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Updated: Nov 17, 2025

A Modified Precipitation Method to Isolate Urinary Exosomes
Published on: January 16, 2015
Exosomal microRNAs in the development of essential hypertension and its potential as biomarkers
Paulina Pei Suu Tan1, Deborah Hall2, William M Chilian3
1Division of Biomedical Science, University of Nottingham Malaysia, Selangor, Malaysia.
Abstract:
MicroRNAs (miRNAs) are small regulatory molecules that are involved in posttranscriptional modifications. These noncoding RNAs are usually ferried by extracellular carriers such as exosomes or other protein and lipid carriers inside a range of body fluids including plasma and urine. Due to their ability to withstand harsh external conditions, exosomal miRNAs possess enormous potential as noninvasive disease biomarkers for, notably hypertension, whereby exosomal miRNAs have been implicated in its pathophysiological processes. More importantly, alterations in the microenvironment as a result of disease progression can induce active and selective loading of miRNAs into exosomes. In this paper, we first review the mechanisms of miRNA loading into exosomes, followed by the roles of exosomal miRNAs in the development of hypertension, and the potentials of exosomal miRNAs as biomarkers in comparison with other free circulating miRNAs. Finally, challenges and future research surrounding exosomal miRNAs will also be discussed. This review will aid in the understanding of noninvasive biomarkers for the early diagnosis of hypertension and for probing therapeutic efficacy.
Insights
Exosomal microRNAs (miRNAs) show promise as noninvasive biomarkers for hypertension. This review explores their role in disease development and diagnostic potential compared to free circulating miRNAs.
Area of Science:
- Biochemistry
- Molecular Biology
- Genetics
Background:
- MicroRNAs (miRNAs) are small regulatory RNA molecules involved in posttranscriptional gene regulation.
- Exosomes, extracellular vesicles, transport miRNAs through body fluids like plasma and urine.
- Exosomal miRNAs are stable and implicated in the pathophysiology of diseases such as hypertension.
Purpose of the Study:
- To review the mechanisms of miRNA loading into exosomes.
- To discuss the roles of exosomal miRNAs in hypertension development.
- To compare the biomarker potential of exosomal miRNAs versus free circulating miRNAs.
Main Methods:
- Literature review focusing on exosomal miRNA biogenesis and function.
- Analysis of studies investigating exosomal miRNAs in hypertension.
- Comparative assessment of diagnostic and prognostic value of different miRNA types.
Main Results:
- Exosomes actively and selectively load miRNAs, influenced by the disease microenvironment.
- Exosomal miRNAs play significant roles in the development and progression of hypertension.
- Exosomal miRNAs offer potential advantages as noninvasive biomarkers over free circulating miRNAs.
Conclusions:
- Understanding exosomal miRNA loading mechanisms is crucial for biomarker development.
- Exosomal miRNAs hold significant potential for early hypertension diagnosis and monitoring therapeutic efficacy.
- Further research is needed to overcome challenges and fully utilize exosomal miRNAs in clinical practice.
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