The mechanism of exosome-mediated signaling on the metabolic memory of diabetes / 医学研究生学报

ABSTRACT

The metabolic memory formed by early hyperglycemia in diabetes is one of the important factors triggering the development of diabetes and relavant complications. At present, treatment of various adverse factors of metabolic memory shows a limited clinical efficacy. In recent years, exosome emerged as an important mediator of cellular communication and have gradually gained importance attendance in the field of diabetes treatments. This review summarizes the main mechanisms involved in the metabolic memory of exosomes in the pathological state, including inflammation, insulin resistance, oxidative stress and apoptosis. In addition, protection mechanisms of the stress pretreatment and stem cells derived exosomes on metabolic memory are discussed in this review. Finally, the possible ways to obtain therapeutic exosomes are elaborated, which is beneficial to generate new ideas for the clinical drug treatment.