Vascularization ability is one of the criteria for judging biological materials. Macrophages are the first line of defense faced by biological materials, not only in the immune response, but also in the formation of blood vessels. Cobalt-based biomaterials have received widespread attention because cobalt can simulate a low-oxygen environment to promote blood vessel formation. However, there are few studies on the mechanism of exosomes. Exosomes contain lipids, proteins, and nucleic acids that can be directly taken up by recipient cells and have an impact on them, which have been studied extensively. Therefore, we studied the effect of Co/LPS stimulated macrophages to secrete exosomes on endothelial cells. The results show that exosomes can promote endothelial migration and angiogenesis in vitro and the growth of new blood vessels in vivo. Further studies have found that exosomes regulate endothelial growth factors and integrin transport to reorganize the cytoskeleton, leading to endothelial cell migration and vascularization. Our findings provide new insights for cobalt-like organisms in macrophage-endothelial cell communication
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