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Review

Exosomes As Mediators and Biomarkers in Fibrosis

, &
Pages 697-712 | Received 21 Aug 2019, Accepted 05 Mar 2020, Published online: 09 Jul 2020
 

Abstract

Fibrosis is characterized by aberrant myofibroblast accumulation and excessive extracellular matrix deposition, which leads to organ failure and significantly contributes to mortality worldwide. Exosomes, which are extracellular nanovesicles with a diameter of 30–100 nm that are secreted into the extracellular space by various types of cells, facilitate intercellular communication by delivering different cargos such as proteins, mRNAs and microRNAs. Growing evidence indicates that exosomes play an important role in various fibrotic diseases. A deeper understanding of the effects of exosomes in fibrosis may help in exploring new diagnostic and therapeutic targets. In this review, we summarize recent findings on exosomes in fibrotic diseases, with a special focus on exosomal cargo dysregulation and their potential diagnostic and therapeutic value in fibrosis.

Financial & competing interests disclosure

This work was supported by Doctoral Innovation Fund of Shanghai Jiaotong University School of Medicine (grant no. BXJ201939) and National Natural Science Foundation of China (grant no. 81870053). The authors have no other relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript apart from those disclosed.

No writing assistance was utilized in the production of this manuscript.

Additional information

Funding

This work was supported by Doctoral Innovation Fund of Shanghai Jiaotong University School of Medicine (grant no. BXJ201939) and National Natural Science Foundation of China (grant no. 81870053). The authors have no other relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript apart from those disclosed.

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