Role of exosomes in skin diseases
Corresponding Author
Aysenur Botsali MD
Department of Dermatology, Gülhane Training and Research Hospital, University of Health Sciences, Ankara, Turkey
Correspondence
Ayşenur Botsalı, Department of Dermatology, Gülhane Training and Research Hospital, University of Health Sciences, General Dr. Tevfik Saglam Cd. SBÜ Gülhane EAH Dermatoloji AD Etlik, Ankara, Turkey.
Email: [email protected]
Search for more papers by this authorErcan Caliskan MD
Department of Dermatology, Gülhane Training and Research Hospital, University of Health Sciences, Ankara, Turkey
Search for more papers by this authorCorresponding Author
Aysenur Botsali MD
Department of Dermatology, Gülhane Training and Research Hospital, University of Health Sciences, Ankara, Turkey
Correspondence
Ayşenur Botsalı, Department of Dermatology, Gülhane Training and Research Hospital, University of Health Sciences, General Dr. Tevfik Saglam Cd. SBÜ Gülhane EAH Dermatoloji AD Etlik, Ankara, Turkey.
Email: [email protected]
Search for more papers by this authorErcan Caliskan MD
Department of Dermatology, Gülhane Training and Research Hospital, University of Health Sciences, Ankara, Turkey
Search for more papers by this authorAbstract
Background
Exosomes, as a family member of extracellular vesicles, are cell-secreted nanoscale structures that play pivotal roles in regulating physiological and pathophysiological processes of the skin. Exosomes induce communication between cells and are responsible for transporting cellular components such as microRNAs, mRNAs, DNA, lipids, metabolites, and cell-surface proteins. Numerous preclinical and clinical trials searched the contribution of exosomes to skin functions and disorders. Thus, exosomes are gaining increasing attention within investigational dermatology. In advance, stem-cell-derived exosomes were integrated into the functional cosmetics industry nominated as cell-free regenerative medicine.
Objective
This review aims to demonstrate the roles of exosomes in inflammatory skin disorders, stem cell, and tumor biology through a comprehensive evaluation of the diagnostic, prognostic, and therapeutic perspectives.
Methods
A comprehensive literature search was performed using electronic online databases "PubMed" and "Google Scholar" using key words ''exosomes'', ''skin'', ''wound healing''.
Conclusion
Exosomes are regarded as promising diagnostic and prognostic biomarkers for various skin diseases. Future prospects are repurposing exosomes to treat skin disorders, either as drug carriers or drugs themselves.
CONFLICT OF INTEREST
The authors declared that there is no conflict of interest.
Open Research
DATA AVAILABILITY STATEMENT
The data that support the findings of this study are available from the corresponding author upon reasonable request.
REFERENCES
- 1Raposo G, Stoorvogel W. Extracellular vesicles: exosomes, microvesicles, and friends. J Cell Biol. 2013; 200(4): 373-383.
- 2Kalluri R, LeBleu VS. The biology, function, and biomedical applications of exosomes. Science. 2020; 367(6478): 1-40.
- 3Thery C, Zitvogel L, Amigorena S. Exosomes: composition, biogenesis and function. Nat Rev Immunol. 2002; 2(8): 569-579.
- 4Harishkumar M, Radha M, Yuichi N, et al. Designer exosomes: smart Nano-communication tools for translational medicine. Bioengineering (Basel). 2021; 8(11): 158.
- 5Steinbichler TB, Dudás J, Riechelmann H, Skvortsova I-I. editors.The role of exosomes in cancer metastasis. Semin Cancer Biol. 2017; 44: 170-181.
- 6McGough IJ, Vincent J-P. Exosomes in developmental signalling. Development. 2016; 143(14): 2482-2493.
- 7Ahmadi M, Rezaie J. Tumor cells derived-exosomes as angiogenenic agents: possible therapeutic implications. J Transl Med. 2020; 18(1): 1-17.
- 8Knox MC, Ni J, Bece A, et al. A Clinician's guide to cancer-derived exosomes: immune interactions and therapeutic implications. Front Immunol. 2020; 11: 1612.
- 9Zhang L, Yu D. Exosomes in cancer development, metastasis, and immunity. Biochim Biophys Acta Rev Cancer. 2019; 1871(2): 455-468.
- 10Khan AQ, Akhtar S, Prabhu KS, et al. Exosomes: emerging diagnostic and therapeutic targets in cutaneous diseases. Int J Mol Sci. 2020; 21(23): 9264.
- 11Languino LR, Singh A, Prisco M, et al. Exosome-mediated transfer from the tumor microenvironment increases TGFβ signaling in squamous cell carcinoma. Am J Transl Res. 2016; 8(5): 2432-2437.
