2022
DOI: 10.1155/2022/3593294
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Mesenchymal Stem Cell-Derived Exosomes Ameliorate Delayed Neurocognitive Recovery in Aged Mice by Inhibiting Hippocampus Ferroptosis via Activating SIRT1/Nrf2/HO-1 Signaling Pathway

Abstract: Delayed neurocognitive recovery (dNCR) is a prevalent perioperative neurological complication in older patients and has common characteristics such as acute cognitive dysfunction, impaired memory, and inattention. Mesenchymal stem cell-derived exosomes (MSCs-Exo) are enclosed by a lipid bilayer contain proteins, DNA, miRNA, and other components, which are important mediators of intercellular communication. It has been reported that exosomes could play an important role in the treatment of neurodegenerative dis… Show more

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Cited by 29 publications
(20 citation statements)
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“…Although no study has explored the potential regulatory effects of MSCs on renal and intestinal ferroptosis after regional or systemic IR injury, two studies have demonstrated that MSCs could ameliorate regional cerebral IR injury by inhibiting cell ferroptosis through regulating the GPX4/cyclooxygenase-2 axis (33) and alleviate systemic cardiac and cerebral IR injuries by suppressing ACSL4/GPX4-mediated cell ferroptosis (18). In addition, MSCs have been shown to produce effective protection through the inhibition of cell ferroptosis in some other diseases including acute spinal cord injury, mild traumatic brain injury, erectile dysfunction, and senescence (34)(35)(36)(37). Based on the evidence mentioned previously, the phenomenon of cell ferroptosis mediated by the ACSL4/GPX4 pathway and its potential regulation by MSCs were investigated in the kidney and intestine after CA/CPR in this study.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Although no study has explored the potential regulatory effects of MSCs on renal and intestinal ferroptosis after regional or systemic IR injury, two studies have demonstrated that MSCs could ameliorate regional cerebral IR injury by inhibiting cell ferroptosis through regulating the GPX4/cyclooxygenase-2 axis (33) and alleviate systemic cardiac and cerebral IR injuries by suppressing ACSL4/GPX4-mediated cell ferroptosis (18). In addition, MSCs have been shown to produce effective protection through the inhibition of cell ferroptosis in some other diseases including acute spinal cord injury, mild traumatic brain injury, erectile dysfunction, and senescence (34)(35)(36)(37). Based on the evidence mentioned previously, the phenomenon of cell ferroptosis mediated by the ACSL4/GPX4 pathway and its potential regulation by MSCs were investigated in the kidney and intestine after CA/CPR in this study.…”
Section: Discussionmentioning
confidence: 99%
“…The working parameters of ventilator were as follows: tidal volume (10 mL/kg), peak flow (40 L/min), and oxygen concentration (21%). In addition, the respiratory frequency was adjusted to maintain a normal range of end-tidal CO 2 (35)(36)(37)(38)(39)(40). Electrocardiograms and oxygen saturation were monitored regularly using a patient monitoring system (BeneVision N22; Mindray, Shenzhen, China).…”
Section: Surgical Preparationmentioning
confidence: 99%
“…In the field of treating neurological diseases, stem cell technology has been viewed as a viable therapeutic method since the 1980s, when it was used on Parkinson's disease patients and showed encouraging results 36,37 . In light of this, mesenchymal stromal cells (MSCs)‐based therapies have garnered a lot of interest because to their low immunogenicity, ease of ex vivo multiplication, and isolation from a variety of adult tissues.…”
Section: Mscs and Neurological Diseasesmentioning
confidence: 99%
“…Mechanistically, exosomes activated SIRT1, increasing the expression of Nrf2 and HO-1 and promoting the levels SLC7A11, GPX4, and GSH while suppressing ROS, MDA, and Fe 2+ levels. 65 The C-C motif chemokine receptor-2 (CCR2) is reportedly highly expressed in cancer cells and correlated with poor prognosis. 66 It was shown that glutamicoxaloacetic transaminase 1 (GOT1) from tumor-derived exosomes could upregulate CCR2 to stimulate the Nrf2-HO-1 pathway, resulting in increased GPX4 and decreased ROS, MDA, and Fe 2+ levels to hinder ferroptosis and eventually promoted tumor cell migration and invasion.…”
Section: Nrf2-ho-1 Signalingmentioning
confidence: 99%