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Extracellular Vesicles in Cardiovascular Diseases: Alternative Biomarker Sources, Therapeutic Agents, and Drug Delivery Carriers

Identifieur interne : 000A15 ( Pmc/Curation ); précédent : 000A14; suivant : 000A16

Extracellular Vesicles in Cardiovascular Diseases: Alternative Biomarker Sources, Therapeutic Agents, and Drug Delivery Carriers

Auteurs : Suet Yen Chong [Singapour] ; Choon Keong Lee [Singapour] ; Chenyuan Huang [Singapour] ; Yi Hsuan Ou [Singapour] ; Christopher J. Charles [Singapour] ; Arthur Mark Richards [Singapour] ; Yub Raj Neupane [Singapour] ; Maria Vazquez Pavon [Singapour] ; Olga Zharkova [Singapour] ; Giorgia Pastorin [Singapour] ; Jiong-Wei Wang [Singapour]

Source :

RBID : PMC:6650854

Abstract

Cardiovascular diseases (CVD) represent the leading cause of morbidity and mortality globally. The emerging role of extracellular vesicles (EVs) in intercellular communication has stimulated renewed interest in exploring the potential application of EVs as tools for diagnosis, prognosis, and therapy in CVD. The ubiquitous nature of EVs in biological fluids presents a technological advantage compared to current diagnostic tools by virtue of their notable stability. EV contents, such as proteins and microRNAs, represent specific signatures of cellular activation or injury. This feature positions EVs as an alternative source of biomarkers. Furthermore, their intrinsic activity and immunomodulatory properties offer EVs unique opportunities to act as therapeutic agents per se or to serve as drug delivery carriers by acting as miniaturized vehicles incorporating bioactive molecules. In this article, we aim to review the recent advances and applications of EV-based biomarkers and therapeutics. In addition, the potential of EVs as a drug delivery and theranostic platform for CVD will also be discussed.


