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Table 1 MSCs-derived secretome (e.g., exosome) therapy in preclinical models of acute neurodegeneration

From: Emerging role of mesenchymal stromal cells (MSCs)-derived exosome in neurodegeneration-associated conditions: a groundbreaking cell-free approach

Condition

Model

Cell source

Administration route

Results

Ref.

SCI

Mice

BM

Intravenous

Stimulating functional behavioral restoration via improving M2/M1 macrophage ratio by exosomal miR-216a-5p

[120]

SCI

Rat

AM

Intravenous

Reducing inflammation and eliciting antioxidant effects through MSC-derived exosomes immobilized in hydrogel

[138]

SCI

Rat

UC

Intrathecal

Plummeting pro-inflammatory cytokine TNF-α and IL-1β, while improving IL-10, BDNF, and GDNF levels in brain tissue

[164]

SCI

Rat

BM

Intravenous

Alleviating neurological damage through suppressing Ern1 and promoting M2 macrophage by exosomal microRNA-124-3p

[165]

SCI

Rat

BM

Intravenous

Repairing spinal cord injury by exosomal miRNA-29b

[166]

SCI

Rat

BM

Intravenous

Repairing spinal cord injury by inhibition of A1 neurotoxic reactive astrocytes activation

[117]

SCI

Rat

UC

Intrathecal

Reducing the c-Fos, GFAP, Iba1, TNF-α, and IL-1β, and improving IL-10 and GDNF levels

[137]

SCI

Rat

BM

Intravenous

Inhibition of pericytes migration and improving the BSCB integrity by targeting NF-κB p65 signaling in pericytes

[133]

SCI

Mice

BM

Intraspinal

Promoting angiogenesis and axon growth leading to the functional rescue

[167]

SCI

Rat

BM

Intravenous

Promoting the neurogenesis and angiogenesis, while reducing apoptosis by exosomal miR-126

[128]

SCI

Rat

BM

Intravenous

Hindrance of complement activation

[168]

SCI

Mice

Placental

Intrathecal

Potentiating angiogenesis leading to the ameliorated neurologic function

[129]

SCI

Rat

BM

Intravenous

Improving M2 macrophage polarization

[121]

SCI

Rat

UC

Intravenous

Exerting anti-inflammatory and anti-fibrotic action

[169]

SCI

Rat

NA

Intravenous

Attenuation of inflammation through down-regulation of TLR4/NF-κB signaling pathway by exosomal miR-145-5p

[170]

SCI

Rat

BM

Intravenous

Inhibition of A1 neurotoxic reactive astrocytes activation in part via suppressing NF-κB translocation

[118]

TBI

Rat

BM

Intravenous

Promoting functional recovery through triggering endogenous angiogenesis and neurogenesis and also down-regulation of neuroinflammation

[104]

TBI

Rat

AT

Intracerebroventricular

Reducing microglia activation

[145]

TBI

Rat

BM

Intravenous

Amelioration of sensorimotor and cognitive dysfunction, attenuation of hippocampal neuronal cell loss, inducing the angiogenesis and neurogenesis, and mitigation of neuroinflammation

[143]

TBI

Rat

BM

Intranasal

Exosome efficient migration to the injured Forebrain

[171]

TBI

Rat

BM

Intravenous

Amelioration of neurological functions, decreasing brain edema through favoring BBB integrity

[23]

TBI

Swine

BM

Intravenous

Boosting neural plasticity along with reducing inflammation and apoptosis ensuring reduced brain lesion zone

[147]

TBI

Mice

BM

Intraorbital

Mitigation of early inflammatory responses

[144]

TBI

Rat

BM

Intravenous

Triggering endogenous angiogenesis and neurogenesis

[142]

TBI

Swine

BM

Intravenous

Induction of neuroprotection and supporting BBB integrity

[90]

TBI

Rat

BM

Intravenous

Stimulating neuroprotection via exosomal miR-216a-5p, which up-regulates BDNF expression

[172]

TBI

Mice

BM

Intravenous

Amelioration of cognitive deficits

[173]

Stroke

Mice

AT

Intravenous

Reducing autophagy by exosomal miR-25

[174]

Stroke

Rat

BM

Intravenous

Stimulation of neuritis outgrowth by exosomal miR-133b

[163]

Stroke

Mice

BM

Intravenous

Obstruction of neuroinflammation and averting cerebral infarction by exosomal miR-542-3p

[175]

Stroke

Mice

UC

Intravenous

Attenuation of microglial-mediated neuroinflammation through down-regulation of the IRAK1/TRAF6 signaling axis by exosomal miR-146a-5p

[159]

Stroke

Rat

BM

Intravenous

Promoting the neurorestorative effects

[176]

Stroke

Rat

BM

Intravenous

Suppression of the neuronal apoptosis and M1 macrophage polarization by exosomal miR-146a-5p causes alleviated intracerebral hemorrhage

[177]

Stroke

Mice

BM

Intravenous

Induction of neuroprotection

[178]

Stroke

Rat

BM

Intravenous

Improving the functional recovery and neurovascular plasticity

[179]

Stroke

Rat

UCB

Intravenous

Triggering the functional recovery

[180]

Stroke

Rat

AT

Intravenous

Attenuation of the ischemic brain injuries by targeting miR-21-3p/MAT2B axis

[181]

Stroke

Rat

BM

Intravenous

Promoting the axon–myelin remodeling by exosomal miR-17-92

[182]

Stroke

Mice

BM

Intravenous

Reducing inflammation, pathological alterations and apoptosis by exosomal miR-221-3p

[183]

  1. MSCs mesenchymal stromal cells, TBI traumatic brain injury, SCI spinal cord injury, AT adipose tissue, BM bone marrow, UCB umbilical cord (UC) blood, miRNAs microRNAs, IL interleukin, TNFα tumor necrosis factor α, BSCB blood–spinal cord barrier, GDNF glial cell-derived neurotrophic factor, NF-κB nuclear factor kappa B, TLRs toll-like receptors, BBB blood–brain barrier, TRAF6 TNF receptor-associated factor 6, IRAK1 interleukin 1 receptor-associated kinase 1, BDNF brain-derived neurotrophic factor, NA not applicable