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Updated: Dec 1, 2025

Author Spotlight: Modeling an Aspect of Preeclampsia in Female Mice Using Hypoxic Human Placenta-Derived Small Extracellular Vesicles
Published on: January 26, 2024
Role of exosomal microRNA signatures: An emerging factor in preeclampsia-mediated cardiovascular disease
Saravanakumar Murugesan1, Lakshmi Saravanakumar1, Mark F Powell1
1Department of Anesthesiology and Perioperative Medicine, Division of Molecular and Translational Biomedicine, School of Medicine, The University of Alabama at Birmingham, Birmingham, AL, 35294, USA.
Insights
Preeclampsia (PE) involves vascular dysfunction. Exosomal microRNAs (exomiRs) are key mediators in PE-related cardiovascular disease, requiring further study for understanding their role.
Area of Science:
- Obstetrics and Gynecology
- Cardiovascular Research
- Molecular Biology
Background:
- Preeclampsia (PE) and associated vascular dysfunction are significant contributors to maternal and neonatal mortality.
- The precise pathophysiology of PE remains incompletely understood despite extensive research.
- Exosomes, containing microRNAs (miRNAs), are increasingly recognized as critical mediators in PE-related cardiovascular diseases (CVDs).
Purpose of the Study:
- To review and discuss the current evidence on the function of exosomal miRNAs (exomiRs) in preeclampsia.
- To highlight the potential role of exomiRs in the cardiovascular dysfunction associated with PE.
- To identify gaps in knowledge and suggest future research directions for exomiR signatures in PE.
Main Methods:
- Literature review of existing studies on exosomes, miRNAs, and preeclampsia.
- Analysis of current understanding of exomiR biogenesis and function.
- Synthesis of evidence linking exomiRs to cardiovascular pathology in PE.
Main Results:
- Exosomes contain functionally active miRNAs that can influence physiological and pathological processes.
- While the role of miRNAs in PE is studied, the specific impact of exosomal miRNAs (exomiRs) is less understood.
- Existing evidence suggests exomiRs play a significant role in mediating CVDs associated with PE.
Conclusions:
- Exosomal miRNAs represent a crucial, yet understudied, component in the pathophysiology of preeclampsia.
- Further investigation into exomiR signatures is essential for understanding and potentially treating cardiovascular dysfunction in PE.
- Future research should focus on elucidating the specific mechanisms by which exomiRs contribute to PE-related vascular complications.
Abstract:
Preeclampsia (PE) and vascular dysfunction are major causes of maternal and neonatal morbidity and mortality. Although extensively studied, the complete understanding of the pathophysiology behind PE remains unclear. Current reports indicate that exosomes are essential mediators in PE-related cardiovascular disease (CVDs). Exosomes are synthesized from multivesicular bodies (MVB) and contain functionally active microRNAs miRNAs). These miRNAs have been shown to mediate physiological and pathological functions through autocrine, paracrine, and endocrine signaling mechanisms. The role of miRNAs in pregnant women with PE has been studied extensively. However, little is known about the effect of exosomal miRNAs (exomiR) in PE. This paper will review and discuss the existing evidence for exomiR function in PE and highlight the need for future studies to explore the role that exomiR signatures have in cardiovascular dysfunction associated with PE.
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