- 12Mutschelknaus L, Peters C, Winkler K, et al. Exosomes derived from squamous head and neck cancer promote cell survival after ionizing radiation. PLoS One. 2016; 11(3):e0152213.
- 13Carlino MS, Larkin J, Long GV. Immune checkpoint inhibitors in melanoma. Lancet. 2021; 398(10304): 1002-1014.
- 14Bardi GT, Smith MA, Hood JL. Melanoma exosomes promote mixed M1 and M2 macrophage polarization. Cytokine. 2018; 105: 63-72.
- 15Gowda R, Robertson BM, Iyer S, Barry J, Dinavahi SS, Robertson GP. The role of exosomes in metastasis and progression of melanoma. Cancer Treat Rev. 2020; 85:101975.
- 16Xiao D, Li X, Rouchka EC, et al. Comparative gene expression analysis in melanocytes driven by tumor cell-derived exosomes. Exp Cell Res. 2020; 386(1):111690.
- 17Marton A, Vizler C, Kusz E, et al. Melanoma cell-derived exosomes alter macrophage and dendritic cell functions in vitro. Immunol Lett. 2012; 148(1): 34-38.
- 18Wu Y, Deng W, McGinley EC, Klinke DJ. Melanoma exosomes deliver a complex biological payload that upregulates PTPN 11 to suppress T lymphocyte function. Pigment Cell Melanoma Res. 2017; 30(2): 203-218.
- 19Alegre E, Zubiri L, Perez-Gracia JL, et al. Circulating melanoma exosomes as diagnostic and prognosis biomarkers. Clin Chim Acta. 2016; 454: 28-32.
- 20Chen KG, Valencia JC, Lai B, et al. Melanosomal sequestration of cytotoxic drugs contributes to the intractability of malignant melanomas. Proc Natl Acad Sci USA. 2006; 103(26): 9903-9907.
- 21Escudier B, Dorval T, Chaput N, et al. Vaccination of metastatic melanoma patients with autologous dendritic cell (DC) derived-exosomes: results of thefirst phase I clinical trial. J Transl Med. 2005; 3(1): 10.
- 22Nakamura K, Jinnin M, Fukushima S, Ihn H. Exosome expression in the skin and sera of systemic sclerosis patients, and its possible therapeutic application against skin ulcer. J Dermatol Sci. 2016; 84(1): e97-e98.
- 23Colletti M, Galardi A, De Santis M, et al. Exosomes in systemic sclerosis: messengers between immune, vascular and fibrotic components? Int J Mol Sci. 2019; 20(18): 4337.
- 24Cheung KL, Jarrett R, Subramaniam S, et al. Psoriatic T cells recognize neolipid antigens generated by mast cell phospholipase delivered by exosomes and presented by CD1a. J Exp Med. 2016; 213(11): 2399-2412.
- 25Jacquin-Porretaz C, Cordonnier M, Nardin C, et al. Increased levels of interleukin-17A exosomes in psoriasis. Acta Derm Venereol. 2019; 99(11–12): 1143-1147.
- 26Jiang M, Fang H, Shao S, et al. Keratinocyte exosomes activate neutrophils and enhance skin inflammation in psoriasis. FASEB J. 2019; 33(12): 13241-13253.
- 27Shao S, Fang H, Zhang J, et al. Neutrophil exosomes enhance the skin autoinflammation in generalized pustular psoriasis via activating keratinocytes. FASEB J. 2019; 33(6): 6813-6828.
- 28Pasquali L, Svedbom A, Srivastava A, et al. Circulating micro RNA s in extracellular vesicles as potential biomarkers for psoriatic arthritis in patients with psoriasis. J Eur Acad Dermatol Venereol. 2020; 34: 1248-1256.
- 29Hartwig S, De Filippo E, Göddeke S, et al. Exosomal proteins constitute an essential part of the human adipose tissue secretome. Biochim Biophys Acta Proteins Proteom. 2019; 1867(12): 140172.
- 30Wong PM, Yang L, Yang L, et al. New insight into the role of exosomes in vitiligo. Autoimmun Rev. 2020; 19:102664.
- 31Zhao C, Wang D, Wang X, et al. Down-regulation of exosomal miR-200c derived from keratinocytes in vitiligo lesions suppresses melanogenesis. J Cell Mol Med. 2020; 24(20): 12164-12175.
- 32Liu Y, Xue L, Gao H, et al. Exosomal miRNA derived from keratinocytes regulates pigmentation in melanocytes. J Dermatol Sci. 2019; 93(3): 159-167.
