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Gene & Protein in Disease





                                        REVIEW ARTICLE
                                        Tiny messengers, big results: A review

                                        of exosome-mediated treatments and
                                        considerations in dermatology



                                        Dorra Guermazi * , Saira Khan , Asghar Shah , and Elie Saliba *
                                                      1†
                                                                                                3
                                                                    2†
                                                                                 1
                                        1 Department of Dermatology, Division of Biology and Medicine, Brown University, Providence,
                                        Rhode Island, United States of America
                                        2 Department of Dermatology, College of Medicine and Life Sciences, University of Toledo, Toledo,
                                        Ohio, United States of America
                                        3 Department of Dermatology, The Warren Alpert Medical School, Brown University, Providence,
                                        Rhode Island, United States of America



                                        Abstract

                                        Exosomes are small extracellular vesicles that play an important role in intercellular
                                        communication by transporting proteins, lipids, and nucleic acids between cells.
                                        They have emerged as relevant research areas due to their involvement in regulating
                                        various physiological and pathological processes. This review explores the potential
                                        applications of exosome-based therapies in dermatology and examines the safety
                                        aspects of these treatments. Past research has demonstrated that exosomes may
            † These authors contributed equally
            to this work.               effectively treat conditions such as alopecia and accelerate wound healing by
                                        stimulating hair follicle growth and enhancing tissue regeneration. Studies have
            *Corresponding authors:
            Dorra Guermazi              shown that exosomes can promote the proliferation of dermal papilla cells and hair
            (dorra_guermazi@brown.edu)    follicle growth in cases of alopecia. They also accelerate wound healing by modulating
            Elie Saliba                 processes involved in inflammation, cell migration, and tissue remodeling. However,
            (elie_saliba@brown.edu)
                                        more research is needed to fully characterize the long-term safety profile of
            Citation: Guermazi D, Khan   exosomes and establish standardized clinical protocols. Both human-derived and
            S, Shah A, Saliba E. Tiny
            messengers, big results: A review   plant-derived exosomes appear to have favorable safety profiles based on current
            of exosome-mediated treatments   evidence, though plant sources may offer advantages in terms of production and
            and considerations in dermatology.   biocompatibility.  Continued  exploration  of  exosomes’  mechanisms  and  potential
            Gene Protein Dis. 2024;3(2):3230.
            doi: 10.36922/gpd.3230      risks will optimize these innovations and offer safe, effective exosome treatments
                                        to patients. While further research is warranted, current findings provide valuable
            Received: March 21, 2024    insights into the applications of exosome therapy for dermatological conditions and
            Accepted: May 17, 2024      its emerging role in precision medicine.
            Published Online: July 4, 2024
            Copyright: © 2024 Author(s).   Keywords: Exosomes; Alopecia; Wound healing; Tissue regeneration; Regenerative
            This is an Open-Access article   medicine
            distributed under the terms of the
            Creative Commons Attribution
            License, permitting distribution,
            and reproduction in any medium,
            provided the original work is   1. Introduction
            properly cited.
                                        1.1. Defining exosomes and their modes of action
            Publisher’s Note: AccScience
            Publishing remains neutral with   Exosomes, which are small extracellular vesicles, have become a focal point of
            regard to jurisdictional claims in                                                         1
            published maps and institutional   scientific exploration due to their importance in intercellular communication.  These
            affiliations.               minuscule entities, secreted by a variety of cell types, play a crucial role in orchestrating

            Volume 3 Issue 2 (2024)                         1                               doi: 10.36922/gpd.3230
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