细胞外囊泡在新生儿疾病中的研究进展OA
Research progress of extracellular vesicles in neonatal diseases
新生儿疾病是导致婴儿死亡和终身健康问题的首要原因,其较高的死亡率对现代重症监护医学构成了严峻挑战.细胞外囊泡(Extracellular vesicles,EVs)是具有生物活性的膜性结构,参与细胞间信号转导、抗原呈递和免疫应答等功能,为开发新生儿疾病新疗法提供了新思路.当前,EVs研究主要聚焦于解析不同来源和类型EVs的特性及其在疾病模型中的治疗潜力.临床前研究证实,EVs在早产儿视网膜病变、支气管肺发育不良、新生儿缺氧缺血性脑病和坏死性小肠结肠炎等疾病中疗效显著,表明其在新生儿疾病治疗领域具有可行性.然而,EVs的应用仍面临异质性和临床转化瓶颈等挑战,亟须建立标准化、推进临床转化,并探索诊断价值.
Neonatal diseases are the leading causes of infant mortality and long-term health complications.Its high mortality rate poses a severe challenge to modern intensive care medicine.Extracellular vesicles,biologically active membrane-bound structures,mediate critical intercellular functions including signal transduction,antigen presentation,and immune responses.This positions EVs as a novel therapeutic avenue for neonatal diseases.Current research primarily focuses on characterizing the properties of EVs derived from diverse cellular origins and subtypes,alongside evaluating their therapeutic potential in preclinical disease models.Preclinical studies have demonstrated significant efficacy of EVs in treating neonatal conditions such as retinopathy of prematurity,bronchopulmonary dysplasia,neonatal hypoxic-ischemic encephalopathy,and necrotizing enterocolitis,indicating their clinical feasibility in neonatal therapeutics.However,the clinical translation of EVs faces substantial challenges,including inherent heterogeneity and translational bottlenecks.Addressing these necessitates establishing standardized protocols,advancing clinical translation efforts,and exploring their diagnostic utility.
郑灏;陈妍;钟晓燕;林慧洁;蒋嘉豪;黄志华;江丽霞
赣南医科大学医学技术学院赣南医科大学医学技术学院赣南医科大学医学技术学院赣南医科大学第一临床医学院赣南医科大学第一临床医学院赣南医科大学基础医学院||心脑血管疾病防治教育部重点实验室赣南医科大学医学技术学院||赣南医科大学第一临床医学院||心脑血管疾病防治教育部重点实验室||赣南医科大学第一附属医院,江西 赣州 341000
医药卫生
细胞外囊泡早产儿视网膜病变支气管肺发育不良新生儿缺氧缺血性脑病坏死性小肠结肠炎
Extracellular vesiclesRetinopathy of prematurityBronchopulmonary dysplasiaHypoxic ischemic encephalopathyNecrotizing enterocolitis
《赣南医科大学学报》 2026 (3)
248-254,261,8
赣南医学院心脑血管疾病防治教育部重点实验室开放课题(XN201921)研究生创新专项资金项目(YC2024-S831)
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