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Table1 Characteristics of different exosomal components in cardiovascular diseases

From: Exosomes: mediators regulating the phenotypic transition of vascular smooth muscle cells in atherosclerosis

Components

Sources

Target cells

Effects

Signaling pathways

Associated pathologies

Refs

miR-92a-3p

HUVECs (Human umbilical vein endothelial cells);ECs

ECs; HUVECs;

ECs proliferation, migration and angiogenesis↑;

ECs oxidative stress, inflammation and dysfunction↑;

HUVECs apoptosis↑proliferation↓;

SIRT6/MAPK; MAPK/NF-κB

Atherosclerosis;

Catheter-related thrombosis

[45, 97, 98]

miR-21-3p

ECs; Macrophages

VSMCs

VSMCs migration and proliferation↑;

VSMCs phenotypic conversion↑;

ECs pro-inflammatory cytokine levels↑;

AGE/RAGE

Atherosclerosis;

Diabetic atherosclerosis

[47, 99]

miR-663

VSMCs; PASMCs (Pulmonary artery smooth muscle cells); ECs

VSMCs; PASMCs

VSMCs differentiation↑, proliferation and migration↓;

PASMCs proliferation, migration and collagen synthesis↓;

JunB/Myl9; TGF-β1/SMAD2/3

Atherosclerosis;

Pulmonary arterial hypertension

[50, 100, 101]

miR-222

M1 macrophages; ECs;

VSMCs; Cardiomyocytes

VSMCs proliferation and migration↑;

Cardiac fibrosis↓;

Cardiomyocytes proliferation↓ and apoptosis↑

Wnt/β-catenin; PI3K/AKT

Atherosclerosis; Dilated cardiomyopathy; Myocardial ischemia/reperfusion injury

[52, 102, 103]

miR-155-5p

VSMCs

Adventitial fibroblasts

VSMCs; HUVECs;

VSMCs proliferation, migration, calcification and invasion↓;

HUVECs proliferation, migration and invasion↓;

TGF-β1/Smad2/3

Atherosclerosis;

Vascular calcification

[53, 104, 105]

LncRNA H19

HUVECs; VSMCs;

VSMCs

VSMCs osteoblast phenotypic transition↑;

HUVECs proliferation↑ apoptosis↓;

VSMCs proliferation↓apoptosis↑;

MAPK/NF-κB; WNT/β-catenin

Atherosclerosis;

Arterial calcification

[57, 106, 107]

miR-143/145

VSMCs; ESCs (Embryonic stem cells);

VSMCs

VSMCs differentiated phenotype↑;

Jag-1/Notch

Atherosclerosis

[49, 74, 108, 109]

miR-103-3p

VSMCs; Cardiomyocytes

VSMCs; Cardiomyocytes

VSMCs osteoblast phenotypic transition↑;

Cardiomyocytes apoptosis↓proliferation↑;

GSK3β/β-catenin;

Vascular calcification;

Acute myocardial infarction

[57, 110]

miR-133a

VSMCs;

VSMCs; Cardiomyocytes

VSMCs Osteogenic Differentiation↓;

Myocardial collagen deposition↓,

Myocardial fibrosis↓;

TGF-β1

Atherosclerosis;

Myocardial infarction

[60, 111]

miR-204/miR-211

VSMCs

VSMCs; Cardiomyocytes

Vascular calcification and ageing↓;

Cardiac tissues apoptosis level↓;

SIRT1/p53

Atherosclerosis;

Myocardial infarction;

[61, 112]

miR-34a

ECs; MSCs;

VSMCs; HAECs (Human aortic endothelial cells); MSCs; Cardiomyocytes

ECs growth↑apoptosis↓;

MSCs autophagy and apoptosis↑; cell activity↓;

SIRT1/FoxO3a; Wnt/β-catenin

Atherosclerosis; Myocardial infarction; Type 2 diabetes mellitus

[62, 113,114,115]

miR-106a

VSMCs

VSMCs;

VSMCs apoptosis↑

Foxo1/Vcam1

Abdominal aortic aneurysm

[66, 147]

miR-106a-3p

Macrophages

VSMCs;

VSMCs proliferation↑apoptosis↓;

CASP9/Caspase

Atherosclerosis

[67]

miR-106a-5p

HUVECs; ECs

HUVECs; VSMCs

HUVECs viability↓apoptosis↑;

VSMCs proliferation↑;

Foxo1/Vcam1

Atherosclerosis;

Type 2 diabetes mellitus

[68, 148]

circHIPK3

Cardiac fibroblasts; Cardiomyocytes

VSMCs; Cardiac fibroblasts; Cardiomyocytes; CMVECs (Cardiac microvascular endothelial cells)

Cardiac fibroblasts proliferation, migration and phenotypic transition↑;

Cardiomyocytes proliferation↓apoptosis↑;

PI3K/AKT; miR-29a/IGF-1; miR-106a-5p/Foxo1/Vcam1

Ischemic heart disease;

Myocardial infarction;

Ischemia–reperfusion injury

[68, 144,145,146,147]

miR-125b-5p

VSMCs

VSMCs; Cardiomyocytes; Pancreatic β-cells

Cardiomyocytes apoptosis↓;

Pancreatic β-cells proliferation↓apoptosis↑;

JNK

Acute myocardial infarction;

Type 2 diabetes mellitus

[70, 142, 143]

circRNA0077930

HUVECs

VSMCs

VSMCs senescence↑;

/

Diabetes mellitus;

Oronary heart disease

[77]

miR-622

HUVECs

VSMCs; Cardiomyocytes

Cardiomyocytes apoptosis and inflammatory reaction↑;

Kras CeRNA

Acute myocardial infarction;

[77, 141]

miR-155

VSMCs; Cardiomyocytes

VSMCs; ECs; THP-1 macrophages;

