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Innovative Therapeutic Strategies for Myocardial Infarction Across Various Stages: Non-Coding RNA and Stem Cells
Bingqi Zhuang1, Chongning Zhong1, Yuting Ma1
1Department of Physiology and Pathophysiology, College of Medicine, Yanbian University, Yanji 133002, China.
International Journal of Molecular Sciences
|January 11, 2025
Summary
This review explores how non-coding RNAs (ncRNAs) and stem cells, including their exosomes, can treat myocardial infarction (MI) at different stages. It highlights their roles in cardiac repair and suggests new therapeutic strategies for MI.
Area of Science:
- Cardiovascular Research
- Regenerative Medicine
- Molecular Biology
Background:
- Myocardial infarction (MI) presents complex challenges throughout its progression.
- Non-coding RNAs (ncRNAs) and stem cells offer promising therapeutic avenues for MI.
- Current understanding of ncRNAs, stem cells, and exosomes in MI stages is limited.
Purpose of the Study:
- To systematically review the roles of ncRNAs, stem cells, and exosomes in different stages of MI.
- To elucidate the mechanisms by which these therapies promote cardiac repair and regeneration.
- To provide insights for novel therapeutic strategies and future research directions in MI treatment.
Main Methods:
- Systematic categorization of MI stages.
- Review of literature on ncRNA regulation in infarcted myocardium.
- Exploration of stem cell and exosome therapy mechanisms in MI progression.
Main Results:
- ncRNAs (miRNAs, LncRNAs) directly regulate intracellular pathways, angiogenesis, and repair in infarcted myocardium.
- Stem cells (MSCs, iPSCs) combined with ncRNAs enhance directed differentiation and cardiac cell replenishment.
- Stem cell-derived exosomes exert therapeutic effects via paracrine mechanisms, improving myocardial damage.
Conclusions:
- ncRNAs, stem cells, and exosomes show significant potential for treating MI across its pathological evolution.
- Targeting specific ncRNA and stem cell-based therapies at different MI stages can optimize treatment outcomes.
- Further research is needed to fully understand and harness these therapies for effective MI repair.

