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Exosomes as Critical Agents of Cardiac Regeneration Triggered by Cell Therapy

Open access
Ibrahim, Ahmed Gamal-Eldin, Cheng, Ke, Marbán, Eduardo·2014·Stem Cell Reports

Abstract

The CADUCEUS trial of cardiosphere-derived cells (CDCs) has shown that it may be possible to regenerate injured heart muscle previously thought to be permanently scarred. The mechanisms of benefit are known to be indirect, but the mediators have yet to be identified. Here we pinpoint exosomes secreted by human CDCs as critical agents of regeneration and cardioprotection. CDC exosomes inhibit apoptosis and promote proliferation of cardiomyocytes, while enhancing angiogenesis. Injection of exosomes into injured mouse hearts recapitulates the regenerative and functional effects produced by CDC transplantation, whereas inhibition of exosome production by CDCs blocks those benefits. CDC exosomes contain a distinctive complement of microRNAs, with particular enrichment of miR-146a. Selective administration of a miR-146a mimic reproduces some (but not all) of the benefits of CDC exosomes. The findings identify exosomes as key mediators of CDC-induced regeneration, while highlighting the potential utility of exosomes as cell-free therapeutic candidates.

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Crossref · 10.1016/j.stemcr.2014.04.006

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Metadata

Authors
Ibrahim, A. G.-E., Cheng, K., & Marbán, E.
Venue
Stem Cell Reports
Publisher
Elsevier BV
Published
2014-05
Volume
2
Issue
5
Pages
606-619
ISSN
2213-6711 (ISSN-L)
OpenAlex
W2126147950
Cited by
826
References
2
FWCI
24.21
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: Exosomes as Critical Agents of Cardiac Regeneration Triggered by Cell Therapy. https://app.cochat.ai/papers/10.1016/j.stemcr.2014.04.006
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Ibrahim, A. G.-E., Cheng, K., & Marbán, E. (2014). Exosomes as Critical Agents of Cardiac Regeneration Triggered by Cell Therapy. Stem Cell Reports. https://doi.org/10.1016/j.stemcr.2014.04.006

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.