Url:
DOI: 10.3390/ijms20133272
PubMed: 31277271
PubMed Central: 6650854

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PMC:6650854

Le document en format XML

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<name sortKey="Zharkova, Olga" sort="Zharkova, Olga" uniqKey="Zharkova O" first="Olga" last="Zharkova">Olga Zharkova</name>
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<p>Cardiovascular diseases (CVD) represent the leading cause of morbidity and mortality globally. The emerging role of extracellular vesicles (EVs) in intercellular communication has stimulated renewed interest in exploring the potential application of EVs as tools for diagnosis, prognosis, and therapy in CVD. The ubiquitous nature of EVs in biological fluids presents a technological advantage compared to current diagnostic tools by virtue of their notable stability. EV contents, such as proteins and microRNAs, represent specific signatures of cellular activation or injury. This feature positions EVs as an alternative source of biomarkers. Furthermore, their intrinsic activity and immunomodulatory properties offer EVs unique opportunities to act as therapeutic agents per se or to serve as drug delivery carriers by acting as miniaturized vehicles incorporating bioactive molecules. In this article, we aim to review the recent advances and applications of EV-based biomarkers and therapeutics. In addition, the potential of EVs as a drug delivery and theranostic platform for CVD will also be discussed.</p>
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<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Int J Mol Sci</journal-id>
<journal-id journal-id-type="iso-abbrev">Int J Mol Sci</journal-id>
<journal-id journal-id-type="publisher-id">ijms</journal-id>
<journal-title-group>
<journal-title>International Journal of Molecular Sciences</journal-title>
</journal-title-group>
<issn pub-type="epub">1422-0067</issn>
<publisher>
<publisher-name>MDPI</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">31277271</article-id>
<article-id pub-id-type="pmc">6650854</article-id>
<article-id pub-id-type="doi">10.3390/ijms20133272</article-id>
<article-id pub-id-type="publisher-id">ijms-20-03272</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Review</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Extracellular Vesicles in Cardiovascular Diseases: Alternative Biomarker Sources, Therapeutic Agents, and Drug Delivery Carriers</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid" authenticated="true">https://orcid.org/0000-0002-3627-4025</contrib-id>
<name>
<surname>Chong</surname>
<given-names>Suet Yen</given-names>
</name>
<xref ref-type="aff" rid="af1-ijms-20-03272">1</xref>
<xref ref-type="aff" rid="af2-ijms-20-03272">2</xref>
<xref ref-type="author-notes" rid="fn1-ijms-20-03272"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Lee</surname>
<given-names>Choon Keong</given-names>
</name>
<xref ref-type="aff" rid="af3-ijms-20-03272">3</xref>
<xref ref-type="author-notes" rid="fn1-ijms-20-03272"></xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Huang</surname>
<given-names>Chenyuan</given-names>
</name>
<xref ref-type="aff" rid="af1-ijms-20-03272">1</xref>
<xref ref-type="aff" rid="af2-ijms-20-03272">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ou</surname>
<given-names>Yi Hsuan</given-names>
</name>
<xref ref-type="aff" rid="af3-ijms-20-03272">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Charles</surname>
<given-names>Christopher J.</given-names>
</name>
<xref ref-type="aff" rid="af1-ijms-20-03272">1</xref>
<xref ref-type="aff" rid="af2-ijms-20-03272">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Richards</surname>
<given-names>Arthur Mark</given-names>
</name>
<xref ref-type="aff" rid="af2-ijms-20-03272">2</xref>
<xref ref-type="aff" rid="af4-ijms-20-03272">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Neupane</surname>
<given-names>Yub Raj</given-names>
</name>
<xref ref-type="aff" rid="af3-ijms-20-03272">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Pavon</surname>
<given-names>Maria Vazquez</given-names>
</name>
<xref ref-type="aff" rid="af3-ijms-20-03272">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zharkova</surname>
<given-names>Olga</given-names>
</name>
<xref ref-type="aff" rid="af1-ijms-20-03272">1</xref>
<xref ref-type="aff" rid="af2-ijms-20-03272">2</xref>
</contrib>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid" authenticated="true">https://orcid.org/0000-0002-2568-0626</contrib-id>
<name>
<surname>Pastorin</surname>
<given-names>Giorgia</given-names>
</name>
<xref ref-type="aff" rid="af3-ijms-20-03272">3</xref>
</contrib>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid" authenticated="true">https://orcid.org/0000-0001-7986-6082</contrib-id>
<name>
<surname>Wang</surname>
<given-names>Jiong-Wei</given-names>
</name>
<xref ref-type="aff" rid="af1-ijms-20-03272">1</xref>
<xref ref-type="aff" rid="af2-ijms-20-03272">2</xref>
<xref ref-type="aff" rid="af5-ijms-20-03272">5</xref>
<xref rid="c1-ijms-20-03272" ref-type="corresp">*</xref>
</contrib>
</contrib-group>
<aff id="af1-ijms-20-03272">
<label>1</label>
Department of Surgery, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119228, Singapore</aff>
<aff id="af2-ijms-20-03272">
<label>2</label>
Cardiovascular Research Institute (CVRI), National University Heart Centre Singapore (NUHCS), Singapore 117599, Singapore</aff>
<aff id="af3-ijms-20-03272">
<label>3</label>
Department of Pharmacy, National University of Singapore, Singapore 117543, Singapore</aff>
<aff id="af4-ijms-20-03272">
<label>4</label>
Department of Medicine, National University Hospital, Singapore 119228, Singapore</aff>
<aff id="af5-ijms-20-03272">
<label>5</label>
