Review Article

Exosomes: Emerging Therapy Delivery Tools and Biomarkers for Kidney Diseases

Table 2

The mechanisms of MSC and other cell-derived exosomes in attenuating kidney injury.

Sources of exosomesCargosSpecies/modelsOutcomeRef.

hWJMSCsmiR-30SD rats/left kidney ischemia for 45 minsInhibit DRP1
Antiapoptosis
[103]
miR-15, miR-16SD rats/left kidney ischemia for 60 minsInhibit CX3CL1
Anti-inflammation
[104]
_Rats/left kidney ischemia for 45 mins
NRK-52E cells/hypoxia for 6 h
Activate Nrf2/ARE pathway
Antioxidation
[105]

hucMSCsHGF mRNASD rats/left kidney ischemia for 1 hActivate ERK 1/2 pathway
Antiapoptosis
[106]
_SD rats: 6 mg/kg cisplatin
NRK-52E cells/5 μM cisplatin for 6 h
Activate ERK 1/2 pathway
Antiapoptosis
[107]
_C57BL/6 mice/CLP surgeryInhibit NF-κB pathway
Anti-inflammation
[108]
_SD rats/unilateral ureteral obstruction
NRK-52E cells/TGF-β1
Inhibit TLR4/NF-κB pathway
Anti-inflammation
[109]
CK1δ, β-TRCPSD rats/unilateral ureteral obstructionInhibit YAP activity
Antifibrosis
[110]
miR-125b-5pC57BL/6 mice/bilateral kidneys ischemia for 30 mins
HK-2 cells/hypoxia for 12 h
Inhibit p53
Antiapoptosis
[111]

hADMSCs_C57BL/6 mice/left kidney ischemia for 30 minsUpregulate Sox9
Antifibrosis
[112]
_C57BL/6 mice/CLP surgeryActivate SIRT1
Anti-inflammation, Antiapoptosis
[113]

hUSCsmiR-146a-5pSD rats/left kidney ischemia for 45 mins
HK-2 cells/hypoxic medium 48 h
Downregulate IRAK1
Inhibit NF-κB pathway
Anti-inflammation
[114]
miR-216a-5pSD rats/left kidney ischemia for 45 mins
HK-2 cells/hypoxic medium 1 h
Downregulate PTEN
Antiapoptosis
[115]

hP-MSCsmiR-200a-3pFVB mice/right kidney ischemia for 50 minsActivated Keap1-Nrf2 pathway
Antioxidation
[116]

Mouse BMMSCsCCR2BALB/c mice/left kidney ischemia for 1 hAbsorb CCL2
Anti-inflammation
[117]

Mouse ADMSCsmiR-486C57BL/KsJ db/db miceInhibit Smad1/mTOR pathway
Promote autophagy
Antiapoptosis
[118]

GI-MSCsmiRNAsSCID mice/left kidney ischemia for 35 minsPromote proliferation[119]

RAPCsmiR-218, Robo-1C57BL/6 mice/bilateral kidney ischemia for 30 minsPromote migration[120]

ECFCsmiR-486-5pFVB mice/bilateral kidney ischemiaDownregulate PTEN
Activate Akt pathway
[121]

EPCsmiR-126-3p
miR-126-5p
CD-1 outbred mice/CLPDownregulate HMGB1 and VCAM1[122]