Exosomal Cargo: Pro-angiogeneic, anti-inflammatory, and regenerative effects in ischemic and non-ischemic heart
Kowsar Amirzadeh Gougheri1, Armin Ahmadi1, Mohadeseh Ghafuri Ahmadabadi1
1Department of Pharmacology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Insights
Exosomes show promise as diagnostic and therapeutic agents for heart diseases like myocardial infarction. This review explores their role in understanding and treating various cardiac conditions, paving the way for clinical applications.
Area of Science:
- Cardiovascular Medicine
- Regenerative Medicine
- Biotechnology
Background:
- Heart diseases are a leading cause of global mortality, with myocardial infarction (MI) being a primary driver.
- Despite advancements, effective diagnostic, therapeutic, and prognostic strategies for heart disease remain critical.
- Exosomes, small extracellular vesicles involved in intercellular communication, are emerging as key players in regenerative medicine.
Purpose of the Study:
- To review the multifaceted roles of exosomes in various heart diseases.
- To focus on the pathogenesis, therapeutic, diagnostic, and prognostic implications of exosomes.
- To discuss exosome delivery, modification, production, and clinical translation.
Main Methods:
- Literature review of studies on exosomes and heart diseases.
- Analysis of exosome roles in ischemic heart disease, cardiomyopathy, arrhythmia, and valvular disease.
- Examination of exosome delivery, preconditioning, modification, and GMP production.
Main Results:
- Exosomes demonstrate significant potential in diagnosing, treating, and predicting outcomes for heart diseases.
- Their ability to transfer bioactive molecules facilitates intercellular communication relevant to cardiac repair.
- Ongoing research highlights their therapeutic and diagnostic capabilities across diverse cardiac conditions.
Conclusions:
- Exosomes represent a promising frontier in cardiovascular medicine, offering novel avenues for intervention.
- Understanding exosome biology and optimizing their application is crucial for clinical translation.
- Further research into exosome-based therapies could revolutionize the management of heart disease.
Abstract:
Heart diseases are the primary cause of mortality and morbidity worldwide which inflict a heavy social and economic burden. Among heart diseases, most deaths are due to myocardial infarction (MI) or heart attack, which occurs when a decrement in blood flow to the heart causes injury to cardiac tissue. Despite several available diagnostic, therapeutic, and prognostic approaches, heart disease remains a significant concern. Exosomes are a kind of small extracellular vesicles released by different types of cells that play a part in intercellular communication by transferring bioactive molecules important in regenerative medicine. Many studies have reported the diagnostic, therapeutic, and prognostic role of exosomes in various heart diseases. Herein, we reviewed the roles of exosomes as new emerging agents in various types of heart diseases, including ischemic heart disease, cardiomyopathy, arrhythmia, and valvular disease, focusing on pathogenesis, therapeutic, diagnostic, and prognostic roles in different areas. We have also mentioned different routes of exosome delivery to target tissues, the effects of preconditioning and modification on exosome's capability, exosome production in compliance with good manufacturing practice (GMP), and their ongoing clinical applications in various medical contexts to shed light on possible clinical translation.
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