Department of Physiology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore 117593, Singapore</aff>
<author-notes>
<corresp id="c1-ijms-20-03272">
<label>*</label>
Correspondence:
<email>surwang@nus.edu.sg</email>
; Tel.: +65-66011387</corresp>
<fn id="fn1-ijms-20-03272">
<label></label>
<p>These authors contributed equally to this work.</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>03</day>
<month>7</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="collection">
<month>7</month>
<year>2019</year>
</pub-date>
<volume>20</volume>
<issue>13</issue>
<elocation-id>3272</elocation-id>
<history>
<date date-type="received">
<day>04</day>
<month>6</month>
<year>2019</year>
</date>
<date date-type="accepted">
<day>01</day>
<month>7</month>
<year>2019</year>
</date>
</history>
<permissions>
<copyright-statement>© 2019 by the authors.</copyright-statement>
<copyright-year>2019</copyright-year>
<license license-type="open-access">
<license-p>Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (
<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>
).</license-p>
</license>
</permissions>
<abstract>
<p>Cardiovascular diseases (CVD) represent the leading cause of morbidity and mortality globally. The emerging role of extracellular vesicles (EVs) in intercellular communication has stimulated renewed interest in exploring the potential application of EVs as tools for diagnosis, prognosis, and therapy in CVD. The ubiquitous nature of EVs in biological fluids presents a technological advantage compared to current diagnostic tools by virtue of their notable stability. EV contents, such as proteins and microRNAs, represent specific signatures of cellular activation or injury. This feature positions EVs as an alternative source of biomarkers. Furthermore, their intrinsic activity and immunomodulatory properties offer EVs unique opportunities to act as therapeutic agents per se or to serve as drug delivery carriers by acting as miniaturized vehicles incorporating bioactive molecules. In this article, we aim to review the recent advances and applications of EV-based biomarkers and therapeutics. In addition, the potential of EVs as a drug delivery and theranostic platform for CVD will also be discussed.</p>
</abstract>
<kwd-group>
<kwd>extracellular vesicles</kwd>
<kwd>cardiovascular disease</kwd>
<kwd>biomarker</kwd>
<kwd>therapeutic</kwd>
<kwd>drug delivery</kwd>
<kwd>theranostics</kwd>
</kwd-group>
</article-meta>
</front>
<floats-group>
<fig id="ijms-20-03272-f001" orientation="portrait" position="float">
<label>Figure 1</label>
<caption>
<p>Schematic diagram illustrating EVs as an alternative source of biomarkers in cardiovascular disease (CVD). Extracellular vesicle (EV) proteins, such as CD14, cystatin C and coagulation-related proteins including Serpin G1 and Serpin F2, have been proposed as novel biomarkers for diagnosis and prognosis of heart failure, vascular disease, and stroke. Conventional CVD risk factors, such as obesity and smoking, have been associated with EV protein contents, including CD14, cystatin C, and procoagulant proteins. Certain EV miRNAs have also been identified as novel diagnostic and prognostic biomarkers for stroke and heart failure. Five EV miRNAs are listed as representatives. EV lipids, however, remain largely unexplored in the diagnosis or prognosis of CVD. CVD, cardiovascular diseases; CS, complement system; C5a, complement factor 5a; pIgR, polygenic immunoglobulin receptor; PS, phosphatidylserine; PE, phosphatidylethanolamine.</p>
</caption>
<graphic xlink:href="ijms-20-03272-g001"></graphic>
</fig>
<fig id="ijms-20-03272-f002" orientation="portrait" position="float">
<label>Figure 2</label>
<caption>
<p>Potential applications of EVs in diagnostic, therapeutic, and drug delivery in CVD. Increasing novel biomarkers identified in EVs have made them as attractive alternative sources of biomarkers for a variety of CVD. On the other hand, EVs also bear intrinsic therapeutic activities and great potential to deliver drugs or therapeutic compounds and therefore, may offer synergistic treatment effects. Endogenous EV biomarkers and/or loaded diagnostic agents may be housed together with therapeutic compounds to create theranostic EVs for CVD treatment. STEMI, ST-elevation myocardial infarction.</p>
</caption>
<graphic xlink:href="ijms-20-03272-g002"></graphic>
</fig>
<table-wrap id="ijms-20-03272-t001" orientation="portrait" position="float">
<object-id pub-id-type="pii">ijms-20-03272-t001_Table 1</object-id>
<label>Table 1</label>
<caption>
<p>Summary of extracellular vesicle contents as diagnostic or prognostic biomarkers in CVD.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="center" valign="middle" style="border-top:solid thin;border-bottom:solid thin" rowspan="1" colspan="1">Disease </th>
<th align="center" valign="middle" style="border-top:solid thin;border-bottom:solid thin" rowspan="1" colspan="1">Sample Size</th>
<th align="center" valign="middle" style="border-top:solid thin;border-bottom:solid thin" rowspan="1" colspan="1">Source</th>
<th align="center" valign="middle" style="border-top:solid thin;border-bottom:solid thin" rowspan="1" colspan="1">Methods of Isolation</th>
<th align="center" valign="middle" style="border-top:solid thin;border-bottom:solid thin" rowspan="1" colspan="1">EVs Characterized</th>
<th align="center" valign="middle" style="border-top:solid thin;border-bottom:solid thin" rowspan="1" colspan="1">Screening Method</th>
<th align="center" valign="middle" style="border-top:solid thin;border-bottom:solid thin" rowspan="1" colspan="1">Quantification Method</th>
<th align="center" valign="middle" style="border-top:solid thin;border-bottom:solid thin" rowspan="1" colspan="1">Analytes Measured</th>
