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外泌体微小RNA:心血管疾病诊断与治疗的新前沿

Exosomal miRNAs: A New Frontier in Cardiovascular Disease Diagnosis and Treatment.

作者信息

Qingpiao Sun, Yi Zhang

机构信息

Department of Cardiology, Shanghai Tenth People's Hospital, Tongji University School of Medicine, 301Yanchang Road, Shanghai, 200072, China.

出版信息

J Cardiovasc Transl Res. 2025 Jun 19. doi: 10.1007/s12265-025-10617-y.

DOI:10.1007/s12265-025-10617-y
PMID:40536715
Abstract

Exosomes are small vesicles secreted by a variety of cells surrounded by a lipid bilayer membrane and containing a variety of biomolecules, of which microRNAs (miRNAs) are the most abundant. Exosomal miRNAs are involved in the development of cardiovascular diseases(CVD), and their unique biological properties make them expected to be effective targets for the treatment of CVD. This article reviews the biological characteristics, expression, and mechanism of action of exosomes and exosomal miRNAs in CVD, as well as their potential as biomarkers in the diagnosis, treatment, and prognostic assessment of CVD, to provide new ideas in the field of CVD medicine.

摘要

外泌体是由多种细胞分泌的小囊泡,被脂质双分子层膜包裹,含有多种生物分子,其中微小RNA(miRNA)最为丰富。外泌体miRNA参与心血管疾病(CVD)的发生发展,其独特的生物学特性使其有望成为治疗CVD的有效靶点。本文综述了外泌体及外泌体miRNA在CVD中的生物学特性、表达、作用机制,以及它们作为生物标志物在CVD诊断、治疗和预后评估中的潜力,为心血管疾病医学领域提供新思路。

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本文引用的文献

1
Emerging role of exosomes in cancer therapy: progress and challenges.外泌体在癌症治疗中的新兴作用:进展与挑战
Mol Cancer. 2025 Jan 13;24(1):13. doi: 10.1186/s12943-024-02215-4.
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Cardiomyocyte-derived exosomes promote cardiomyocyte proliferation and neonatal heart regeneration.心肌细胞来源的外泌体促进心肌细胞增殖和新生儿心脏再生。
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Micro RNA profiles in colostrum exosomes obtained from primiparous or multiparous dairy cows.初产或经产奶牛初乳外泌体中的微小RNA谱。
Front Vet Sci. 2024 Oct 30;11:1463342. doi: 10.3389/fvets.2024.1463342. eCollection 2024.
4
PM2.5 Promotes Macrophage-Mediated Inflammatory Response Through Airway Epithelial Cell-Derived Exosomal miR-155-5p.细颗粒物(PM2.5)通过气道上皮细胞来源的外泌体miR-155-5p促进巨噬细胞介导的炎症反应。
J Inflamm Res. 2024 Nov 9;17:8555-8567. doi: 10.2147/JIR.S482509. eCollection 2024.
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Exosomal miR-155-5p promote the occurrence of carotid atherosclerosis.外泌体 miR-155-5p 促进颈动脉粥样硬化的发生。
J Cell Mol Med. 2024 Nov;28(21):e70187. doi: 10.1111/jcmm.70187.
6
The biology and function of extracellular vesicles in immune response and immunity.细胞外囊泡在免疫应答和免疫中的生物学和功能。
Immunity. 2024 Aug 13;57(8):1752-1768. doi: 10.1016/j.immuni.2024.07.009.
7
Murine exosomal miR-30a aggravates cardiac function after acute myocardial infarction via regulating cell fate of cardiomyocytes and cardiac resident macrophages.鼠源细胞外体 miR-30a 通过调控心肌细胞和心脏固有巨噬细胞的命运加重急性心肌梗死后的心功能障碍。
Int J Cardiol. 2024 Nov 1;414:132395. doi: 10.1016/j.ijcard.2024.132395. Epub 2024 Jul 27.
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M1 macrophage-derived exosomes inhibit cardiomyocyte proliferation through delivering miR-155.M1巨噬细胞衍生的外泌体通过传递miR-155抑制心肌细胞增殖。
BMC Cardiovasc Disord. 2024 Jul 16;24(1):365. doi: 10.1186/s12872-024-03893-0.
9
Exosomal miR-17-5p derived from epithelial cells is involved in aberrant epithelium-fibroblast crosstalk and induces the development of oral submucosal fibrosis.上皮细胞来源的外泌体 miR-17-5p 参与异常上皮细胞-成纤维细胞相互作用,并诱导口腔黏膜下纤维性变的发生。
Int J Oral Sci. 2024 Jun 20;16(1):48. doi: 10.1038/s41368-024-00302-2.
10
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J Am Coll Cardiol. 2024 Jun 4;83(22):2196-2213. doi: 10.1016/j.jacc.2024.02.056.