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. 2021 Jun 5;25(14):6500–6510. doi: 10.1111/jcmm.16686

TABLE 1.

Molecular targets and mechanisms underlying impacts of exosomal miRs secreting by various immune cells after MI

Immune cells Exosomal miRs Target cells Molecular targets Physiological effects after MI Underlying mechanisms Ref.
Dendritic cell miR‑494‑3p CMECs VEGF

‐ Enhancing angiogenesis

‐ Ameliorating the infarcted myocardium

52
Macrophage miR‐155 Cardiac fibroblasts

‐ SOCS1

‐ SoS1

‐ Intensifying cardiac inflammation

‐ Inducing cardiac rupture

‐ Suppressing fibroblast proliferation

‐ Increasing the expression of TNF‐α, IL1β, and CCL2

‐ Reducing the production of collagen

80
M1 macrophage miR‐155 CMECs

‐ RAC1

‐ PAK2

‐ Sirt1

‐ AMPKα2

‐ Suppressing angiogenesis

‐ Exacerbating myocardial injury

‐ Hindering cardiac healing

‐ Depressing Sirt1/AMPKα2‐endothelial nitric oxide synthase

‐ Depressing RAC1‐PAK2 signalling pathways

82
M2 macrophage miR‐148a Cardiomyocytes TXNIP

‐ Increasing the viability of injured cardiomyocytes

‐ Reducing the infarct size

‐ Ameliorating MI/R injury

‐ Inactivating the TLR4/NF‐κB/NLRP3 signalling pathway

‐ Alleviating Ca2+ overload

‐Regulating cardiac enzymes like CK, CK‐MB, and lactate dehydrogenase

75
CD4+ T cells miR‐142‐3p Cardiac fibroblasts APC

‐ Triggering myofibroblast activation and fibrogenesis

‐ Deteriorating cardiac fibrosis

‐ Worsening cardiac dysfunction

‐ Inducing abnormal cardiac remodelling

‐ Inducing β‐catenin degradation

‐ Modulating GSK‐β‐β‐catenin signal cascade

‐ Increasing TGF production

116

Abbreviations: AMPKα2, AMPactivated catalytic subunit alpha 2; APC, Adenomatous Polyposis Coli; CCL2, C‐C Motif Chemokine Ligand 2; CK, Creatine Kinase; CK‐MB, Creatine Kinase Myocardial Band; CMECs, Cardiac Microvascular Endothelial Cells; GSK‐β, Glycogen Synthase Kinase beta; IL‐1β, Interleukin 1 beta; MI, Myocardial Infarction; miRs, microRNAs, NF‐κB, Nuclear factor‐κB; NLRP3, NLR family Pyrin domain containing 3; PAK2, p21 (RAC1)‐Activated Kinase 2; RAC1, Rac family small GTPase 1; Sirt1, Sirtuin 1; SOCS1, Suppressor of Cytokine Signalling 1; SoS1, Son of Sevenless gene 1; TGF, Tumour Growth Factor; TNF‐α, Tumour Necrosis Factor‐alpha; TXNIP, Thioredoxin‐Interacting Protein; VEGF, Vascular Endothelial Growth Factor.