<th align="center" valign="middle" style="border-top:solid thin;border-bottom:solid thin" rowspan="1" colspan="1">Significant Candidates </th>
<th align="center" valign="middle" style="border-top:solid thin;border-bottom:solid thin" rowspan="1" colspan="1">Potential Application</th>
<th align="center" valign="middle" style="border-top:solid thin;border-bottom:solid thin" rowspan="1" colspan="1">Ref.</th>
</tr>
</thead>
<tbody>
<tr>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Acute Ischemic Stroke</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">50</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Serum</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Precipitation</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">TEM; Western blot</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Based on previous reports</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">RT-qPCR
<break></break>
</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">miR-134</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">miR-134</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Diagnosis and prognosis</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">[
<xref rid="B59-ijms-20-03272" ref-type="bibr">59</xref>
]</td>
</tr>
<tr>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Acute Ischemic Stroke</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">50</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Serum</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Precipitation</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">TEM; Western blot</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Based on previous reports</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">RT-qPCR</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">miR-223</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">miR-223</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Diagnosis and prognosis</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">[
<xref rid="B60-ijms-20-03272" ref-type="bibr">60</xref>
]</td>
</tr>
<tr>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Heart Failure</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">31</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Plasma</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Precipitation</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Not available</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Based on previous reports</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">RT-qPCR</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">miR-221, miR-15a, miR-122, miR-21, miR-29, miR-30d, miR-133a, miR-425, miR-744</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">miR-21, miR-425, miR-744</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Diagnosis, prognosis
<break></break>
<break></break>
and therapeutic candidates</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">[
<xref rid="B62-ijms-20-03272" ref-type="bibr">62</xref>
]</td>
</tr>
<tr>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Acute Heart Failure</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">28</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Serum</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Precipitation</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">TEM; Western blot; DLS</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Based on previous reports</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">RT-qPCR</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">miR-92b-5p,
<break></break>
miR-192-5p,
<break></break>
miR-320a</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">miR-92b-5p</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Diagnosis</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">[
<xref rid="B63-ijms-20-03272" ref-type="bibr">63</xref>
]</td>
</tr>
<tr>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Acute Myocardial Infarction</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">21</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Serum</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Precipitation</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Western blot</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">miRNA profiling through TaqMan Human MicroRNA Array</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">RT-qPCR; </td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">377 miRNAs</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">miR-192, miR-194, miR-34a</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Prognosis</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">[
<xref rid="B64-ijms-20-03272" ref-type="bibr">64</xref>
]</td>
</tr>
<tr>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Atrial fibrillation</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">40</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Serum</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Precipitation</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">TEM; NTA; Western blot</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">miRNA microarray</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">RT-qPCR</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">miR-107, miR-320d, miR-103a, miR-486, miR-let-7b</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">miR-107, miR-320d, miR-103a, miR-486, miR-let-7b</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Diagnosis, prognosis</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">[
<xref rid="B57-ijms-20-03272" ref-type="bibr">57</xref>
]</td>
</tr>
