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MicroRNA-21-5p dysregulation in exosomes derived from heart failure patients impairs regenerative potential.


ABSTRACT: Exosomes, as functional paracrine units of therapeutic cells, can partially reproduce the reparative properties of their parental cells. The constitution of exosomes, as well as their biological activity, largely depends on the cells that secrete them. We isolated exosomes from explant-derived cardiac stromal cells from patients with heart failure (FEXO) or from normal donor hearts (NEXO) and compared their regenerative activities in vitro and in vivo. Patients in the FEXO group exhibited an impaired ability to promote endothelial tube formation and cardiomyocyte proliferation in vitro. Intramyocardial injection of NEXO resulted in structural and functional improvements in a murine model of acute myocardial infarction. In contrast, FEXO therapy exacerbated cardiac function and left ventricular remodeling. microRNA array and PCR analysis revealed dysregulation of miR-21-5p in FEXO. Restoring miR-21-5p expression rescued FEXO's reparative function, whereas blunting miR-21-5p expression in NEXO diminished its therapeutic benefits. Further mechanistic studies revealed that miR-21-5p augmented Akt kinase activity through the inhibition of phosphatase and tensin homolog. Taken together, the heart failure pathological condition altered the miR cargos of cardiac-derived exosomes and impaired their regenerative activities. miR-21-5p contributes to exosome-mediated heart repair by enhancing angiogenesis and cardiomyocyte survival through the phosphatase and tensin homolog/Akt pathway.

SUBMITTER: Qiao L 

PROVIDER: S-EPMC6546482 | biostudies-literature | 2019 Apr

REPOSITORIES: biostudies-literature

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microRNA-21-5p dysregulation in exosomes derived from heart failure patients impairs regenerative potential.

Qiao Li L   Hu Shiqi S   Liu Suyun S   Zhang Hui H   Ma Hong H   Huang Ke K   Li Zhenhua Z   Su Teng T   Vandergriff Adam A   Tang Junnan J   Allen Tyler T   Dinh Phuong-Uyen PU   Cores Jhon J   Yin Qi Q   Li Yongjun Y   Cheng Ke K  

The Journal of clinical investigation 20190429 6


Exosomes, as functional paracrine units of therapeutic cells, can partially reproduce the reparative properties of their parental cells. The constitution of exosomes, as well as their biological activity, largely depends on the cells that secrete them. We isolated exosomes from explant-derived cardiac stromal cells from patients with heart failure (FEXO) or from normal donor hearts (NEXO) and compared their regenerative activities in vitro and in vivo. Patients in the FEXO group exhibited an imp  ...[more]

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