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. 2023 Jan 1;13(1):125–147. doi: 10.7150/thno.78164

Table 2.

Regulation of immune-related EV-miRNAs in COVID-19

Circulating miRNAs Organism/Organ/Cell type Regulate direction Targeted regulation Biological effect Reference
miR-24 EC-EV Downregulated in patients with cerebrovascular disorders Targeted Neuropilin 1 Related to cerebrovascular events and SARS-CoV-2 internalization 179
miR-92a-3p MSC-EV Up-regulation Targeted the 3'UTR of SARS-CoV-2 Blocked SARS-CoV-2 RNA replication and suppressed virus-mediated pro-inflammatory responses by human bronchial epithelial cells and lung fibroblasts 125
miR-26a-5p MSC-EV Up-regulation Targeted the 3'UTR of SARS-CoV-2 Blocked SARS-CoV-2 RNA replication and suppressed virus-mediated pro-inflammatory responses by human bronchial epithelial cells and lung fibroblasts 125
miR-23a-3p MSC-EV Up-regulation Targeted the 3'UTR of SARS-CoV-2 Blocked SARS-CoV-2 RNA replication and suppressed virus-mediated pro-inflammatory responses by human bronchial epithelial cells and lung fibroblasts 125
miR-103a-3p MSC-EV Up-regulation Targeted the 3'UTR of SARS-CoV-2 Blocked SARS-CoV-2 RNA replication and suppressed virus-mediated pro-inflammatory responses by human bronchial epithelial cells and lung fibroblasts 125
miR-181a-5p MSC-EV Up-regulation Targeted the 3'UTR of SARS-CoV-2 Blocked SARS-CoV-2 RNA replication and suppressed virus-mediated pro-inflammatory responses by human bronchial epithelial cells and lung fibroblasts 125
miR-125a-3p MSC-EV - Binds to the portion 3'UTR of IL2, CXCL10, IL7, IL10 and IL15; Binds to the 3'UTR region of TNF, IFN and binds also to the 3'UTR of Factor XIII gene Minimized cell death, alleviate the systemic inflammation and coagulation disturbs in severe COVID-19 patients improving their clinical outcome 180
miR-125b-1-3p MSC-EV - Targeted the CXCL10, IL17A, IL10, CCL3, IL18 and IL33 and targeted the TNF, IFN, and GSDME genes; Binds to the 3'UTR region of Factor III, IX and XIII Reduced inflammation 180
miR-769-3p MSC-EV - Targeted synergistically the 3'UTR region of the TNF e IFN genes inhibiting their protein translation Reduced cell death and prevented tissue damage 180
miR-202-3p MSC-EV - Targeted synergistically the 3'UTR region of the TNF e IFN genes inhibiting their protein translation Reduced cell death and prevented tissue damage 180
miR-148a Virus-exosomal Up-regulation Suppress target gene expression of USP33 and downstream IRF9 levels; Regulated the major pro-inflammatory gene expression profile of TNFα, NF-κB and IFN-β Triggered the neuroinflammation within Central Nervous System 134
miR-590 Virus-exosomal Up-regulation Suppress target gene expression of USP33 and downstream IRF9 levels; Regulated the major pro-inflammatory gene expression profile of TNFα, NF-κB and IFN-β Triggered the neuroinflammation within Central Nervous System 134
miR-7-5p Exosomal Downregulated in T2D patients and elderly people Inhibited S protein expression and SARS-CoV-2 replication Suppression of virus infection 15
miR-24-3p Exosomal Downregulated in T2D patients and elderly people Inhibited S protein expression and SARS-CoV-2 replication Suppression of virus infection 15
miR-145-5p Exosomal Downregulated in T2D patients and elderly people Inhibited S protein expression and SARS-CoV-2 replication Suppression of virus infection 15
miR-223-3p Exosomal Downregulated in T2D patients and elderly people Inhibited S protein expression and SARS-CoV-2 replication Suppression of virus infection 15
miR-21 MSC-exosomal Down-regulation Reduced cytokines such as IL-7, IL-2, and IL-6 Prevented cytokine storms 181
miR-24 MSC-exosomal Down-regulation Reduced cytokines such as IL-7, IL-2, and IL-6 Prevented cytokine storms 181
miR-124 MSC-exosomal Down-regulation Reduced cytokines such as IL-7, IL-2, and IL-6 Prevented cytokine storms 181
miR-145 MSC-exosomal Down-regulation Reduced cytokines such as IL-7, IL-2, and IL-6 Prevented cytokine storms 181
miR-146a EV Down-regulation Regulated inflammation Exhibited neutralizing activity against SARS‐CoV‐2 infection in vitro 132
miR-126-3p EV Down-regulation Regulated angiogenesis Exhibited neutralizing activity against SARS‐CoV‐2 infection in vitro 132
miR-3168 EV Up-regulation Targeted IL6, OR52N2 Regulated immune function in the pathophysiology of COVID-19 140
miR-146a-5p EV Up-regulation Targeted TLR4 Regulated immune function in the pathophysiology of COVID-19 140
miR-542-3p EV Up-regulation Inhibited SERPINB8 and APOH Anticoagulatory eanticoagulatory effect 140
miR-338-5p EV Up-regulation Targeted IL6 and inhibited OR52N2 expression Regulated inflammatory response and inhibited olfactory receptors 140
miR-92a-2-5p EV Down-regulation Negatively correlated with degrees of adverse reactions Expected to be associated with immune responses after vaccination with BNT162b2 182
miR-148a EV Down-regulation Associated with specific antibody titers Expected to be associated with immune responses after vaccination with BNT162b2 182