<tr>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Hyper-tension</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">22</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Serum </td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Ultra-centrifugation</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">TEM; Immune-gold labelling</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Nanostring nCounter
<sup>®</sup>
platform</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Nanostring nCounter
<sup>®</sup>
platform</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">800 miRNAs</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">miR-199a/b, miR-223–3p</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Early diagnosis </td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">[
<xref rid="B67-ijms-20-03272" ref-type="bibr">67</xref>
]</td>
</tr>
<tr>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Obesity</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">883</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Plasma</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Ultra-centrifugation</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">TEM; FACS; NTA</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">miRNA screening through QuantStudio™12 K FlexOpenArray
<sup>®</sup>
Platform</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">miRNA screening through QuantStudio™12 K FlexOpenArray
<sup>®</sup>
Platform</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">754 miRNAs</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">miR-let-7c-5p,
<break></break>
miR-106a-5p,
<break></break>
miR-143-3p; miR-185-5p, miR-218-5p; miR-331-3p, miR-642-5p, miR-652-3p, miR-99b-5p</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Early diagnosis </td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">[
<xref rid="B68-ijms-20-03272" ref-type="bibr">68</xref>
]</td>
</tr>
<tr>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Coronary Artery Disease</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">21</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Plasma</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Column-based system (Exo-spin Mini Columns)</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">NTA; TEM; Western blot</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Based on previous reports</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">RT-qPCR</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">14 miRNAs</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">miR-1, miR-24, miR-133a, miR-133b, miR-210</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Diagnosis</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">[
<xref rid="B73-ijms-20-03272" ref-type="bibr">73</xref>
]</td>
</tr>
<tr>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Acute Coronary Syndrome</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">475</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Serum</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Precipitation</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">TEM; FACS; NTA; Western blot</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Differential quantitative proteomics and ingenuity pathway analysis</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Multiplex immunoassay</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">polygenic immunoglobulin receptor (pIgR), cystatin C, and complement factor C5a</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">pIgR, cystatin C</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Diagnosis</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">[
<xref rid="B40-ijms-20-03272" ref-type="bibr">40</xref>
]</td>
</tr>
<tr>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Acute Myocardial Infarction</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">25</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Plasma</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Ultra-centrifugation</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">FACS; TEM; DLS</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">2D-DIGE; LC-MS/MS; MALDI-TOF coupled with ingenuity pathway analysis</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">2D-DIGE; Western blot</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">25 ORFs derived from 102 differentially regulated proteins spot identified through 2D-DIGE</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">A2-macroglobulin isoforms, Fibrinogen, Viperin</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Diagnosis and therapeutic targets</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">[
<xref rid="B80-ijms-20-03272" ref-type="bibr">80</xref>
]</td>
</tr>
<tr>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Vascular Disease</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">1060</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Plasma</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Precipitation</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">TEM; FACS; NTA; Western blot</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Differential quantitative proteomics and ingenuity pathway analysis</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Multiplex immunoassay</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Cystatin C, Serpin G1, Serpin F2, and CD14</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Cystatin C, Serpin F2, and CD14</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Prognosis </td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">[
<xref rid="B41-ijms-20-03272" ref-type="bibr">41</xref>
]</td>
</tr>
