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.

Placenta
|November 10, 2020
PubMed

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.

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