Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Case Report Volume 9 Issue 9

Regression of Hypertrophic Scars in Herpes Zoster Using Umbilical Cord Mesenchymal Stem Cells and Plant-Derived Exosomes: A Case Report

Parameshwar Jakinala*, Harikrishna Naik Lavudi, Ushasree Ravula and Madhumohan Rao Katika

Department of Microbiology, StemRegenex Bio Pvt Ltd., Commercial Complex, Asian Suncity, 409, 4th Floor, B Block, Kondapur, Hyderabad, Telangana 500084, India

*Corresponding Author: Madhumohan Rao Katika, Research Scientist and In-charge, StemRegenex Bio Pvt Ltd., Commercial Complex, Asian Suncity, 409, 4th Floor, B Block, Kondapur, Hyderabad, Telangana 500084, India.

Received: July 10, 2025; Published: August 30, 2025

Abstract

Herpes zoster (HZ), caused by the reactivation of latent varicella-zoster virus (VZV) in sensory ganglia, manifests as a painful, unilateral vesicular rash along dermatomal distributions [1]. While antiviral therapies and analgesics mitigate acute symptoms, postherpetic complications such as scarring remain a significant burden. Approximately 10–20% of HZ patients develop hypertrophic or atrophic scars, characterized by dyspigmentation, fibrosis, and impaired skin integrity, which persist despite conventional interventions [2]. These scars contribute to long-term physical discomfort, psychosocial distress, and reduced quality of life, underscoring the need for innovative therapeutic strategies [1].

 Keywords: Herpes Zoster (HZ); Mesenchymal Stem Cells (MSCs); Extracellular Vesicles (EVs)

References

  1. Parikh R., et al. “Herpes Zoster Recurrence: A Narrative Review of the Literature”. Dermatology Therapy (Heidelb)3 (2024): 569-592.
  2. el Hayderi L., et al. “Incidence of and Risk Factors for Cutaneous Scarring after Herpes Zoster”. American Journal of Clinical Dermatology6 (2018): 893-897.
  3. Barone N., et al. “Current Advances in Hypertrophic Scar and Keloid Management”. Seminars in Plastic Surgery 3 (2021): 145-152.
  4. Jo H., et al. “Applications of mesenchymal stem cells in skin regeneration and rejuvenation”. International Journal of Molecular Sciences5 (2021): 1-18.
  5. Zhao K., et al. “Potential angiogenic, immunomodulatory, and antifibrotic effects of mesenchymal stem cell-derived extracellular vesicles in systemic sclerosis”. Frontiers in Immunology 14 (2023): 1-13.
  6. Sen S., et al. “Exosomes as natural nanocarrier-based drug delivery system: recent insights and future perspectives”. 3 Biotech3 (2023): 1-25.
  7. Sarasati A., et al. “Plant-Derived Exosome-like Nanoparticles for Biomedical Applications and Regenerative Therapy”. Biomedicines 4 (2023): 1-27.
  8. Trigo CM., et al. “Mesenchymal stem cell secretome for regenerative medicine: Where do we stand?” Journal of Advances Research 70 (2024): 103-124.
  9. Chen X., et al. “Plant-derived nanovesicles: harnessing nature’s power for tissue protection and repair”. Journal of Nanobiotechnology1 (2023): 1-30.
  10. Smith JR., et al. “Standardizing Umbilical Cord Mesenchymal Stromal Cells for Translation to Clinical Use: Selection of GMP-Compliant Medium and a Simplified Isolation Method”. Stem Cells International 2016 (2016).
  11. Kim M and Park JH. “Isolation of Aloe saponaria-Derived Extracellular Vesicles and Investigation of Their Potential for Chronic Wound Healing”. Pharmaceutics9 (2022).
  12. Liu M., et al. “Human umbilical cord mesenchymal stem cells ameliorate acute liver failure by inhibiting apoptosis, inflammation and pyroptosis”. Annals of Translational Medicine21 (2021): 1615-1615.
  13. Wang JP., et al. “Varicella-Zoster Virus Activates Inflammatory Cytokines in Human Monocytes and Macrophages via Toll-Like Receptor 2”. Journal of Virology20 (2005): 12658-12666.
  14. Lehmann TP., et al. “The regulation of collagen processing by miRNAs in disease and possible implications for bone turnover”. International Journal of Molecular Sciences 1 (2022).
  15. Tan F., et al. “Clinical applications of stem cell-derived exosomes”. Signal Transduction and Targeted Therapy 1 (2024).
  16. Song P., et al. “Adipose-Derived Stem Cell Exosomes Promote Scar-Free Healing of Diabetic Wounds via miR-204-5p/TGF-β1/Smad Pathway”. Stem Cells International 1 (2025).
  17. Dilsiz N. “A comprehensive review on recent advances in exosome isolation and characterization: Toward clinical applications”. Translational Oncology 50 (2024): 102121.

Citation

Citation: Parameshwar Jakinala., et al. “Regression of Hypertrophic Scars in Herpes Zoster Using Umbilical Cord Mesenchymal Stem Cells and Plant-Derived Exosomes: A Case Report”.Acta Scientific Medical Sciences 9.9 (2025): 92-95.

Copyright

Copyright: © 2025 Parameshwar Jakinala., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate30%
Acceptance to publication20-30 days
Impact Factor1.403

Indexed In





Contact US