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Updated: Jul 17, 2025

In Vivo Nanovector Delivery of a Heart-specific MicroRNA-sponge
Published on: June 15, 2018
Extracellular Vesicle MicroRNAs in Heart Failure: Pathophysiological Mediators and Therapeutic Targets
Changhai Tian1, Jessica N Ziegler1, Irving H Zucker2
1Department of Toxicology and Cancer Biology, University of Kentucky, Lexington, KY 40536, USA.
Abstract:
Extracellular vesicles (EVs) are emerging mediators of intracellular and inter-organ communications in cardiovascular diseases (CVDs), especially in the pathogenesis of heart failure through the transference of EV-containing bioactive substances. microRNAs (miRNAs) are contained in EV cargo and are involved in the progression of heart failure. Over the past several years, a growing body of evidence has suggested that the biogenesis of miRNAs and EVs is tightly regulated, and the sorting of miRNAs into EVs is highly selective and tightly controlled. Extracellular miRNAs, particularly circulating EV-miRNAs, have shown promising potential as prognostic and diagnostic biomarkers for heart failure and as therapeutic targets. In this review, we summarize the latest progress concerning the role of EV-miRNAs in HF and their application in a therapeutic strategy development for heart failure.
Insights
Extracellular vesicles (EVs) carrying microRNAs (miRNAs) are key in heart failure. These EV-miRNAs show promise as biomarkers and therapeutic targets for cardiovascular diseases.
Area of Science:
- Cardiovascular Diseases
- Molecular Biology
- Biochemistry
Background:
- Extracellular vesicles (EVs) mediate intercellular communication in cardiovascular diseases (CVDs).
- MicroRNAs (miRNAs) within EVs play a role in heart failure (HF) progression.
- EV and miRNA biogenesis, and miRNA sorting into EVs, are tightly regulated processes.
Purpose of the Study:
- To review the role of EV-associated miRNAs in heart failure.
- To explore the potential of EV-miRNAs as diagnostic and prognostic biomarkers for HF.
- To discuss the therapeutic applications of EV-miRNAs in heart failure.
Main Methods:
- This review synthesizes current research on EV-miRNAs in HF.
- Literature search on miRNA biogenesis, EV sorting, and HF pathogenesis.
- Analysis of studies investigating EV-miRNA biomarkers and therapeutics.
Main Results:
- EV-miRNAs are crucial mediators in heart failure development and progression.
- Circulating EV-miRNAs demonstrate significant potential as HF biomarkers.
- EV-miRNAs offer novel therapeutic avenues for heart failure.
Conclusions:
- EV-miRNAs are integral to cardiovascular health and disease.
- Targeting EV-miRNAs presents a promising strategy for HF treatment.
- Further research into EV-miRNA mechanisms can advance HF diagnostics and therapeutics.
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