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September 3, 2026Oral Science and Homeostatic MedicineOpen Access

Healing of diabetic cutaneous wound mediated by small extracellular vesicles derived from mesenchymal stem cells

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Authors

TLTianyi LiWeifang Medical UniversityWZWenting ZhangWeifang Medical UniversityYSYingjie SunWeifang Medical University

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Implication

Review reveals mesenchymal stem cell extracellular vesicles accelerate wound healing in diabetic models, highlighting cell-free therapeutic potential.

Key Points

  • To summarize the therapeutic mechanisms, cellular targets, and translational barriers of mesenchymal stem cell-derived small extracellular vesicles in diabetic cutaneous wound healing.
  • Synthesized recent literature examining mesenchymal stem cell-derived small extracellular vesicles (MSC-sEVs) across cellular and molecular pathways in diabetic wound repair.
  • Assessed technical and translational hurdles, including MSC source heterogeneity, isolation and characterization standards, tissue retention, and clinical validation.
  • MSC-sEVs attenuate pathological barriers by regulating macrophage polarization, neutrophil extracellular trap formation, oxidative stress, ferroptosis, cellular senescence, and autophagy dysfunction.
  • Vesicle therapy promotes angiogenesis, collagen deposition, fibroblast proliferation, and keratinocyte migration to accelerate diabetic re-epithelialization and closure.

Cite This Study

Li et al. (2026) studied this question.

synapsesocial.com/papers/6a9935b1636c6408cfa7e2e5https://doi.org/10.26599/oshm.2026.9610068
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