VSMCs migration and over proliferation↓;

Cardiomyocytes apoptosis and cardiac fibrosis↑;

ERK1/2; Nrf2/HO-1

Atherosclerosis;

Diabetic cardiomyopathy

[79, 138,139,140]

miR-147

MSCs

VSMCs; H9c2 cells; Macrophages

Myocardial inflammation and apoptosis↓;

inflammatory response↓;

NF-κB; TGF-β

Abdominal aortic aneurysm; Myocardial infarction;

[87, 136, 137]

miR-125b

MSCs; BMSCs (Bone marrow mesenchymal stem cells);

VSMCs; Ischemia reperfusion myocardium cells; Cardiomyocytes

VSMCs proliferation and migration, neointima formation↓;

Ischemia reperfusion myocardium cells viability↑

inflammation and apoptosis↓;

Cardiomyocytes apoptosis↓;

P38/Sirtl/P53; Nrf2/HIF-1a

Atherosclerosis; Myocardial ischemia reperfusion injury;

Acute myocardial infarction

[55, 118, 119, 135]

miR-29b

HAVICs (Human aortic valve interstitial cells)

VSMCs; Osteoblasts; HUVECs; Cardiomyocytes

HAVICs osteoblastic differentiation and calcification↑;

ECs inflammation↓;

Myocardial fibrosis and cardiac hypertrophy↓;

SPRY1/MAPK; Notch; Wnt3/β-catenin/Smad3

Atherosclerosis;

Myocardial Infarction;

Calcific aortic valve diseases

[58, 132,133,134]

miR-128-3p

Atrial fibroblasts; VSMCs

Atrial fibroblasts; VSMCs

Atrial fibroblasts proliferation, collagen production↑;

VSMCs proliferation and migration↓;

TGF-β1/Smad; FOXO4/MMP9;

Atrial fibrillation; Atherosclerosis

[75, 120, 121]

miR-223-3p

Cardiomyocytes;

VSMCs; Cardiomyocytes; CMECs (cardiac microvascular endothelial cells)

CMECs apoptosis↓;

CMECs migration, proliferation and angiogenesis↓

PI3K/Akt; RPS6KB1/hif-1a

Ischemic heart diseases;

Acute myocardial infarction

[59, 128,129,130]

LncRNA LIPCAR

THP-1 cells; Atrial fibroblasts

VSMCs; HUVECs; Atrial fibroblasts

HUVECs proliferation, angiogenesis, apoptosis and oxidative stress↓;

Atrial fibroblasts proliferation↑;

TGF-β/Smad;

Atherosclerosis; Atrial fibrillation

[51, 131]

miR-221-3p

HUVECs

VSMCs; HUVECs; Cardiomyocytes

HUVECs apoptosis, inflammation, and oxidative stress↓;

Cardiomyocyte apoptosis, myocardial injury↓,

Inflammatory reaction and oxidative stress↓;

TLR4/NF-κB; NLRP3/ASC/pro-caspase-1

Atherosclerosis; Coronary heart disease

[54, 116, 117]

LINC01005

HUVECs

VSMCs

VSMCs proliferation and migration↑;

/

Atherosclerosis

[75]

miR-223-5p

Plasma

VSMCs

VSMCs viability↓apoptosis↑;

miR-6515-5p/VCAM1

Thromboangiitis obliterans;

[69]

Notch3

HUVECs

VSMCs

VSMCs calcification and aging↑;

mTOR

Diabetes mellitus;

Myocardial infarction

[78, 158]

miR-150

EPCs (Endothelial progenitor cells)

VSMCs; EPCs; ECs;

EPCs differentiation and thrombus resolution↑;

ECs proliferation, migration↑ vascular remodeling↓

Akt/FOXO1; NF-κB

Type 2 diabetes;

Deep venous thrombosis;

Acute coronary syndrome

[88, 122,123,124]

miR-16-5p

Plasma

Cardiomyoblasts; VSMCs

Cardiac cells ER stress and oxidative stress↑

ATF6

Intracranial atherosclerotic disease; Dilated cardiomyopathy

[94, 125]

miR-486-5p

BMSCs

VSMCs; Cardiomyocytes

Cardiomyocytes apoptosis and growth↓apoptosis↑;

PTEN/PI3K/AKT

Myocardial ischemia–reperfusion injury; Cyanotic congenital heart disease

[94, 126, 127]

miR-30c-5p

Ischemia reperfusion myocardial cells;

VSMCs; Macrophages; Ischemia reperfusion myocardial cells; HUVECs

Inflammation and apoptosis↑;

Macrophages apoptosis and inflammation↑;

HUVECs inflammatory response and apoptosis↓;

NF-κB; Wnt7b/β-catenin

Myocardial ischemia reperfusion injury; Atherosclerosis;

[94, 149,150,151]

miR-30e

Cardiomyocytes

VSMCs; Cardiomyocytes

Cardiac fibrosis↓;

Myocardial ischemia–reperfusion injury↓;

Ventricular remodeling↑;

Snai1/TGF-β

Cardiomyopathy; Atherosclerosis;

Myocardial ischemia–reperfusion injury

[95, 152, 153]

miR-92a

ECs

VSMCs; Cardiomyocytes

VSMCs proliferation and migration↑;

Cardiomyocytes apoptosis↓;

NF-κB; ROCK/MLCK

Diabetes mellitus; Atherosclerosis

Myocardial ischemia reperfusion injury

[95, 154,155,156]

miR-133

Cardiomyocytes

Cardiomyocytes; VSMCs

Cardiomyocytes apoptosis↓;

VSMCs proliferation and migration↓;

Phenotypic switch and vascular remodeling↓;

MAPK/ERK;

Myocardial infarction; Atherosclerosis

[48, 157]