- 33Ferreira ADF, Gomes DA. Stem cell extracellular vesicles in skin repair. Bioengineering. 2018; 6(1): 4.
- 34Duan M, Zhang Y, Zhang H, Meng Y, Qian M, Zhang G. Epidermal stem cell-derived exosomes promote skin regeneration by downregulating transforming growth factor-β1 in wound healing. Stem Cell Res Ther. 2020; 11(1): 1-11.
- 35Mistry DS, Chen Y, Sen GL. Progenitor function in self-renewing human epidermis is maintained by the exosome. Cell Stem Cell. 2012; 11(1): 127-135.
- 36Kwack MH, Seo CH, Gangadaran P, et al. Exosomes derived from human dermal papilla cells promote hair growth in cultured human hair follicles and augment the hair-inductive capacity of cultured dermal papilla spheres. Exp Dermatol. 2019; 28(7): 854-857.
- 37Phinney DG, Pittenger MF. Concise review: MSC-derived exosomes for cell-free therapy. Stem Cells. 2017; 35(4): 851-858.
- 38Mendt M, Rezvani K, Shpall E. Mesenchymal stem cell-derived exosomes for clinical use. Bone Marrow Transplant. 2019; 54(2): 789-792.
- 39Xiong M, Zhang Q, Hu W, et al. Exosomes from adipose-derived stem cells: the emerging roles and applications in tissue regeneration of plastic and cosmetic surgery. Front Cell Dev Biol. 2020; 8: 931.
- 40Yan H, Gao Y, Ding Q, et al. Exosomal micro rnas derived from dermal papilla cells mediate hair follicle stem cell proliferation and differentiation. Int J Biol Sci. 2019; 15: 1368.
- 41Kotzerke K, Mempel M, Aung T, et al. Immunostimulatory activity of murine keratinocyte-derived exosomes. Expe Dermatol. 2013; 22: 650-655.
- 42Cai XW, Zhu R, Ran L, et al. A novel non-contact communication between human keratinocytes and T cells: exosomes derived from keratinocytes support superantigen-induced proliferation of resting T cells. Mol Med Rep. 2017; 16: 7032-7038.
- 43Chavez-Muñoz C, Morse J, Kilani R, Ghahary A. Primary human keratinocytes externalize stratifin protein via exosomes. J Cell Biochem. 2008; 104: 2165-2173.
- 44Huang P, Bi J, Owen GR, et al. Keratinocyte microvesicles regulate the expression of multiple genes in dermal fibroblasts. J Invest Dermatol. 2015; 135: 3051-3059.
- 45Li Q, Zhao H, Chen W, Huang P, Bi J. Human keratinocyte-derived microvesicle miRNA-21 promotes skin wound healing in diabetic rats through facilitating fibroblast function and angiogenesis. Int J Biochem Cell Biol. 2019; 114:105570.
- 46Sjoqvist S, Kasai Y, Shimura D, et al. Oral keratinocyte-derived exosomes regulate proliferation of fibroblasts and epithelial cells. Biochem Biophys Res Commun. 2019; 514: 706-712.
- 47Zhou X, Brown BA, Siegel AP, et al. Exosome-mediated crosstalk between keratinocytes and macrophages in cutaneous wound healing. ACS Nano. 2020; 14: 12732-12748.
- 48Cicero AL, Delevoye C, Gilles-Marsens F, et al. Exosomes released by keratinocytes modulate melanocyte pigmentation. Nat Commun. 2015; 6: 1-8.
- 49Takano K, Hachiya A, Murase D, et al. Quantitative changes in the secretion of exosomes from keratinocytes homeostatically regulate skin pigmentation in a paracrine manner. J Dermatol. 2020; 47: 265-276.
- 50Kumar Jella K, Rani S, O'driscoll L, Mcclean B, Byrne HJ, Lyng FM. Exosomes are involved in mediating radiation induced bystander signaling in human keratinocyte cells. Radiat Res. 2014; 181: 138-145.
- 51Geiger A, Walker A, Nissen E. Human fibrocyte-derived exosomes accelerate wound healing in genetically diabetic mice. Biochem Biophys Res Commun. 2015; 467: 303-309.
- 52Terlecki-Zaniewicz L, Pils V, Bobbili MR, et al. Extracellular vesicles in human skin: cross-talk from senescent fibroblasts to keratinocytes by miRNAs. J Invest Dermatol. 2019; 139: 2425-2436.e2425.
- 53Wu C-X, Liu Z-F. Proteomic profiling of sweat exosome suggests its involvement in skin immunity. J Invest Dermatol. 2018; 138: 89-97.