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Utilizing Extracellular Vesicles for the Diagnosis and Treatment of Chronic Liver Conditions
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Molecular Biomarkers & Diagnosis

ISSN: 2155-9929

Open Access

Mini Review - (2023) Volume 14, Issue 5

Utilizing Extracellular Vesicles for the Diagnosis and Treatment of Chronic Liver Conditions

Lukas Dimakou*
*Correspondence: Lukas Dimakou, Department of Molecular Biology, University of California, San Diego, CA 92037, USA, Email:
Department of Molecular Biology, University of California, San Diego, CA 92037, USA

Received: 02-Oct-2023, Manuscript No. jmbd-23-117219; Editor assigned: 04-Oct-2023, Pre QC No. P-117219; Reviewed: 16-Oct-2023, QC No. Q-117219; Revised: 23-Oct-2023, Manuscript No. R-117219; Published: 30-Oct-2023 , DOI: 10.37421/2155-9929.2023.14.599
Citation: Dimakou, Lukas. “Utilizing Extracellular Vesicles for the Diagnosis and Treatment of Chronic Liver Conditions.” J Mol Biomark Diagn 14 (2023): 599.
Copyright: © 2023 Dimakou L. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

The use of Extracellular Vesicles (EVs) has emerged as a promising approach in the diagnosis and treatment of chronic liver conditions. Chronic liver diseases, including cirrhosis, Non-Alcoholic Fatty Liver Disease (NAFLD) and viral hepatitis, present significant health challenges worldwide. EVs, such as exosomes and microvesicles, are membrane-bound particles released by various cell types, carrying a cargo of proteins, nucleic acids and lipids. This review explores the diagnostic and therapeutic potential of EVs in the context of chronic liver diseases. By highlighting the role of EVs in liver disease pathogenesis, biomarker discovery and their application in drug delivery, this review underscores the significant advancements and future possibilities of EV-based strategies in managing and understanding chronic liver conditions.

Keywords

Extracellular Vesicles (EVs) • Chronic liver diseases • Liver cirrhosis • Viral hepatitis

Introduction

Chronic liver diseases, encompassing a spectrum of conditions such as cirrhosis, Non-Alcoholic Fatty Liver Disease (NAFLD) and viral hepatitis, represent a significant global health burden. These conditions often progress insidiously, with limited early symptoms, making their timely diagnosis and effective treatment essential. Recent advances in the field of Extracellular Vesicles (EVs) have kindled interest in their application as diagnostic and therapeutic tools for liver diseases [1]. EVs, comprising exosomes and microvesicles, are lipid-bilayer-bound nanoparticles secreted by various cell types, bearing cargo that includes proteins, nucleic acids and lipids. This review explores the potential of EVs in the context of chronic liver conditions, delving into their role in pathogenesis, diagnostic biomarker discovery and therapeutic strategies. By examining the advancements and challenges in this nascent field, we aim to shed light on the transformative role of EVs in the diagnosis and treatment of chronic liver diseases [2].

Literature Review

Chronic liver diseases present a complex and multifaceted clinical challenge. Early diagnosis and ongoing monitoring are crucial for disease management. EVs, especially exosomes, have garnered attention as they play pivotal roles in intercellular communication. In the liver, EVs facilitate crosstalk between hepatocytes, immune cells and the hepatic microenvironment [3]. These vesicles encapsulate valuable information about the liver's physiological and pathological status, making them potential diagnostic markers. Furthermore, the cargo of EVs, comprising microRNAs, messenger RNAs and proteins, can be analyzed to identify signatures specific to liver diseases. Researchers have discovered that the dysregulation of certain microRNAs within EVs is associated with liver fibrosis, a common consequence of chronic liver diseases. This discovery holds the promise of developing non-invasive liquid biopsies to detect fibrosis progression and assess treatment response. The therapeutic potential of EVs in liver diseases is equally promising. EVs can be harnessed for their drug delivery capabilities, facilitating the targeted transport of therapeutic cargos directly to the liver. EVs' natural ability to enter target cells and modulate signaling pathways has sparked the exploration of EV-based therapies for liver regeneration and fibrosis resolution [4].

Discussion

The discussion centers on the challenges and future prospects of utilizing EVs in the diagnosis and treatment of chronic liver diseases. Challenges include the standardization of EV isolation and cargo analysis techniques, the need for larger-scale clinical validation and the development of precise drug delivery systems. Additionally, the establishment of multi-parametric biomarker panels to improve diagnostic accuracy is essential [5]. EV-based therapies, though in the early stages of development, hold significant promise. Nanomedicine approaches exploiting EVs for targeted drug delivery could transform the treatment landscape for chronic liver conditions, reducing side effects and enhancing treatment efficacy. The interaction between EVs and the hepatic microenvironment is an intriguing area for further investigation, as it may unveil novel therapeutic strategies [6].

Conclusion

In conclusion, the utilization of Extracellular Vesicles (EVs) in the diagnosis and treatment of chronic liver diseases represents a burgeoning field with considerable potential. EVs offer a non-invasive means of disease monitoring and diagnostic biomarker discovery, with the prospect of precise and early diagnosis. Moreover, EV-based therapies, including drug delivery systems, have the potential to revolutionize the treatment of chronic liver conditions. While the field is still evolving and faces several challenges, including standardization and clinical validation, the transformative role of EVs in liver disease management is undeniable. As research continues, we anticipate that the application of EVs in the diagnosis and treatment of chronic liver conditions will progress, offering new hope to individuals affected by these challenging diseases and enhancing the precision and efficacy of their clinical care.

Acknowledgement

None.

Conflict of Interest

There are no conflicts of interest by author.

References

  1. Eguchi, Akiko, Enis Kostallari, Ariel E. Feldstein and Vijay H. Shah. "Extracellular vesicles, the liquid biopsy of the future." J Hepatol 70 (2019): 1292-1294.

    Google Scholar, Crossref, Indexed at

  2. Gurunathan, Sangiliyandi, Min-Hee Kang, Muhammad Qasim and Khalid Khan, et al. "Biogenesis, membrane trafficking, functions and next generation nanotherapeutics medicine of extracellular vesicles." Int J Nanomedicine (2021): 3357-3383.

    Google Scholar, Crossref, Indexed at

  3. Théry, Clotilde, Kenneth W. Witwer, Elena Aikawa and Maria Jose Alcaraz, et al. "Minimal information for studies of extracellular vesicles 2018 (MISEV2018): A position statement of the International Society for Extracellular Vesicles and update of the MISEV2014 guidelines." J Extracell Vesicles 7 (2018): 1535750.

    Google Scholar, Crossref, Indexed at

  4. Rong, Xiaoli, Junzhi Liu, Xia Yao and Tiechao Jiang, et al. "Human bone marrow mesenchymal stem cells-derived exosomes alleviate liver fibrosis through the Wnt/β-catenin pathway." Stem Cell Res Ther 10 (2019): 1-11.

    Google Scholar, Crossref, Indexed at

  5. Calvente, Carolina Jimenez, Masahiko Tameda, Casey D. Johnson and Hana Del Pilar, et al. "Neutrophils contribute to spontaneous resolution of liver inflammation and fibrosis via microRNA-223." J Clin Invest 129 (2019): 4091-4109.

    Google Scholar, Crossref, Indexed at

  6. Haga, Hiroaki, Irene K. Yan, Kenji Takahashi and Akiko Matsuda, et al. "Extracellular vesicles from bone marrow-derived mesenchymal stem cells improve survival from lethal hepatic failure in mice." Stem Cells Transl Med 6 (2017): 1262-1272.

    Google Scholar, Crossref, Indexed at

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