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Gene & Protein in Disease                                          A review of exosome-mediated treatments



            the exchange of information among cells. What makes   our understanding of intercellular communication
            exosomes particularly intriguing is their composition,   and potentially revolutionizing approaches to medical
            which includes a diverse array of bioactive molecules such   interventions in the future.
            as proteins, lipids, and nucleic acids.
                                                               1.2. Exosomes in dermatological treatments
              The key function of exosomes lies in their capacity to
            serve as messengers, facilitating the intricate transfer of   The dynamic role of exosomes in dermatological treatments
            their molecular cargo from one cell to another. This process   has proven effective in therapeutic approaches within the
            is integral to influencing cellular processes and contributes   field of skincare. These tiny extracellular vesicles showcase
            significantly to the regulation of various physiological   immense potential due to their inherent capability
            and pathological conditions. Essentially, exosomes act   to transport crucial signaling molecules, which can
            as specialized vehicles that deliver specific payloads to   profoundly influence cellular behavior, tissue regeneration,
            recipient cells in a targeted manner, as shown in Figure 1. 1  and repair processes.

              By transferring these bioactive molecules, exosomes   In the context of addressing dermatological conditions,
            actively participate in modulating cellular behavior,   researchers and clinicians are actively exploring the versatile
                                                                                    1
            signaling pathways, and gene expression. This targeted   applications of exosomes.  One prominent area of focus
            delivery system enables them to influence a wide range   is in combating the effects of skin aging. Exosomes play
            of cellular activities, contributing to the finely tuned   a pivotal role in this regard by promoting the production
            regulation of biological processes. As a result, exosomes   of collagen, a fundamental protein that contributes to
            have emerged  as essential  mediators in  maintaining   skin  elasticity  and  firmness.  In  addition,  exosomes  help
            homeostasis and responding to changes in the cellular   mitigate oxidative stress, a significant factor in aging,
            microenvironment.                                  thereby rejuvenating aging skin cells and contributing to an
                                                               overall improvement in skin texture. The use of exosomes
              Understanding the mechanisms by which exosomes   in anti-aging treatments represents a promising avenue for
            operate facilitates their potential therapeutic applications.   promoting skin health and combating the visible signs of
            Researchers are exploring how manipulating exosomal   aging. 2,3
            content or utilizing their natural ability to transport
            specific molecules could be harnessed to develop     Furthermore, in the realm of acne treatment, exosomes
            innovative treatments for various diseases. The growing   derived from specific cell types exhibit the ability to
            field of exosome research holds promise for advancing   regulate sebum production and modulate inflammatory
                                                               processes.  This capacity of exosomes introduces novel
                                                                       4
                                                               possibilities for the development of effective and targeted
                                                               acne treatments. By influencing the underlying factors
                                                               contributing to acne, exosomes offer a unique therapeutic
                                                               approach that could revolutionize the management of this
                                                               common skin condition. 4
                                                                 Individuals with pigmentation disorders, such as
                                                               vitiligo or hyperpigmentation, can also benefit from the
                                                               application of exosomes in dermatology. Since exosomes
                                                               play a role in influencing the activity of melanocytes – the
                                                               cells responsible for pigment production – this influence
                                                               introduces an avenue for developing innovative therapies
                                                               aimed at correcting pigmentation irregularities. By
                                                               precisely modulating melanocyte function, exosomes can
                                                               contribute to the restoration of skin color and address
                                                               conditions characterized by uneven pigmentation. 5
                                                                 The integration of exosomes into dermatological
                                                               treatments represents a paradigm shift in skincare
                                                               strategies. Their ability to influence key cellular processes
                                                               offers a targeted and personalized approach to address a
                                                               spectrum of skin conditions, from aging-related concerns
            Figure 1. Mode of action of exosomes inside the cell  to acne and pigmentation disorders. As research in this
            Abbreviation: ILVs: Intraluminal vesicles.         field progresses, exosomes are likely to play an increasingly


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