Exosomes are the cell-to-cell messengers driving neural repair after injury—here's what we know and what still needs to crack before they reach clinics
This infographic illustrates the potential of Exosomes, released by cells like Schwann cells, to deliver regenerative cargo (like miR-21 and BDNF) to damaged neurons, promoting axon growth and survival after injury, though clinical translation faces manufacturing and targeting challenges.
Cells don't just secrete growth factors into the void. They package regenerative signals into extracellular vesicles—tiny membrane-bound packages that travel through tissue and deliver functional RNA and proteins to damaged neurons. After spinal cord injury or peripheral nerve damage, these EVs coordinate the repair response between Schwann cells, neurons, and immune cells. The cargo matters: specific miRNAs like miR-21 and miR-133b can promote axon growth, while proteins including BDNF and GDNF support survival. But here's the gap—no exosome therapy has reached clinical trials for neural injury yet. The manufacturing and targeting problems are real.
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