Your competent? doctor needs to understand exactly the good work exosomes do in conjunction with the cleanup work of autophagy.
And here is the needed research on autophagy and exosomes: Has your incompetent doctor implemented any of it?
Exosomes are what does the good work when stem cells are introduced.
Intracellular and intercellular crosstalk between exosomes and autophagy
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GRAPHICAL ABSTRACT
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PUBLIC SUMMARY
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The homeostatic role between exosomes and autophagy depends on the intracellular and intercellular crosstalk.
Their intracellular connections intersect through shared molecular machinery or organelle.
Exosomal miRNAs and proteins activate or inhibit autophagy-related signals to mediate intercellular crosstalk.
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ABSTRACT
The intracellular and intercellular information exchange is the key to regulate the body function. Current studies have indicated the intracellular and intercellular crosstalk between exosomes and autophagy as two components of the eukaryotic endomembrane system. Exosomes are bilayer lipid membrane vesicles to participate in intercellular communication. Autophagy is to form autophagosome, then fuse with lysosome to degrade contents encapsulating cytoplasmic components. Exosomes and autophagy not only intersect through common molecular mechanism or organelle within cells, but also could activate intracellular autophagy-related signaling pathways to demonstrate the therapeutic potentiality of various diseases via exosomal miRNAs and proteins. The intracellular and intercellular crosstalk of them serves a homeostatic role in mitigating stress. What has become clear is that the steady state of this interaction is of great significance in physiology and pathology. If we could better understand the crosstalk from more perspectives, such as the function of exosomal lipids in regulating autophagy, the use of invertebrates as research models and the relationship between exosomes and selective autophagy of organelle-level, this represents an opportunity for treatment, especially the application of engineered exosomes.

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