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REVIEW article

Front. Pharmacol.

Sec. Integrative and Regenerative Pharmacology

Volume 16 - 2025 | doi: 10.3389/fphar.2025.1637342

This article is part of the Research TopicMesenchymal Stem Cells and Derived Extracellular Vesicles as Next-Generation Biological Drugs for Tissue RegenerationView all 7 articles

Adipose-Derived Stem Cell exosomes: Emerging roles and Therapeutic Application

Provisionally accepted
Yuhan  GongYuhan Gong1Hui  MaHui Ma2Zhongren  ZhengZhongren Zheng2Xinjie  WangXinjie Wang1Jiahua  ZhangJiahua Zhang1Xiaowei  ZhaoXiaowei Zhao2*
  • 1Jining Medical University, Jining, China
  • 2Affiliated Hospital of Jining Medical University, Jining, China

The final, formatted version of the article will be published soon.

Stem cell-derived exosomes have broad application prospects in different medical fields, and are increasingly being considered a replacement for Mesenchymal stromal cells (MSCs) therapy. Adipose-derived stem cells (ADSCs) are an efficient and high-quality source of stem cell exosomes because ADSCs can be easily obtained from autologous adipose tissue and there are only minor ethical concerns, also ADSCs shown multipotent differentiation potential, self-renewal potential, low immunogenicity, and high proliferation rate. Exosomes derived from ADSCs have the function of promoting tissue regeneration through activation or inhibition of multiple signaling pathways(such as Wnt/βcatenin、PI3K/Akt), and immunomodulation, angiogenesis, cell migration, proliferation and differentiation, and tissue remodeling. This review presents the current state of knowledge on ADSCs exosomes and summarizes the use of ADSCs exosomes in stem cell-free therapies for the treatment of diabetes mellitus, cardiovascular, wound healing, neurodegenerative, skeletal, respiratory diseases, and skin aging and other conditions, thus providing novel insights into the clinical applications of MSC-derived exosomes in disease management.

Keywords: adipose-derived stem cells, Exosomes, Tissue Regeneration, cell-free therapy, regulatory pathway

Received: 29 May 2025; Accepted: 15 Sep 2025.

Copyright: © 2025 Gong, Ma, Zheng, Wang, Zhang and Zhao. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Xiaowei Zhao, 18678766708@163.com

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