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Stem cells and exosomes: understand the difference

Look beyond the source: what is administered, how is it checked, and what remains uncertain?

Go to the final comparison →
01/06

How cells signal

Stem cells are involved in tissue maintenance and repair. Substances they release, including EVs, cytokines and growth factors, are also studied for their interactions with surrounding cells.

1Administer cells

2Cells release substances

Exosomes

Cytokines

Growth factors

3Interactions with other cells

These are conceptual diagrams for discussing treatment choices. Review the actual preparation, its approval status, costs and clinical evidence with your doctor.

02/06

The parent cell

The composition and activity of EVs may vary with parent-cell condition, culture, collection and purification. Your own cells are not automatically uniform in quality.

Cell condition

The composition and activity of EVs may vary with parent-cell condition, culture, collection and purification. Your own cells are not automatically uniform in quality.

What cells release

The composition and activity of EVs may vary with parent-cell condition, culture, collection and purification. Your own cells are not automatically uniform in quality.

Culture and aging

The composition and activity of EVs may vary with parent-cell condition, culture, collection and purification. Your own cells are not automatically uniform in quality.

These are conceptual diagrams for discussing treatment choices. Review the actual preparation, its approval status, costs and clinical evidence with your doctor.

03/06

Preparation and safety

Harvesting and culturing your cells requires preparation. Ask about the burden of harvesting, quality checks, administration and emergency support.

1|Individual variation

Ask how cell count, viability and quality are assessed. Health, age and culture conditions can affect characteristics.

2|Harvesting and culture

Discuss pain, bleeding and infection risks, culture time and quality control before administration.

3|Intravenous administration

Cell retention in pulmonary microvessels and effects on coagulation are safety considerations. Evaluation depends on cell number, method, infusion speed and patient condition.

4|Origin is only one factor

Ask about evidence for the proposed use, infection controls, side effects and the response to complications.

These are conceptual diagrams for discussing treatment choices. Review the actual preparation, its approval status, costs and clinical evidence with your doctor.

04/06

Understanding EV preparations

BM-MSC refers to bone-marrow-derived mesenchymal stromal cells. EV is a broad term for extracellular vesicles; exosomes are one type. Review the source, production and analysis together.

Quantity, contents, balance and meaning

Particle count per vial

2.62 × 1012

particles / vial

miRNA composition

87%

Tumor Suppressor miRNA

The particle count is a per-vial (2 mL) figure calculated from a measured concentration of 1.31 × 10¹² particles/mL. The miRNA share is calculated from the Top 100 miRNAs, limited to those whose direction is reported in the literature (about 53% of the total), normalised by expression level. miRNAs with conflicting reports, or without established reports, are excluded. These are results for the analysed lot and are not common to all preparations or lots. The 88% figure does not describe cancer prevention or treatment efficacy.

Source

Particle count

miRNA composition

Pathway analysis

These are conceptual diagrams for discussing treatment choices. Review the actual preparation, its approval status, costs and clinical evidence with your doctor.

05/06

What IPA tells us

IPA uses molecular data, published findings and databases to explore associations with biological pathways. It separates experimental and predicted relationships; associations are not clinical outcomes.

1Measure miRNA

Ingenuity Pathway Analysis compares molecular information with literature and databases. An association with a pathway is not proof of a therapeutic effect.

2Explore associations

IPAIngenuity Pathway Analysis

Ingenuity Pathway Analysis compares molecular information with literature and databases. An association with a pathway is not proof of a therapeutic effect.

3Interpret the evidence

Cell repair

Inflammation

Immunity

Blood vessels

Nerves

Hormones

Reproductive function

Cancer-related pathways

Ingenuity Pathway Analysis compares molecular information with literature and databases. An association with a pathway is not proof of a therapeutic effect.

These are conceptual diagrams for discussing treatment choices. Review the actual preparation, its approval status, costs and clinical evidence with your doctor.

06/06

Comparing your options

Neither origin nor particle count alone determines clinical benefit or safety. Compare suitability, evidence, preparation and risks with your doctor.

Autologous adipose stem cells

Exosomes / extracellular vesicles

1

Preparation

Harvest and culture your adipose-derived cells.

1

Preparation

Review the source and manufacture of the EV preparation.

2

What is administered

Living cells.

2

What is administered

Vesicles released by cells.

3

Quality questions

Cell condition, culture, viability and administration.

3

Quality questions

Source, particle count, composition, purity and analysis.

4

Evidence and risks

Confirm clinical evidence and risks for the proposed method.

4

Evidence and risks

Laboratory characterization does not establish clinical efficacy or safety.

Discuss the differences with a doctor

Tell us what you would like to understand. We can start with a consultation request before your visit.

These are conceptual diagrams for discussing treatment choices. Review the actual preparation, its approval status, costs and clinical evidence with your doctor.

References

Stem cells and exosomes: understand the difference