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Table 1 Therapeutic theory of MSC-exos in enhancing trophoblast function, promoting angiogenesis, regulating immune responses and reducing oxidative stress

From: Mesenchymal stem cell-derived exosomes: a promising alternative in the therapy of preeclampsia

Source of exosome

Therapeutic theory

Molecular target

References

BM-MSCs

AKT signaling pathway activation

PI3K/AKT signaling pathway activation↑VEGF,Ang-1

↑IL-10,TGF-β

↓IL-1β,IL-6,TNF-α,IL-12

↑H19, FOXO1↓let-7b

PIK3R2 inhibition mediated by exosomal miR-126

Not reported

[47]

[54]

[63, 64]

hUC-MSCs

ERK/MMP2 signaling pathway activation

TIM3/mTORc signaling pathway deactivation

Not reported

Not reported

ERK1/2 and AKT signaling pathway activation

β-catenin signaling pathway activation

↓ROS,

↓NOX1,NOX4

tyrosine phosphatase inhibition mediated by exosomal miR-139-5p

Notch2 inhibition mediated by exosomal miR-18b

BRD4 inhibition mediated by exosomal miR-101

FSTL3 inhibition mediated by exosomal miR-140-5p

SPRED-1 and PIK3R2 inhibition mediated by exosomal miR-126-3p

Wnt4

Not reported

Not reported

[30]

[48]

[49]

[50]

[56]

[57]

[66, 67]

[68]

AF-MSCs

EZH2/mTOR signaling pathway deactivation

Not reported

[5]

AD-MSCs

Not reported

↑tolDC

Delta-like ligand 4 inhibition mediated by exosomal miR-125a

Not reported

[53]

[61]

PMSCs

Not reported

ICAM-1 promotion mediated by exosomal miR-130b-3p

[55]

DMSCs

↓malondialdehyde,IL-6

Not reported

[69]

  1. ↓and↑show the decrease and the increase, respectively
  2. BM-MSCs:bone marrow mesenchymal stem cells, hUC-MSCs:human umbilical cord mesenchymal stem cells, AF-MSCs:amniotic fluid mesenchymal stem cells, AD-MSCs:adipose tissue mesenchymal stem cells, PMSCs:placenta mesenchymal stem cells, DMSCs:decidual mesenchymal stem cells