The invention belongs to the field of biological medicines, and particularly discloses application of
extracellular vesicles EVs carrying CD35 functional molecules in preparation of medicines for treating
sepsis-related multi-organ injury, preferably, the EVs are derived from human podocytes or other cells or tool cells capable of naturally or engineered expressing CD35, and the EVs are administrated through
caudal vein injection and can be used for preparing medicines for treating
sepsis-related multi-organ injury. Normal
saline is taken as a carrier, and the dosage of 1 * 10 < 10 > EVs each time is once every 12 hours and twice continuously. It is proved for the first time that EVs carries CD35 to inhibit circulation mononuclear
cell complement activation (the EVs are combined with C3b to block downstream complement
cascade reaction), migration of mononuclear cells to the
kidney, the heart, the liver and the
lung is reduced, and therefore multi-organ
inflammation damage and
cell apoptosis are relieved. In a
cecum ligation perforation (CLP)
sepsis model, it is proved that the
medicine significantly improves the
survival rate of mice, improves renal functions (reduces
creatinine /
urea nitrogen) and
kidney pathological tissue damage, and meanwhile relieves
pathological damage of multiple organs of the heart, the liver and the
lung. The invention provides a new
treatment strategy and
drug candidate for sepsis-related multi-
organ dysfunction.