Exosomes: From Potential Culprits to New Therapeutic Promise in the Setting of Cardiac Fibrosis.

Abstract:

:Fibrosis is a significant global health problem associated with many inflammatory and degenerative diseases affecting multiple organs, individually or simultaneously. Fibrosis develops when extracellular matrix (ECM) remodeling becomes excessive or uncontrolled and is associated with nearly all forms of heart disease. Cardiac fibroblasts and myofibroblasts are the main effectors of ECM deposition and scar formation. The heart is a complex multicellular organ, where the various resident cell types communicate between themselves and with cells of the blood and immune systems. Exosomes, which are small extracellular vesicles, (EVs), contribute to cell-to-cell communication and their pathophysiological relevance and therapeutic potential is emerging. Here, we will critically review the role of endogenous exosomes as possible fibrosis mediators and discuss the possibility of using stem cell-derived and/or engineered exosomes as anti-fibrotic agents.

journal_name

Cells

journal_title

Cells

authors

Tikhomirov R,Donnell BR,Catapano F,Faggian G,Gorelik J,Martelli F,Emanueli C

doi

10.3390/cells9030592

subject

Has Abstract

pub_date

2020-03-02 00:00:00

issue

3

issn

2073-4409

pii

cells9030592

journal_volume

9

pub_type

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