PMID- 35415238 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220414 IS - 2391-5412 (Electronic) IS - 2391-5412 (Linking) VI - 17 IP - 1 DP - 2022 TI - Intravenous infusion of the exosomes derived from human umbilical cord mesenchymal stem cells enhance neurological recovery after traumatic brain injury via suppressing the NF-kappaB pathway. PG - 189-201 LID - 10.1515/biol-2022-0022 [doi] AB - Traumatic brain injury (TBI) is a predominant cause of death and permanent disability globally. In recent years, much emphasis has been laid on treatments for TBI. Increasing evidence suggests that human umbilical cord mesenchymal stem cells (HUCMSCs) can improve neurological repair after TBI. However, the clinical use of HUCMSCs transplantation in TBI has been limited by immunological rejection, ethical issues, and the risk of tumorigenicity. Many studies have shown that HUCMSCs-derived exosomes may be an alternative approach for HUCMSCs transplantation. We hypothesized that exosomes derived from HUCMSCs could inhibit apoptosis after TBI, reduce neuroinflammation, and promote neurogenesis. A rat model of TBI was established to investigate the efficiency of neurological recovery with exosome therapy. We found that exosomes derived from HUCMSCs significantly ameliorated sensorimotor function and spatial learning in rats after TBI. Moreover, HUCMSCs-derived exosomes significantly reduced proinflammatory cytokine expression by suppressing the NF-kappaB signaling pathway. Furthermore, we found that HUCMSC-derived exosomes inhibited neuronal apoptosis, reduced inflammation, and promoted neuron regeneration in the injured cortex of rats after TBI. These results indicate that HUCMSCs-derived exosomes may be a promising therapeutic strategy for TBI. CI - (c) 2022 Zhen-Wen Zhang et al., published by De Gruyter. FAU - Zhang, Zhen-Wen AU - Zhang ZW AD - Department of Encephalopathy, Affiliated Hospital of Gansu University of Chinese Medicine, Lanzhou 730000, Gansu, China. AD - Tianjin Key Laboratory of Neurotrauma Repair, Pingjin Hospital Brain Center, Characteristic Medical Center of PAPF, Tianjin 300162, China. AD - College of Integrated Traditional Chinese and Western Medicine, Gansu University of Chinese Medicine, Lanzhou 730000, Gansu, China. FAU - Wei, Pan AU - Wei P AD - Department of Neurosurgery, The First People's Hospital of Long Quan Yi District, Cheng Du 610000, Si Chuan, China. FAU - Zhang, Gui-Jun AU - Zhang GJ AD - Department of Neurosurgery, West China Medical School, West China Hospital, Sichuan University, Chengdu 610041, Sichuan, China. FAU - Yan, Jing-Xing AU - Yan JX AD - Department of Encephalopathy, Affiliated Hospital of Gansu University of Chinese Medicine, Lanzhou 730000, Gansu, China. AD - College of Integrated Traditional Chinese and Western Medicine, Gansu University of Chinese Medicine, Lanzhou 730000, Gansu, China. FAU - Zhang, Sai AU - Zhang S AD - Tianjin Key Laboratory of Neurotrauma Repair, Pingjin Hospital Brain Center, Characteristic Medical Center of PAPF, Tianjin 300162, China. FAU - Liang, Jin AU - Liang J AD - Tianjin Key Laboratory of Neurotrauma Repair, Pingjin Hospital Brain Center, Characteristic Medical Center of PAPF, Tianjin 300162, China. FAU - Wang, Xiao-Li AU - Wang XL AD - Tianjin Key Laboratory of Neurotrauma Repair, Pingjin Hospital Brain Center, Characteristic Medical Center of PAPF, Tianjin 300162, China. LA - eng PT - Journal Article DEP - 20220317 PL - Poland TA - Open Life Sci JT - Open life sciences JID - 101669614 PMC - PMC8932398 OTO - NOTNLM OT - NF-kappaB OT - exosomes OT - human umbilical cord mesenchymal stem cells OT - neurological recovery OT - traumatic brain injury COIS- Conflict of interest: Authors state no conflict of interest. EDAT- 2022/04/14 06:00 MHDA- 2022/04/14 06:01 PMCR- 2022/03/17 CRDT- 2022/04/13 05:36 PHST- 2021/08/01 00:00 [received] PHST- 2021/12/13 00:00 [revised] PHST- 2022/01/03 00:00 [accepted] PHST- 2022/04/13 05:36 [entrez] PHST- 2022/04/14 06:00 [pubmed] PHST- 2022/04/14 06:01 [medline] PHST- 2022/03/17 00:00 [pmc-release] AID - biol-2022-0022 [pii] AID - 10.1515/biol-2022-0022 [doi] PST - epublish SO - Open Life Sci. 2022 Mar 17;17(1):189-201. doi: 10.1515/biol-2022-0022. eCollection 2022.