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Table 2 Characteristics of synovial stem, adipose stem, bone marrow stem, and umbilical cord stem-derived EVs for OA

From: The role of extracellular vesicles in osteoarthritis treatment via microenvironment regulation

MSCs-EV

Derivation

Size(nm)

Characteristic

Safety

Dose

Animal model

Efficacy

Reference

S-MSC-EVs

Human

30–150

Overexpressionof miR-140-5p

Not mentioned

100 μL; 1011 EV particles/mL

Rat knee OA model induced by cutting the medial collateral ligament and medial meniscus

Promotes the proliferation and migration of chondrocytes;inhibits the progression of OA

[73]

Human

50–200

Not mentioned

Not mentioned

Intravenous injection;8µL; 1.0 × 1010/mL

Collagenase-inducedknee OA mouse model

Promotes the proliferation and migration of chondrocytes; reduces OA progression

[74]

Human

100–120

Overexpression of miR-155-5p

Not mentioned

Articular cavity injection;30μL;1011EV particles/mL

Mouse OA model induced by cold water stimulation at 4 °C

Promotes chondrocyte proliferation and migration, and ECM secretion, and inhibits apoptosis; reduces OA-related damage; promotes cartilage regeneration

[75]

Human

50–100

Enrichment of miR-129-5p

Not mentioned

Not mentioned

Not mentioned

Reduces OA chondrocyte damage and ECM degradation

[76]

AD-MSC-EVs

Human

115–316

Not mentioned

Not mentioned

Not mentioned

Not mentioned

Anti-inflammatory and antioxidative stress activities

[77]

Human

30–150

Enrichment of miR-100-5p

Not mentioned

Articular cavity injection;10 μL; 1010particles/mL

Induced mouse OA model generated by the destruction of the medial meniscus

Inhibits chondrocyte apoptosis; balances anabolic and catabolic processes

[78]

Human

185–373

Not mentioned

Not mentioned

Not mentioned

Not mentioned

Anti-inflammatory; regulates chondrocyte metabolism

[79]

Human

Average 86.46

Not mentioned

Not mentioned

Articular cavity injection;6µL; 1 × 108 particles

Medial meniscus instability (DMM) mouse OA model

Prevents cartilage degeneration and attenuates OA progression; promotes chondrocyte proliferation and migration; regulates the expression of catabolic and synthetic factors; inhibits macrophage infiltration

[80]

BM-MSC-EVs

Rat

Average 100

Enrichment of miR-135b

Not mentioned

Articular cavity injection;100µL; 1 × 1011 MSC-EV particles/mL

Rat knee OA model induced by cutting the medial collateral ligament and medial meniscus

Regulates cell proliferation, apoptosis, and differentiation; promotes OA cartilage repair

[81]

Rabbit

50–150

Not mentioned

Not mentioned

Not mentioned

Not mentioned

Inhibits chondrocyte apoptosis

[82]

Mouse

105.4–118.6

Not mentioned

Not mentioned

Articular cavity injection;250 ng/5 µL

Collagenase-induced knee OA mouse model

Protects cartilage and bone from degradation

[83]

Rat

50–150

Enrichment of miR-216a-5p

Not mentioned

Articular cavity injection;200 µL; 200 μg of total sEV protein

Rat OA model induced by cutting the anterior cruciate ligament and eliminating the medial meniscus

Stops cartilage degeneration and attenuates OA progression; promotes chondrocyte proliferation and migration; inhibits apoptosis

[84]

hUMSC-EVs

Human

50–150

Enrichment of miR-23a-3p

Not mentioned

Articular cavity injection; 10 × 108particles/mL

Rat cartilage defect model

Promotes cartilage regeneration

[85]

Human

Average 120

Enrichment of lncRNA H19

Not mentioned

Articular cavity injection; 200 µL; 1 mg/mL

Rat cartilage defectmodel

Promotes chondrocyte proliferation, matrix secretion, and apoptosis inhibition

[86]

Human

Average 120

3D cultivation

Not mentioned

Articular cavity injection; 500 μL; 1 × 1010particles/ mL

Rabbit cartilage defect model

Promotes chondrocyte proliferation, matrix secretion, and apoptosis inhibition

[87]