<tr>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Dyspnea and Heart Failure</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">404</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Plasma</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Sequential density precipitation </td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">TEM; Western blot</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Based on previous study</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Multiplex immunoassay</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Cystatin C, Serpin G1, Serpin F2, and CD14</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">CD14, SerpinG1, and SerpinF2</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Prognosis</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">[
<xref rid="B42-ijms-20-03272" ref-type="bibr">42</xref>
]</td>
</tr>
<tr>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Vascular Disease and Obesity</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">1060</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Plasma</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Precipitation</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">TEM; FACS; NTA; Western blot</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Differential quantitative proteomics and ingenuity pathway analysis</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Multiplex immunoassay</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Cystatin C, Serpin G1, Serpin F2, and CD14</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Cystatin C, CD14</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Prognosis and therapeutic target</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">[
<xref rid="B81-ijms-20-03272" ref-type="bibr">81</xref>
]</td>
</tr>
<tr>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Obesity</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">22</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Plasma</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Ultra-centrifugation</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">TEM; FACS; NTA; Western blot</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">2D-DIGE-based proteomic approach</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">2D-Western blot</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Entire Proteome</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">C3, C4, Fibrinogen, Adiponectin</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Early diagnosis </td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">[
<xref rid="B82-ijms-20-03272" ref-type="bibr">82</xref>
]</td>
</tr>
</tbody>
</table>
</table-wrap>
<table-wrap id="ijms-20-03272-t002" orientation="portrait" position="float">
<object-id pub-id-type="pii">ijms-20-03272-t002_Table 2</object-id>
<label>Table 2</label>
<caption>
<p>Selected examples of liposomal formulation used in the in vivo model for treatment of CVD.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="center" valign="middle" style="border-top:solid thin;border-bottom:solid thin" rowspan="1" colspan="1">Therapeutics Encapsulated</th>
<th align="center" valign="middle" style="border-top:solid thin;border-bottom:solid thin" rowspan="1" colspan="1">In vivo Model</th>
<th align="center" valign="middle" style="border-top:solid thin;border-bottom:solid thin" rowspan="1" colspan="1">Outcome</th>
<th align="center" valign="middle" style="border-top:solid thin;border-bottom:solid thin" rowspan="1" colspan="1">Ref.</th>
</tr>
</thead>
<tbody>
<tr>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Simvastatin/Alendronate</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Carotid-injured rat model</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Suppressed neointimal formation</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">[
<xref rid="B171-ijms-20-03272" ref-type="bibr">171</xref>
,
<xref rid="B172-ijms-20-03272" ref-type="bibr">172</xref>
] </td>
</tr>
<tr>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Nitric oxide</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Carotid-injured rabbit model</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Suppressed neointimal formation</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">[
<xref rid="B173-ijms-20-03272" ref-type="bibr">173</xref>
]</td>
</tr>
<tr>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Berberine</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Myocardial infarction murine model</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Improvement of cardiac function</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">[
<xref rid="B152-ijms-20-03272" ref-type="bibr">152</xref>
]</td>
</tr>
<tr>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">VEGF</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Myocardial infarction rat model</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Improved cardiac functions</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">[
<xref rid="B174-ijms-20-03272" ref-type="bibr">174</xref>
]</td>
</tr>
<tr>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Cyclopentenone prostaglandin</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Hyperlipemic diet atherosclerotic murine model</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Vascular injuries recovery</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">[
<xref rid="B175-ijms-20-03272" ref-type="bibr">175</xref>
]</td>
</tr>
<tr>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Fumagillin</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Hyperlipemic diet atherosclerotic murine model</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">Reduced atherosclerotic lesions</td>
<td align="center" valign="middle" style="border-bottom:solid thin" rowspan="1" colspan="1">[
<xref rid="B176-ijms-20-03272" ref-type="bibr">176</xref>
]</td>
</tr>
</tbody>
</table>
</table-wrap>
</floats-group>
</pmc>
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