metabolism
  • Musculoskeletal Diseases / metabolism
  • Musculoskeletal System / metabolism

Substances

  • MicroRNAs
  • Biomarkers