ISSN 1674-3865  CN 21-1569/R
主管:国家卫生健康委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

中国中西医结合儿科学 ›› 2025, Vol. 17 ›› Issue (2): 126-132.doi: 10.20274/j.cnki.issn.1674-3865.2025.02.006

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细胞源性外泌体运载不同miRNA在缺氧缺血性脑病模型中的研究进展

闫富丽, 高晶   

  1. 154007 黑龙江 佳木斯,佳木斯大学康复医学院2023级康复医学与理疗学专业研究生,佳木斯大学附属第三医院,黑龙江省儿童神经康复重点实验室(闫富丽);223022 江苏 淮安,淮安市妇幼保健院儿童康复科(闫富丽,高晶)

  • 收稿日期:2024-12-14 出版日期:2025-04-25 上线日期:2025-04-25
  • 通讯作者: 高晶,E-mail:gaojing392@163.com
  • 基金资助:
    江苏省科技项目——基础研究计划自然科学基金(面上项目)(BK20241850)

Research progress in cell derived exosomes carrying different miRNAs in hypoxic ischemic encephalopathy models

YAN Fuli1,2,GAO Jing2   

  1. 1Jiamusi University College of Rehabilitation Medicine,Third Affiliated Hospital of Jiamusi University,Key Laboratory of Pediatric Neurorehabilitation in Heilongjiang Province,Jiamusi 154007,China;2Huaian Maternal and Child Health Hospital,Huaian 223022,China

  • Received:2024-12-14 Published:2025-04-25 Online:2025-04-25
  • Contact: GAO Jing,E-mail:gaojing392@163.com

摘要: 新生儿缺氧缺血性脑病是指胎儿或新生儿在产程或出生后发生缺氧缺血而导致的脑部损伤,严重的情况可导致智力障碍、运动障碍,甚至死亡。外泌体作为细胞外囊泡的一种,已被证实具有改善神经系统的功能,进一步研究发现,外泌体的这种治疗效果是通过内容物miRNA靶向不同靶基因调控相关信号通路,抑制神经元过度凋亡及自噬,抑制炎症因子的产生,促进细胞增殖及活力,改善脑组织病理损伤及神经行为症状等发挥作用的。因此,外泌体运载miRNA在缺氧缺血性脑病神经系统损伤修复过程中具有良好的应用前景。

关键词: 缺氧缺血性脑病, 外泌体, miRNA, 儿童

Abstract: Neonatal hypoxic ischemic encephalopathy refers to brain damage caused by fetal or neonatal hypoxia and ischemia during labor or after birth.In severe cases,it can lead to intellectual disability,dyskinesia,and even death.Exosomes,as a type of extracellular vesicles,have been proven to be able to improve the function of the nervous system.Further research has found that the therapeutic effect of exosomes is achieved by targeting different target genes through miRNA content,regulating related signaling pathways,inhibiting excessive neuronal apoptosis and autophagy,suppressing the production of inflammatory factors,promoting cell proliferation and vitality,and improving pathological damage of brain tissues and neurobehavioral symptoms.Therefore,exosomes carrying miRNA have promising application prospects in the repair of neurological damage in hypoxic ischemic encephalopathy.

Key words: Neonatal hypoxic ischemic encephalopathy, Exosomes, miRNA;Child