PMID- 36630584 OWN - NLM STAT- MEDLINE DCOM- 20230208 LR - 20230307 IS - 1938-5404 (Electronic) IS - 0033-7587 (Linking) VI - 199 IP - 2 DP - 2023 Feb 1 TI - The Therapeutic Application of Stem Cells and Their Derived Exosomes in the Treatment of Radiation-Induced Skin Injury. PG - 182-201 LID - 10.1667/RADE-22-00023.1 [doi] AB - Radiation-induced skin injury (RISI) is a serious concern for nuclear accidents and cancer radiotherapy, which seriously affects the quality of life of patients. This injury differs from traditional wounds due to impaired healing and the propensity to recurrence and is divided into acute and chronic phases on the basis of the injury time. Unfortunately, there are few effective therapies for preventing or mitigating this injury. Over the last few decades, various studies have focused on the effects of stem cell-based therapies to address the tissue repair and regeneration of irradiated skin. These stem cells modulate inflammation and instigate tissue repair by differentiating into specific kinds of cells or releasing paracrine factors. Stem cell-based therapies, including bone marrow-derived stem cells (BMSCs), adipose-derived stem cells (ADSCs) and stromal vascular fraction (SVF), have been reported to facilitate wound healing after radiation exposure. Moreover, stem cell-derived exosomes have recently been suggested as an effective and cell-free approach to support skin regeneration, circumventing the concerns respecting direct application of stem cells. Based on the literature on stem cell-based therapies for radiation-induced skin injury, we summarize the characteristics of different stem cells and describe their latest animal and clinical applications, as well as potential mechanisms. The promise of stem-cell based therapies against radiation-induced skin injury contribute to our response to nuclear events and smooth progress of cancer radiotherapy. CI - (c)2023 by Radiation Research Society. All rights of reproduction in any form reserved. FAU - Yang, Ping AU - Yang P AD - Laboratory of Radiation Medicine, West China Second University Hospital, Sichuan University, Chengdu 610041, China. AD - Laboratory of Radiation Medicine, West China School of Basic Medical Sciences & Forensic Medicine, Sichuan University, Chengdu 610041, China. FAU - Zhang, Shuaijun AU - Zhang S AD - Laboratory of Radiation Medicine, West China Second University Hospital, Sichuan University, Chengdu 610041, China. FAU - Yan, Tao AU - Yan T AD - Laboratory of Radiation Medicine, West China School of Basic Medical Sciences & Forensic Medicine, Sichuan University, Chengdu 610041, China. AD - Second Affiliated Hospital of Chengdu Medical College, China National Nuclear Corporation 416 Hospital, Chengdu 610051, China. FAU - Li, Fengsheng AU - Li F AD - PLA Rocket Rorce Characteristic Medical Center, Beijing 100088, China. FAU - Zhang, Shuyu AU - Zhang S AD - Laboratory of Radiation Medicine, West China Second University Hospital, Sichuan University, Chengdu 610041, China. AD - Laboratory of Radiation Medicine, West China School of Basic Medical Sciences & Forensic Medicine, Sichuan University, Chengdu 610041, China. AD - Second Affiliated Hospital of Chengdu Medical College, China National Nuclear Corporation 416 Hospital, Chengdu 610051, China. AD - NHC Key Laboratory of Nuclear Technology Medical Transformation, Mianyang Central Hospital, Mianyang 621099, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Radiat Res JT - Radiation research JID - 0401245 SB - IM MH - Animals MH - *Exosomes MH - Quality of Life MH - Adipose Tissue MH - Skin/injuries MH - Stem Cells MH - *Radiation Injuries/etiology/therapy MH - *Neoplasms EDAT- 2023/01/12 06:00 MHDA- 2023/02/09 06:00 CRDT- 2023/01/11 14:42 PHST- 2022/01/15 00:00 [received] PHST- 2022/12/05 00:00 [accepted] PHST- 2023/01/12 06:00 [pubmed] PHST- 2023/02/09 06:00 [medline] PHST- 2023/01/11 14:42 [entrez] AID - 490181 [pii] AID - 10.1667/RADE-22-00023.1 [doi] PST - ppublish SO - Radiat Res. 2023 Feb 1;199(2):182-201. doi: 10.1667/RADE-22-00023.1.