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Table 2 Mechanism of exosomes against ferroptosis in different diseases

From: Ferroptosis: a promising candidate for exosome-mediated regulation in different diseases

System

Disease types

Exosomes sources

Molecular mediators

Target

Biological effects

References

Digestive system

Acute liver injury

MSC

CD44/OTUB1

SLC7A11/system Xc-

Inhibit ferroptosis of hepatocyte and alleviate acute liver injury

[22]

Liver fibrosis

HBV-LO2 cells

miR-222

TFRC

Inhibit the ferroptosis of LX2 cells and promote liver fibrosis and liver failure

[23]

Steatotic liver IRI

HO-1/BMMSCs

miR-29a-3p

IREB2

Inhibit ferroptosis of steatotic liver IRI and improve liver tissue and cell injury

[24]

miR-124-3p

STEAP3

[25]

Gastric carcinoma

CAFs

miR-522

ALOX15

Inhibit ferroptosis of gastric cancer cells and reduce chemotherapy sensitivity

[26]

GC

lncFERO

hnRNPA1/SCD1

Inhibit ferroptosis of GCSC and enhance the chemotherapy resistance of GCSCs

[27]

Colorectal carcinoma

Adipose cell

MTTP

PRAP1/ZEB1、GPX4/xCT

Inhibit ROS production and ferroptosis in CRC cells and promote tumor growth

[28]

Pancreatic carcinoma

PANC

GOT1

Nrf2/HO-1

Inhibit ferroptosis of cancer cells and promote the development of tumors

[29]

Cardiovascular system

Acute myocardial infarction

HucMSC

miR-23a-3p

DMT1

Inhibit ferroptosis of cardiac myocyte and reduce myocardial injury

[30]

Pericardial adipose tissues

Adipsin

IRP2

Inhibit cardiomyocyte ferroptosis and maintain iron homeostasis

[31]

Nervous system

Cerebral hemorrhage

ADSC

miR-19b-3p

IRP2

Inhibit the ferroptosis of damaged brain cells and relieve symptoms

[32]

Acute spinal cord injury

MSC

lncGm36569

miR-5627-5p/FSP1

Inhibit ferroptosis of neuronal cells and attenuate the neurological dysfunction caused by injury

[33]

Cerebral IRI

BMMSC-EVs/Fer-1

Fer-1

GPX4/COX2

Inhibit ferroptosis of neurons and alleviate brain injury in mice

[34]

Respiratory system

Non-small cell lung cancer

NSCLC-cells

miR-4443

METTL3/FSP1

Inhibit ferroptosis of tumor cells and promote cisplatin resistance in NSCLC

[35]

Lung adenocarcinoma

Plasma

cir93

AA/ACSL4、LPCAT3

Inhibit ferroptosis in lung adenocarcinoma cells and decrease lipid peroxidation in cancer cells

[36]

Osteoporosis

EC

Ferritin

Inhibit ferroptosis of osteoblast and reverse the glucocorticoid-induced osteoporosis

[37]

Urinary System

Acute kidney injury

USC

lncTUG1

SRSF1/ACSL4

Inhibit ferroptosis of renal tubular epithelial cells and alleviate acute kidney injury

[38]

Others

UVB-induced skin injury

ADSC

circ-Ash1l

miR-700-5p/GPX4

Inhibit the ferroptosis of cells and improve UVB-induced skin damage

[39]

Diabetic foot ulcer

BMMSC

circ-ITCH

TAF15/Nrf2

Inhibit ferroptosis of venous endothelial cells and promote angiogenesis and wound healing

[40]

  1. MSC mesenchymal stem cell, HBV-LO2 cells HBV-infected LO-2 cells, HO-1/BMMSCs bone marrow mesenchymal stem cells by heme ox ygenase-1, CAFs cancer-associated fibroblasts, GC gastric cancer, PANC pancreatic cancer, ADSC adipose-derived stem cells, BMMSC-EVs/Fer-1 Fer-1 loaded bone marrow mesenchymal stem cell-derived extracellular vesicles, NSCLC non-small cell lung carcinoma, EC vascular endothelial cell, USC human urine-derived stem cells, OTUB1 deubiquitination, MTTP microsomal triglyceride transfer protein, GOT1 glutamic oxaloacetic transaminase 1, SCD1 stearoyl-Coa-desaturase, SRSF1 serine/arginine splicing factor 1, TAF15 TATA-Box binding protein associated factor 15, lncTUG1 lncRNA taurine-upregulated gene 1, circ-ITCH circRNA-itchy E3 ubiquitin protein ligase, cir93 circRNA_101093, hnRNPA1 heterogeneous nuclear ribonucleoprotein A1