The Role of Exosomal miRNAs in Female Infertility: Therapeutic Potential and Mechanisms of Action.

IF 4.2 3区 医学 Q2 CELL & TISSUE ENGINEERING Stem Cell Reviews and Reports Pub Date : 2025-06-01 Epub Date: 2025-03-24 DOI:10.1007/s12015-025-10869-w
Waleed Al Abdulmonem, Marya Ahsan, Ayaz Khurram Mallick, Asma'a H Mohamed, Hisham Ali Waggiallah, Alaa Shafie, Hassan Swed Alzahrani, Amal Adnan Ashour, Safia Obaidur Rab, Mohammed Tarek Mirdad, Hatim T O Ali
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Abstract

Reproductive disorders, including preeclampsia (PE), endometriosis, premature ovarian failure (POF), and polycystic ovary syndrome (PCOS), present substantial challenges to women's reproductive health. Exosomes (EXOs) are cell-derived vesicles containing molecules that influence target cells' gene expression and cellular behavior. Among their cargo, microRNAs (miRNAs)-short, non-coding RNAs typically 19-25 nucleotides in length-play a crucial role in post-transcriptional gene regulation and have been extensively studied for their therapeutic potential. miRNAs are considered therapeutic targets because they regulate key cellular pathways such as proliferation, apoptosis, angiogenesis, and tissue repair. This review examines the role of exosomal miRNAs from sources such as mesenchymal stem cells (MSCs), plasma, and amniotic fluid in female reproductive disorders, including PE, POF, PCOS, and endometriosis. We discuss their biological origins, mechanisms of miRNA sorting and packaging, and their therapeutic applications in modulating disease progression. By categorizing miRNAs according to their beneficial or detrimental effects in specific conditions, we aim to simplify the understanding of their roles in female infertility.

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外泌体 miRNA 在女性不孕症中的作用:治疗潜力与作用机制
生殖疾病,包括先兆子痫(PE)、子宫内膜异位症、卵巢早衰(POF)和多囊卵巢综合征(PCOS),对妇女的生殖健康构成了重大挑战。外泌体(EXOs)是细胞衍生的囊泡,内含影响靶细胞基因表达和细胞行为的分子。在它们的货物中,microRNAs (miRNAs)是一种短的非编码rna,长度通常为19-25个核苷酸,在转录后基因调控中起着至关重要的作用,并因其治疗潜力而被广泛研究。mirna被认为是治疗靶点,因为它们调节关键的细胞通路,如增殖、凋亡、血管生成和组织修复。本文综述了来自间充质干细胞(MSCs)、血浆和羊水等来源的外泌体mirna在女性生殖疾病(包括PE、POF、PCOS和子宫内膜异位症)中的作用。我们讨论了它们的生物学起源,miRNA分类和包装的机制,以及它们在调节疾病进展中的治疗应用。通过根据特定条件下的有益或有害作用对mirna进行分类,我们旨在简化对其在女性不育中的作用的理解。
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来源期刊
Stem Cell Reviews and Reports
Stem Cell Reviews and Reports 医学-细胞生物学
CiteScore
9.30
自引率
4.20%
发文量
0
审稿时长
3 months
期刊介绍: The purpose of Stem Cell Reviews and Reports is to cover contemporary and emerging areas in stem cell research and regenerative medicine. The journal will consider for publication: i) solicited or unsolicited reviews of topical areas of stem cell biology that highlight, critique and synthesize recent important findings in the field. ii) full length and short reports presenting original experimental work. iii) translational stem cell studies describing results of clinical trials using stem cells as therapeutics. iv) papers focused on diseases of stem cells. v) hypothesis and commentary articles as opinion-based pieces in which authors can propose a new theory, interpretation of a controversial area in stem cell biology, or a stem cell biology question or paradigm. These articles contain more speculation than reviews, but they should be based on solid rationale. vi) protocols as peer-reviewed procedures that provide step-by-step descriptions, outlined in sufficient detail, so that both experts and novices can apply them to their own research. vii) letters to the editor and correspondence. In order to facilitate this exchange of scientific information and exciting novel ideas, the journal has created five thematic sections, focusing on: i) the role of adult stem cells in tissue regeneration; ii) progress in research on induced pluripotent stem cells, embryonic stem cells and mechanism governing embryogenesis and tissue development; iii) the role of microenvironment and extracellular microvesicles in directing the fate of stem cells; iv) mechanisms of stem cell trafficking, stem cell mobilization and homing with special emphasis on hematopoiesis; v) the role of stem cells in aging processes and cancerogenesis.
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