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. 2021 Aug 7;12(5):1047–1079. doi: 10.1007/s13346-021-01026-0

Table 1.

Exosomes in treatment of brain strokes, ischemic brain, brain injury and epilepsy

Disease Objectives of the study Activity Outcomes References
AIS Examining the effect of AIS on exosomal miRNAs Expression levels of exosomal miRNAs in stroke and non-stroke patients were analysed Expression of miRNA-134 was significantly higher in AIS patients [112]
Ischemic Stroke (IS) Characterizing the phase of IS depending on the expression of different miRNAs Expression levels of exosomal miRNAs in patients with HIS, AIS, SIS and RIS were analysed Expression of miRNA-21-5p in SIS and RIS, and miRNA-30a-5p in HIS was higher than controls [114]
Cerebral Ischemia Examining the potential of ADSC-exosomal miRNA as a treatment approach for cerebral ischemia ADSC-exosomal miRNA was administered to MCAO rats and behavioural tests and cell activity assays were performed ADSC-exosomal miRNA-126 regulated neurogenesis and neuroinflammation [117]
Traumatic Brain Injury (TBI) Examining levels of protein biomarkers in TBI patients Exosomal levels of tau, p-tau in plasma of veterans with mTBI and rTBI were analysed Exosomal tau and p-tau levels were elevated in rTBI compared to mTBI [122]
TBI Examining levels of NfL in TBI patients Exosomal levels of NfL, TNF-α and ILs were analysed in veterans with rTBI rTBIs were associated with elevated levels of exosomal NfL [123]
Epilepsy Examining the use of exosomal proteins to study epilepsy F9, THBS1 and APP levels were analysed in plasma exosomes Expression of F9 was higher in epilepsy patients and THBS1 was lower in epilepsy patients compared to controls [126]
Epilepsy Examining the potential of MSC exosomes as a treatment approach for epilepsy Pilocarpine-induced epilepsy mice models were treated with MSC exosomes MSC exosomes have anti-inflammatory and neuroprotective properties [129]