Pathologic function and therapeutic potential of extracellular vesicle miRNA in sepsis

Rou Deng1, Xiayu Cui2, Runze Zhang1

  • 1Department of Emergency, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China.

PubMed

Insights

Extracellular vesicles and microRNAs offer novel therapeutic potential for sepsis, a life-threatening condition. This review explores their role in managing inflammation, cell death, and organ dysfunction in sepsis.

Area of Science:

  • Biomedical Science
  • Molecular Biology
  • Immunology

Background:

  • Sepsis is a life-threatening systemic inflammatory response to infection, leading to multi-organ dysfunction.
  • Current treatments, including antibiotics, face limitations like antibiotic resistance and microbiota disruption.
  • Novel therapeutic strategies are urgently needed for effective sepsis management.

Purpose of the Study:

  • To examine the role of extracellular vesicles (EVs) and microRNAs (miRNAs) in sepsis pathophysiology.
  • To review the biological control mechanisms of EVs and miRNAs in sepsis progression.
  • To explore the therapeutic potential of EVs and miRNAs in modulating sepsis-related processes.

Main Methods:

  • Literature review focusing on the biological functions of EVs and miRNAs in sepsis.
  • Analysis of pathological alterations during sepsis progression.
  • Examination of the impact of EVs and miRNAs on key sepsis pathways.

Main Results:

  • EVs and miRNAs are implicated in cell-to-cell communication and modulate biological functions in sepsis.
  • These components influence inflammatory responses, macrophage polarization, programmed cell death, endothelial dysfunction, and microcirculatory changes.
  • EVs and miRNAs demonstrate potential in controlling sepsis-induced pathological alterations.

Conclusions:

  • Extracellular vesicles and microRNAs represent a promising novel therapeutic avenue for sepsis.
  • Understanding their mechanisms can lead to advanced sepsis treatment strategies.
  • Challenges associated with this novel therapy require further investigation.