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Exosomes and Atherogenesis
Bingbing Lin1, Juan Yang1, Yuwei Song1
1Key Laboratory of Molecular Cardiovascular Science, Ministry of Education, Department of Physiology and Pathophysiology, School of Basic Medical Sciences, Peking University, Beijing, China.
Insights
Atherosclerosis, a root cause of heart attack and stroke, involves various cells. Exosomes, tiny cell messengers, are key to understanding and potentially treating this disease.
Area of Science:
- Cardiovascular Research
- Cell Biology
- Nanomedicine
Background:
- Atherosclerosis underlies major global mortality causes like myocardial infarction and ischemic stroke.
- Pathogenesis involves endothelial dysfunction, immune cell infiltration, and foam cell accumulation, leading to plaque formation.
- Key cellular players include endothelial cells, smooth muscle cells, macrophages, lymphocytes, foam cells, and platelets.
Purpose of the Study:
- To review the pathophysiological roles of exosomes derived from atherosclerosis-associated cells.
- To explore the potential of exosomes in clinical diagnosis and treatment strategies for atherosclerosis.
Main Methods:
- Literature review focusing on exosome biology in atherosclerosis.
- Analysis of exosome cargo (proteins, lipids, nucleic acids) and their intercellular communication functions.
- Examination of exosome involvement in cellular processes relevant to atherogenesis.
Main Results:
- Exosomes act as critical intercellular messengers in atherosclerosis.
- Different cell-derived exosomes influence various stages of atherosclerotic plaque development.
- Exosomes carry specific molecular signals that modulate target cell behavior.
Conclusions:
- Exosomes are significant mediators in the pathogenesis of atherosclerosis.
- Understanding exosome function offers novel avenues for diagnostic and therapeutic interventions.
- Targeting exosome-mediated communication presents a promising strategy for managing atherosclerosis.
Abstract:
Myocardial infarction and ischemic stroke are the leading causes of mortality worldwide. Atherosclerosis is their common pathological foundation. It is known that atherosclerosis is characterized by endothelial activation/injury, accumulation of inflammatory immune cells and lipid-rich foam cells, followed by the development of atherosclerotic plaque. Either from arterial vessel wall or blood circulation, endothelial cells, smooth muscle cells, macrophages, T-lymphocytes, B-lymphocytes, foam cells, and platelets have been considered to contribute to the pathogenesis of atherosclerosis. Exosomes, as natural nano-carriers and intercellular messengers, play a significant role in modulation of cell-to-cell communication. Under physiological or pathological conditions, exosomes can deliver their cargos including donor cell-specific proteins, lipids, and nucleic acids to target cells, which in turn affect the function of the target cells. In this review, we will describe the pathophysiological significance of various exosomes derived from different cell types associated with atherosclerosis, and the potential applications of exosome in clinical diagnosis and treatment.
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