Blood glucose homeostasis requires a constant communication between insulin-secreting and insulin-sensitive cells. A wide variety of circulating factors, including hormones, cytokines and chemokines work together to orchestrate the systemic response of metabolic organs to changes in the nutritional state. Failure in the coordination between these organs can lead to a rise in blood glucose levels and to the appearance of metabolic disorders such as diabetes mellitus. Exosomes are small extracellular vesicles (EVs) that are produced via the endosomal pathway and are released from the cells upon fusion of multivesicular bodies with the plasma membrane. There is emerging evidence indicating that these EVs play a central role in cell-to-cell communication. The interest in exosomes exploded when they were found to transport bioactive proteins, messenger RNA (mRNAs) and microRNA (miRNAs) that can be transferred in active form to adjacent cells or to distant organs. In this review, we will first outline the mechanisms governing the biogenesis, the cargo upload and the release of exosomes by donor cells as well as the uptake by recipient cells. We will then summarize the studies that support the novel concept that miRNAs and other exosomal cargo components are new important vehicles for metabolic organ cross-talk.cell-to-cell communication, diabetes, exosomes, metabolism, miRNAs
| INTRODUCTIONIn modern societies, the combination of sedentary lifestyles with excessive caloric intake has resulted in a dramatic rise in the incidence of chronic metabolic diseases and in the associated premature deaths. Thus, it is becoming urgent to find novel strategies to cure or prevent the development of these diseases and to stop their epidemic progression. To achieve this goal, we need to improve our basic knowledge of the biological mechanisms governing the maintenance of glucose homeostasis.Several organs contribute to the regulation of blood glucose levels and the communication between them is vital to achieve this and were first thought to participate in the selective removal of unwanted cell components. However, the interest in these EVs exploded in the last decade, when they were found to transport bioactive molecules, including proteins and nucleic acids, which can be transferred in active form to recipient cells. 5,6 Exosomes are now seen as vehicles of a new cell-to-cell signalling pathway whose rules and limitations remain to be completely established. Also, a consensus is still lacking about the nomenclature and the most appropriate isolation method of exosomes and other types of microvesicles released by the cells. Typically, the term "exosome" is used to designate EVs with a diameters of 50 to 150 nm that originate from the The most common strategy used to isolate exosomes remains differential centrifugation. Therefore, unless specified, in this review we will focus mainly on studies on exosomes (also called exosome-like microvesicles or small EVs) that were isolated by high speed ultra-centrifugation.
| Exosome biogenesis...