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Table 5 Extracellular vesicles derived from stem cells promote angiogenesis in other ischemic diseases

From: Therapeutic angiogenesis using stem cell-derived extracellular vesicles: an emerging approach for treatment of ischemic diseases

EVs source

EVs type

EVs isolation

Experimental model (target cells/animal models)

Functional cargo

Molecules/pathways activated

Key functions/downstream genes

Reference

iMSCs

Exosomes

Differential centrifugation

0.22-μm pore membrane filtration

30% sucrose/D2O cushion purification

Ultracentrifugation

In vitro (HUVECs)

In vivo (mice/hindlimb ischemia model)

/

/

HIF-1α, TGF-β, VEGFA1, VEGFA2, angiogenin, bFGF, KDR, bFGFR, and VEGF↑

Hu et al. [121]

PMSCs

Exosomes

Differential centrifugation

Ultracentrifugation

In vitro (HUVECs)

In vivo (mice/hindlimb ischemia model)

miR-126, VEGF

PI3K/AKT signaling pathway

miR-126↑→PIK3R2↓ pAKT↑

Du et al. [122]

EPCs

MVs

Ultracentrifugation

In vivo (SCID mice/hindlimb ischemia model)

miR-126, miR-296

/

VEGF↑

Ranghino et al. [123]

CD34+ stem cells

Exosomes

Ultracentrifugation

In vitro (HUVECs)

In vivo (immunocompromised BalbC mice/hindlimb ischemia model)

miR-126-3p

/

VEGF, angiogenin1, and MMP-9↑

Mathiyalagan et al. [124]

BM-MSCs

Size is between in exosomes and MVs

Differential centrifugation

Ultracentrifugation

Density gradient ultracentrifugation

0.45-μm pore membrane filtration

In vivo (female MC57BL/6 mice/hindlimb ischemia model)

miR-210-3p

/

VEGFR1, VEGFR2, and VEGF↑

Gangadaran et al. [125]

ADSCs

Exosomes

ExoQuick-TC reagent

In vivo (male C57BL/6 J mice/skin flap model)

IL-6

phosphorylation of STAT3

Exosomes treatments led to significantly increased flap survival and capillary density compared with I/R on postoperative day 5

Pu et al. [126]

ADSCs

Exosomes

Differential centrifugation

0.22-μm pore membrane filtration

Ultracentrifugation

In vitro (HUVECs)

In vivo (male Sprague-Dawley rats/skin flap model)

/

/

ADSC-exos can enhance skin flap survival, promote neovascularization

Bai et al. [127]

  1. Abbreviation: iMSCs human iPSC differentiate into mesenchymal stem cells, PMSCs placenta tissue mesenchymal stem cells, EPCs endothelial progenitor cells, BM-MSCs bone marrow-mesenchymal stem cells, ADSCs adipose-derived stem cells, HUVECs human umbilical vein endothelial cells, VEGF vascular endothelial growth factor, IL-6 interleukin-6, HIF-1a hypoxia-inducible factor 1 alpha, TGF-β transforming growth factor beta, VEGF-A1 vascular endothelial growth factor A1, VEGF-A2 vascular endothelial growth factor A2, bFGF basic fibroblast growth factor, bFGFR basic fibroblast growth factor receptor, VEGF vascular endothelial growth factor, MMP-9 matrix metallopeptidase 9