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MicroRNA-17-92-enriched exosomes are an experimental biologic therapy consisting of exosomes (small extracellular vesicles) derived from mesenchymal stromal cells (MSCs) that have been genetically engineered to overexpress the miR-17-92 microRNA cluster. This cluster contains six individual microRNAs: miR-17, miR-18a, miR-19a, miR-19b, miR-20a, and miR-92a. The therapy is designed to treat neurological conditions such as stroke, traumatic brain injury, and spinal cord injury by delivering these microRNAs to target tissues. The primary mechanism of action involves the suppression of phosphatase and tensin homolog (PTEN), which subsequently activates the PI3K/Akt/mTOR signaling pathway. This activation promotes neuroplasticity, neurogenesis, and oligodendrogenesis while reducing neuroinflammation, ultimately improving functional recovery in preclinical models. Currently, this therapy remains in the research and preclinical development stage without a commercial developer.
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