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Review | Open Access

Applications of mesenchymal stem cell-exosome components in wound infection healing: new insights

Arshia Fakouri1,†, Zahra-Sadat Razavi2,†, Adil Tawfeeq Mohammed3, Abbas Hameed Abdul Hussein4, Hamed Afkhami5,6,7( ), Mohammad Hosseini Hooshiar8( )
Student Research Committee, USERN Office, Lorestan University of Medical Sciences, Khorramabad 6813833946, Iran
Physiology Research Center, Iran University of Medical Sciences, Tehran, Iran
Al-Noor University College, Nineveh, Iraq
Ahl Al Bayt University, Karbala, Iraq
Nervous System Stem Cells Research Center, Semnan University of Medical Sciences, Semnan, Iran
Cellular and Molecular Research Center, Qom University of Medical Sciences, Qom, Iran
Department of Medical Microbiology, Faculty of Medicine, Shahed University, Tehran, Iran
School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran

†Arshia Fakouri and Zahra-Sadat Razavi co-first authors.

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Highlights

• MSC-derived exosomes significantly reduced oxidative stress and protein misfolding in myocardial tissues during ischemia/reperfusion injury, highlighting their protective effects.

• Treatment with MSC-derived exosomes led to a notable decrease in inflammatory markers and improved tissue repair in models of burn injuries and dilated cardiomyopathy.

• Application of ADSC-Exos in cutaneous wound healing models resulted in accelerated wound closure, enhanced skin regeneration, and reduced chronic inflammation.

Abstract

The healing process at a wound is made up of many types of cells, growth factors, the extracellular matrix, nerves and blood vessels all interacting with each other in complex and changing ways. Microbial colonization and proliferation are possible at the place of injury, which makes infection more likely. Because of this, any cut has a chance of getting an infection. Researchers have found that wound infections make patients more upset and cost the healthcare system a lot of money. Surgical site infections happen a lot to people who have recently had surgery. This study shows that such surgical infection is linked to a high rate of illness and death. This is shown by the fact that 25% of patients get serious sepsis and need to be transferred to an intensive care unit. In both animal models and people, mesenchymal stem cells (MSCs) play an active role in all stages of wound healing and have positive effects. Exosomes are one of the main things MSCs release. They have effects that are similar to those of the parent MSCs. Various effector proteins, messenger RNA and microRNAs can be transported by extracellular vesicles to control the activity of target cells. This has a big impact on the healing process. These results suggest that using MSC-exosomes as a new type of cell-free therapy could be a better and safer option than whole cell therapy. This review is mostly about how to use parts of MSC-exosomes to help wound infections heal.

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References

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Burns & Trauma
Article number: tkae021

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Cite this article:
Fakouri A, Razavi Z-S, Mohammed AT, et al. Applications of mesenchymal stem cell-exosome components in wound infection healing: new insights. Burns & Trauma, 2024, 12: tkae021. https://doi.org/10.1093/burnst/tkae021

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Received: 23 November 2023
Revised: 12 March 2024
Accepted: 22 April 2024
Published: 10 October 2026
© The Author(s) 2024. Published by Oxford University Press.

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permitsunrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.