Exploring the role of exosomes in diabetic neuropathy: From molecular mechanisms to therapeutic potential Article Swipe
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· 2025
· Open Access
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· DOI: https://doi.org/10.1016/j.biopha.2025.117959
Diabetic neuropathy (DN) is a debilitating complication of diabetes mellitus (DM), characterized by progressive neuronal damage, sensory dysfunction, and impaired quality of life. Recent advances in exosome research have elucidated their crucial role in DN's pathogenesis, diagnosis, and treatment. Exosomes-nanoscale extracellular vesicles-function as vehicles for molecular cargo, including microRNAs (miRNAs), proteins, and lipids, which mediate intercellular communication and regulate key biological processes. Pathologically, hyperglycemia and hyperlipidemia induce the release of exosomes enriched with pathogenic miRNAs, such as miR-130a and miR-20b-3p, which disrupt neuronal function, axonal regeneration, and inflammatory pathways. Conversely, diagnostic studies highlight the utility of exosomal biomarkers like miR-7 and miR-221 in the early detection and monitoring of DN. Therapeutically, Schwann cell-derived and mesenchymal stromal cell (MSC)-derived exosomes demonstrate neuroprotective and reparative effects by enhancing mitochondrial function, modulating inflammation, and promoting axonal repair. Emerging approaches, including engineered exosomes and miRNA-enriched vesicles, further expand their therapeutic potential. Despite these advances, challenges such as standardization, large-scale production, and clinical validation remain in translating these findings into clinical practice. This review underscores the multifaceted roles of exosomes in DN and highlights their potential as innovative tools for precision diagnostics and targeted therapies, paving the way for future research and clinical applications.
Related Topics
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.1016/j.biopha.2025.117959
- OA Status
- gold
- Cited By
- 6
- References
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- Related Works
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- OpenAlex ID
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Raw OpenAlex JSON
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https://openalex.org/W4408254582Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1016/j.biopha.2025.117959Digital Object Identifier
- Title
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Exploring the role of exosomes in diabetic neuropathy: From molecular mechanisms to therapeutic potentialWork title
- Type
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reviewOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
- Publication date
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2025-03-08Full publication date if available
- Authors
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Zohreh Tajabadi, Parisa Alsadat Dadkhah, Mohammad Sadra Gholami Chahkand, Fatemeh Esmaeilpour Moallem, Mohammad Amin Karimi, Ehsan Amini‐Salehi, Mehdi KarimiList of authors in order
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https://doi.org/10.1016/j.biopha.2025.117959Publisher landing page
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://doi.org/10.1016/j.biopha.2025.117959Direct OA link when available
- Concepts
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Microvesicles, Diabetic neuropathy, Medicine, Diabetes mellitus, Bioinformatics, Pharmacology, Cancer research, Endocrinology, microRNA, Biology, Genetics, GeneTop concepts (fields/topics) attached by OpenAlex
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6Total citation count in OpenAlex
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2025: 6Per-year citation counts (last 5 years)
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10Other works algorithmically related by OpenAlex
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