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作者机构:Wallace H. Coulter Department of Biomedical Engineering Emory University School of Medicine & Georgia Institute of Technology Atlanta GA USA. Department of Molecular Science and Technology Ajou University Republic of Korea. Center for Regenerative Medicine Abigail Wexner Research Institute at Nationwide Children's Hospital Columbus OH USA. The Heart Center Nationwide Children's Hospital Columbus OH USA. Department of Pediatrics The Ohio State University College of Medicine Columbus OH USA. Molecular & Systems Pharmacology Graduate Training Program Graduate Division of Biological & Biomedical Sciences Laney Graduate School Emory University Atlanta GA USA. The Ohio State University College of Medicine Columbus OH USA. The Ohio State University College of Veterinary Medicine Columbus OH USA. Biomedical Engineering Graduate Program The Ohio State University Columbus OH USA. Department of Surgery The Ohio State University Wexner Medical Center Columbus OH USA. Department of Surgery Nationwide Children's Hospital Columbus OH USA. Children's Heart Research & Outcomes (HeRO) Center Children's Healthcare of Atlanta & Emory University Atlanta GA USA.
出 版 物:《Extracellular vesicle》
年 卷 期:2022年第1卷
页 面:100013页
主 题:Extracellular vesicle Fontan model Hemodynamics MiRNA RNA sequencing
摘 要:Patients with single ventricle heart defects requires a series of staged open-heart procedures, termed Fontan palliation. However, while lifesaving, these operations are associated with significant morbidity and early mortality. The attendant complications are thought to arise in response to the abnormal hemodynamics induced by Fontan palliation, although the pathophysiology underlying these physicochemical changes in cardiovascular and other organs remain unknown. Here, we investigated the microRNA (miRNA) content in serum and serum-derived extracellular vesicles (EVs) by sequencing small RNAs from a physiologically relevant sheep model of the Fontan operation. The differential expression analysis identified the enriched miRNA clusters in (1) serum vs. serum-derived EVs and (2) pre-Fontan EVs vs. post-Fontan EVs. Metascape analysis showed that the overexpressed subset of EV miRNAs by Fontan procedure target liver-specific cells, underscoring a potentially important pathway involved in the liver dysfunction that occurs as a consequence of Fontan palliation. We also found that post-Fontan EV miRNAs were associated with senescence and cell death, whereas pre-Fontan EV miRNAs were associated with stem cell maintenance and epithelial-to-mesenchymal transition. This study shows great potential to identify novel circulating EV biomarkers from Fontan sheep serum that may be used for the diagnosis, prognosis, and therapeutics for patients that have undergone Fontan palliation.