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November 29, 2018Frontiers in ImmunologyOpen Access

Extracellular Vesicle-Mediated Immune Regulation of Tissue Remodeling and Angiogenesis After Myocardial Infarction

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Key result

Small extracellular vesicles mediate immune regulation of tissue remodeling and angiogenesis after myocardial infarction, presenting a promising cell-free therapeutic strategy for cardiac repair.

Why the study?

Clinical trials of cell-based therapies for myocardial infarction have shown variable results, prompting interest in small extracellular vesicles as a cell-free therapeutic strategy to regulate tissue remodeling and angiogenesis.

Design

Review

Authors

SSSantiago Sánchez‐AlonsoHospital Universitario Insular de Gran CanariaAAAna Alcaraz‐SernaUniversity of LausanneFSFrancisco Sánchez‐MadridSouth Australia Pathology

Discussion

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Implication

Should not yet change post-MI practice; leaves open cell-free vesicle therapy as hypothesis-generating.

PICO

P
Population
Myocardial Infarction
I
Intervention / Comparator
Small extracellular vesicles (EVs)

This review summarizes the role of immune cell-derived small extracellular vesicles in regulating angiogenesis and tissue remodeling after myocardial infarction, proposing them as a potential cell-free therapy.

Limitations

  • Pleiotropic effects of small EVs from different immune cells with diverse activation states present a challenge for optimizing production
  • Most preclinical studies have been conducted using cell lines rather than physiological sources
  • Further definition of the appropriate cellular source and functional characteristics is needed before clinical application

Cite This Study

Sánchez‐Alonso et al. (2018) conducted a review in Myocardial Infarction. Small extracellular vesicles (EVs) was evaluated. Small extracellular vesicles mediate immune regulation of tissue remodeling and angiogenesis after myocardial infarction, presenting a promising cell-free therapeutic strategy for cardiac repair.

synapsesocial.com/papers/6a1c68bc2cc291e7bf2fbd6fhttps://doi.org/10.3389/fimmu.2018.02799
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Angiogenesis in the Infarcted Myocardium2012 · 255 citations
  2. 2Cellular and molecular mechanisms of inflammation‐induced angiogenesis2015 · 204 citations
  3. 3Integrating Protein Engineering and Bioorthogonal Click Conjugation for Extracellular Vesicle Modulation and Intracellular Delivery2015 · 164 citations