摘要
背景:细胞外囊泡(EVs)是由供体细胞释放并被受体细胞吸收的异质性小囊泡家族,是在生理和病理条件中具有重要作用的重要介质。EVs存在于多种生物液体中,具有很大的诊断和预后价值。它们因其极端的多功能性而引起了科学界的兴趣。事实上,它们允许我们假设新的治疗策略,因为它们除了作为细胞信号介质外,还作为生物标志物、药物载体和潜在的新治疗药物发挥着重要的作用。它们还参与免疫调节,有能力将对药物的耐药性从一个细胞传递到一个更敏感的细胞,并可以作为药物传递系统。 目的:介绍EVs与免疫抑制药物之间的主要相互作用。 结果:已知EVs与免疫抑制药物的相互作用,特别是环孢素、糖皮质激素、雷帕霉素、甲氨蝶呤、环磷酰胺、埃库利珠单抗、英夫利昔单抗、塞妥珠单抗、依那西普、醋酸格拉拉默和芬格利莫德。 结论:本文综述提供了EVs与免疫抑制药物之间联系的相关信息,重点介绍了EVs作为评估免疫抑制剂作用的工具,提示了其创新的特性和新的可能的治疗用途。
关键词: 细胞外囊泡,免疫抑制剂,生物标志物,治疗疗效,不良反应,治疗个性化。
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