PMID- 37745252 OWN - NLM STAT- Publisher LR - 20230926 IS - 1664-042X (Print) IS - 1664-042X (Electronic) IS - 1664-042X (Linking) VI - 14 DP - 2023 TI - Exosomes as biomarkers and therapy in type 2 diabetes mellitus and associated complications. PG - 1241096 LID - 10.3389/fphys.2023.1241096 [doi] LID - 1241096 AB - Type 2 diabetes mellitus (T2DM) is one of the most prevalent metabolic disorders worldwide. However, T2DM still remains underdiagnosed and undertreated resulting in poor quality of life and increased morbidity and mortality. Given this ongoing burden, researchers have attempted to locate new therapeutic targets as well as methodologies to identify the disease and its associated complications at an earlier stage. Several studies over the last few decades have identified exosomes, small extracellular vesicles that are released by cells, as pivotal contributors to the pathogenesis of T2DM and its complications. These discoveries suggest the possibility of novel detection and treatment methods. This review provides a comprehensive presentation of exosomes that hold potential as novel biomarkers and therapeutic targets. Additional focus is given to characterizing the role of exosomes in T2DM complications, including diabetic angiopathy, diabetic cardiomyopathy, diabetic nephropathy, diabetic peripheral neuropathy, diabetic retinopathy, and diabetic wound healing. This study reveals that the utilization of exosomes as diagnostic markers and therapies is a realistic possibility for both T2DM and its complications. However, the majority of the current research is limited to animal models, warranting further investigation of exosomes in clinical trials. This review represents the most extensive and up-to-date exploration of exosomes in relation to T2DM and its complications. CI - Copyright (c) 2023 Satyadev, Rivera, Nikolov and Fakoya. FAU - Satyadev, Nihal AU - Satyadev N AD - Department of Neurology, Mayo Clinic Florida, Jacksonville, FL, United States. FAU - Rivera, Milagros I AU - Rivera MI AD - University of Medicine and Health Sciences, Basseterre, St. Kitts and Nevis. FAU - Nikolov, Nicole K AU - Nikolov NK AD - Ross University School of Medicine, Bridgetown, Barbados. FAU - Fakoya, Adegbenro O J AU - Fakoya AOJ AD - Louisiana State University Health Sciences Center, Shreveport, LA, United States. LA - eng PT - Journal Article PT - Review DEP - 20230908 PL - Switzerland TA - Front Physiol JT - Frontiers in physiology JID - 101549006 PMC - PMC10515224 OTO - NOTNLM OT - biomarkers OT - diabetic cardiomyopathy OT - diabetic nephropathy OT - diabetic neuropathy OT - diabetic retinopathy OT - exosomes OT - type 2 diabetes mellitus COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2023/09/25 06:41 MHDA- 2023/09/25 06:41 PMCR- 2023/09/08 CRDT- 2023/09/25 04:57 PHST- 2023/06/16 00:00 [received] PHST- 2023/08/23 00:00 [accepted] PHST- 2023/09/25 06:41 [medline] PHST- 2023/09/25 06:41 [pubmed] PHST- 2023/09/25 04:57 [entrez] PHST- 2023/09/08 00:00 [pmc-release] AID - 1241096 [pii] AID - 10.3389/fphys.2023.1241096 [doi] PST - epublish SO - Front Physiol. 2023 Sep 8;14:1241096. doi: 10.3389/fphys.2023.1241096. eCollection 2023.