Exosome-eluting stents for vascular healing after ischaemic injury.

dc.contributor.author

Hu, Shiqi

dc.contributor.author

Li, Zhenhua

dc.contributor.author

Shen, Deliang

dc.contributor.author

Zhu, Dashuai

dc.contributor.author

Huang, Ke

dc.contributor.author

Su, Teng

dc.contributor.author

Dinh, Phuong-Uyen

dc.contributor.author

Cores, Jhon

dc.contributor.author

Cheng, Ke

dc.date.accessioned

2022-12-03T20:35:11Z

dc.date.available

2022-12-03T20:35:11Z

dc.date.issued

2021-10

dc.date.updated

2022-12-03T20:35:10Z

dc.description.abstract

Drug-eluting stents implanted after ischaemic injury reduce the proliferation of endothelial cells and vascular smooth muscle cells and thus neointimal hyperplasia. However, the eluted drug also slows down the re-endothelialization process, delays arterial healing and can increase the risk of late restenosis. Here we show that stents releasing exosomes derived from mesenchymal stem cells in the presence of reactive oxygen species enhance vascular healing in rats with renal ischaemia-reperfusion injury, promoting endothelial cell tube formation and proliferation, and impairing the migration of smooth muscle cells. Compared with drug-eluting stents and bare-metal stents, the exosome-coated stents accelerated re-endothelialization and decreased in-stent restenosis 28 days after implantation. We also show that exosome-eluting stents implanted in the abdominal aorta of rats with unilateral hindlimb ischaemia regulated macrophage polarization, reduced local vascular and systemic inflammation, and promoted muscle tissue repair.

dc.identifier

10.1038/s41551-021-00705-0

dc.identifier.issn

2157-846X

dc.identifier.issn

2157-846X

dc.identifier.uri

https://hdl.handle.net/10161/26313

dc.language

eng

dc.publisher

Springer Science and Business Media LLC

dc.relation.ispartof

Nature biomedical engineering

dc.relation.isversionof

10.1038/s41551-021-00705-0

dc.subject

Endothelium, Vascular

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Endothelial Cells

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Animals

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Rats

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Ischemia

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Stents

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Drug-Eluting Stents

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Exosomes

dc.title

Exosome-eluting stents for vascular healing after ischaemic injury.

dc.type

Journal article

duke.contributor.orcid

Su, Teng|0000-0001-7888-0763

pubs.begin-page

1174

pubs.end-page

1188

pubs.issue

10

pubs.organisational-group

Duke

pubs.organisational-group

School of Medicine

pubs.organisational-group

Clinical Science Departments

pubs.organisational-group

Medicine

pubs.organisational-group

Medicine, Cardiology

pubs.publication-status

Published

pubs.volume

5

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