Abstract

Extracellular vesicles (EVs) have attracted particular interest in various fields of biology and medicine. However, one of the major hurdles in the clinical application of EV-based therapy is their low production yield. We recently developed cell-derived EV-mimetic nanovesicles (NVs) by extruding cells serially through filters with diminishing pore sizes (10, 5, and 1 μm). Here, we demonstrate in diabetic mice that embryonic stem cell (ESC)-derived EV-mimetic NVs (ESC-NVs) completely restore erectile function (~96% of control values) through enhanced penile angiogenesis and neural regeneration in vivo, whereas ESC partially restores erectile function (~77% of control values). ESC-NVs promoted tube formation in primary cultured mouse cavernous endothelial cells and pericytes under high-glucose condition in vitro; and accelerated microvascular and neurite sprouting from aortic ring and major pelvic ganglion under high-glucose condition ex vivo, respectively. ESC-NVs enhanced the expression of angiogenic and neurotrophic factors (hepatocyte growth factor, angiopoietin-1, nerve growth factor, and neurotrophin-3), and activated cell survival and proliferative factors (Akt and ERK). Therefore, it will be a better strategy to use ESC-NVs than ESCs in patients with erectile dysfunction refractory to pharmacotherapy, although it remains to be solved for future clinical application of ESC.

Highlights

  • Extracellular vesicles (EVs) have attracted particular interest in various fields of biology and medicine

  • Recent study has demonstrated in diabetic rats that intracavernous injection of adipose-derived EVs isolated by ultracentrifugation of culture supernatant restored erectile function by increasing cavernous endothelial content and by decreasing cavernous fibrosis

  • We examined the proangiogenic or neurotrophic effects of embryonic stem cell (ESC)-NVs in primary cultured mouse cavernous endothelial cells (MCEC) and pericytes (MCP) in vitro; in cultured aortic ring and major pelvic ganglion (MPG) ex vivo; and in diabetic mice in vivo

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Summary

Introduction

Extracellular vesicles (EVs) have attracted particular interest in various fields of biology and medicine. We recently developed cell-derived EV-mimetic nanovesicles (NVs) by extruding cells serially through filters with diminishing pore sizes (10, 5, and 1 μm). One of the major hurdles in the clinical application of EV-based therapy is the low production yield of EVs and the difficulty of purification[10] To overcome these limitations, our colleagues recently developed cell-derived EV-mimetic nanovesicles (NVs) by extruding cells serially through filters with diminishing pore sizes (10, 5, and 1 μm). Our colleagues recently developed cell-derived EV-mimetic nanovesicles (NVs) by extruding cells serially through filters with diminishing pore sizes (10, 5, and 1 μm) These cell-derived EV-mimetic NVs have similar characteristics with the natural EVs, but have 100-fold higher production yield[18,19]

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