Extracellular vesicles in heart failure.

Advances in clinical chemistry Pub Date : 2024-01-01 Epub Date: 2024-02-24 DOI:10.1016/bs.acc.2024.02.001
Alexander E Berezin, Alexander A Berezin
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引用次数: 0

Abstract

Physiologically, extracellular vesicles (EVs) have been implicated as crucial mediators of immune response, cell homeostasis, angiogenesis, cell differentiation and growth, and tissue repair. In heart failure (HF) they may act as regulators of cardiac remodeling, microvascular inflammation, micro environmental changes, tissue fibrosis, atherosclerosis, neovascularization of plaques, endothelial dysfunction, thrombosis, and reciprocal heart-remote organ interaction. The chapter summaries the nomenclature, isolation, detection of EVs, their biologic role and function physiologically as well as in the pathogenesis of HF. Current challenges to the utilization of EVs as diagnostic and predictive biomarkers in HF are also discussed.

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心力衰竭中的细胞外囊泡
在生理学上,细胞外囊泡(EVs)被认为是免疫反应、细胞稳态、血管生成、细胞分化和生长以及组织修复的关键介质。在心力衰竭(HF)中,它们可能是心脏重塑、微血管炎症、微环境变化、组织纤维化、动脉粥样硬化、斑块新生血管、内皮功能障碍、血栓形成以及心脏与远端器官相互影响的调节因子。本章概述了 EVs 的命名、分离、检测、生物作用、生理功能以及在高血压发病机制中的作用。本章还讨论了目前将 EVs 用作高频诊断和预测生物标记物所面临的挑战。
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