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      Mesenchymal Stem/Stromal Cell-Derived Exosomes for Immunomodulatory Therapeutics and Skin Regeneration

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          Abstract

          Exosomes are nano-sized vesicles that serve as mediators for cell-to-cell communication. With their unique nucleic acids, proteins, and lipids cargo compositions that reflect the characteristics of producer cells, exosomes can be utilized as cell-free therapeutics. Among exosomes derived from various cellular origins, mesenchymal stem cell-derived exosomes (MSC-exosomes) have gained great attention due to their immunomodulatory and regenerative functions. Indeed, many studies have shown anti-inflammatory, anti-aging and wound healing effects of MSC-exosomes in various in vitro and in vivo models. In addition, recent advances in the field of exosome biology have enabled development of specific guidelines and quality control methods, which will ultimately lead to clinical application of exosomes. This review highlights recent studies that investigate therapeutic potential of MSC-exosomes and relevant mode of actions for skin diseases, as well as quality control measures required for development of exosome-derived therapeutics.

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          Inflammation in wound repair: molecular and cellular mechanisms.

          In post-natal life the inflammatory response is an inevitable consequence of tissue injury. Experimental studies established the dogma that inflammation is essential to the establishment of cutaneous homeostasis following injury, and in recent years information about specific subsets of inflammatory cell lineages and the cytokine network orchestrating inflammation associated with tissue repair has increased. Recently, this dogma has been challenged, and reports have raised questions on the validity of the essential prerequisite of inflammation for efficient tissue repair. Indeed, in experimental models of repair, inflammation has been shown to delay healing and to result in increased scarring. Furthermore, chronic inflammation, a hallmark of the non-healing wound, predisposes tissue to cancer development. Thus, a more detailed understanding in mechanisms controlling the inflammatory response during repair and how inflammation directs the outcome of the healing process will serve as a significant milestone in the therapy of pathological tissue repair. In this paper, we review cellular and molecular mechanisms controlling inflammation in cutaneous tissue repair and provide a rationale for targeting the inflammatory phase in order to modulate the outcome of the healing response.
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            Concise review: mesenchymal stem/multipotent stromal cells: the state of transdifferentiation and modes of tissue repair--current views.

            Mesenchymal stem cells or multipotent stromal cells (MSCs) isolated from the bone marrow of adult organisms were initially characterized as plastic adherent, fibroblastoid cells with the capacity to generate heterotopic osseous tissue when transplanted in vivo. In recent years, MSCs or MSC-like cells have been shown to reside within the connective tissue of most organs, and their surface phenotype has been well described. A large number of reports have also indicated that the cells possess the capacity to transdifferentiate into epithelial cells and lineages derived from the neuroectoderm. The broad developmental plasticity of MSCs was originally thought to contribute to their demonstrated efficacy in a wide variety of experimental animal models of disease as well as in human clinical trials. However, new findings suggest that the ability of MSCs to alter the tissue microenvironment via secretion of soluble factors may contribute more significantly than their capacity for transdifferentiation in tissue repair. Herein, we critically evaluate the literature describing the plasticity of MSCs and offer insight into how the molecular and functional heterogeneity of this cell population, which reflects the complexity of marrow stroma as an organ system, may confound interpretation of their transdifferentiation potential. Additionally, we argue that this heterogeneity also provides a basis for the broad therapeutic efficacy of MSCs.
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              Senescence and aging: Causes, consequences, and therapeutic avenues

              McHugh and Gil review the role of senescence in age-related diseases and how targeting senescence may improve health span and extend life span.
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                Author and article information

                Journal
                Cells
                Cells
                cells
                Cells
                MDPI
                2073-4409
                07 May 2020
                May 2020
                : 9
                : 5
                : 1157
                Affiliations
                [1 ]ExoCoBio Exosome Institute (EEI), ExoCoBio Inc., Seoul 08594, Korea; dh.ha@ 123456exocobio.com (D.H.H.); hyunkeun.kim@ 123456exocobio.com (H.-k.K.); junho.lee@ 123456exocobio.com (J.H.L.); sumi.sung@ 123456exocobio.com (S.S.)
                [2 ]School of Chemical and Biological Engineering, Seoul National University, Seoul 08826, Korea; purequill@ 123456naver.com
                [3 ]Oaro Dermatology Clinic, Seoul 13620, Korea; banbury@ 123456hanmail.net
                [4 ]Department of Dermatology, Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwasweong-si, Gyeonggi-do 18450, Korea; jin66666@ 123456hanmail.net
                [5 ]Guam Dermatology Institute, Tamuning, GU 96913, USA; guamderm@ 123456gmail.com
                [6 ]Oaro Dermatology Clinic, Seoul 01695, Korea; jaeyoon007@ 123456hanmail.net
                [7 ]Piena Clinic, Seoul 06120, Korea; hosungeee@ 123456naver.com
                Author notes
                [* ]Correspondence: yongweon.yi@ 123456exocobio.com (Y.W.Y.); ceo@ 123456exocobio.com (B.S.C.); Tel.: +82-2-2038-3915 (B.S.C.)
                [†]

                These authors contributed equally to this article.

                Author information
                https://orcid.org/0000-0002-5801-1920
                https://orcid.org/0000-0001-6895-0465
                Article
                cells-09-01157
                10.3390/cells9051157
                7290908
                32392899
                3b15b853-6357-44f3-aa11-7099a83aaa71
                © 2020 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 20 February 2020
                : 04 May 2020
                Categories
                Review

                anti-aging,anti-inflammation,hair growth,immunomodulation,mesenchymal stem cells (mscs),msc-exosomes,skin barrier,therapeutics,regenerative aesthetics,wound healing

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