Heart attacks, also known as myocardial infarctions, can cause significant damage to the heart muscle. Researchers have now uncovered a group of four key miRNAs (small regulatory RNA molecules) that are released from the heart in the form of exosomes – tiny membrane-bound vesicles – during heart attacks. These miRNAs appear to play a crucial role in regulating the migration and behavior of different cell types, such as immune cells, fibroblasts, and endothelial cells, that are involved in the repair and remodeling of the damaged heart tissue. By understanding this intricate miRNA-based regulatory network, scientists may be able to develop new treatments to enhance the heart’s natural healing process and prevent the development of other cardiovascular complications after a heart attack.

The Heart’s Intricate Healing Process
When the heart experiences a lack of oxygen supply, known as ischemia, and then regains blood flow, a complex series of events unfolds. Immune cells, fibroblasts (cells that produce the structural framework of the heart), and endothelial cells (which line the blood vessels) are recruited to the site of injury. These cells play crucial roles in removing dead or damaged cells, promoting the formation of new blood vessels, and repairing the damaged tissue. However, if this process is not carefully regulated, it can lead to excessive inflammation, scarring, and even further damage to the heart’s structure and function.
Exosomes: Messengers of the Heart
During a heart attack, the heart releases tiny membrane-bound vesicles called miRNAs, which are small, non-coding RNA molecules that play crucial roles in regulating gene expression. The researchers hypothesized that these cardiac-derived exosomal miRNAs could be involved in the complex process of heart repair and remodeling after a heart attack.
Identifying the Key miRNA Players
Through a series of sophisticated experiments, the researchers analyzed the expression of miRNAs in both the heart tissue and the circulating exosomes of rats that had undergone a heart attack. They identified four key miRNAs – let-7i-5p, miR-149-5p, miR-29b-3p, and miR-7a-5p – that were differentially expressed in the heart and exosomes after the heart attack.
Interestingly, the changes in the expression of these four miRNAs were consistent in both the heart tissue and the exosomes, suggesting that they may play a crucial role in the heart’s response to the injury.

Unraveling the miRNA-Regulated Cellular Network
The researchers then delved deeper, identifying seven target genes that are regulated by these four miRNAs and are involved in cellular migration and locomotion. These genes include Tradd and Ephb6, which appear to be specifically involved in promoting the migration of different cell types, such as endothelial cells, fibroblasts, and immune cells, within the damaged heart tissue.
By analyzing a single-cell dataset, the researchers found that the expression of these seven genes was significantly elevated in various cell populations, including those with known migratory functions, in the hearts of individuals who had experienced a heart attack compared to those without heart damage.
Implications and Future Directions
This study provides valuable insights into the intricate regulatory mechanisms that govern the heart’s response to injury and the potential role of cardiac-derived exosomal miRNAs in this process. The identification of these four key miRNAs and their target genes involved in cell migration and locomotion suggests that they could be potential therapeutic targets or diagnostic markers for monitoring and enhancing the heart’s healing process after a heart attack.
Further research is needed to validate the specific targeting relationships between the miRNAs and their target genes, as well as to explore the potential of these miRNAs as therapeutic interventions or biomarkers for cardiovascular diseases. By unraveling the complex miRNA-based regulatory networks, researchers may be able to develop new strategies to optimize the heart’s natural healing and remodeling processes, ultimately improving outcomes for patients who have experienced a heart attack.
Author credit: This article is based on research by Yu Liu, Jiao Chen, Jian Xiong, Jin-Qun Hu, Li-Yuan Yang, Yu-Xin Sun, Ying Wei, Yi Zhao, Xiao Li, Qian-Hua Zheng, Wen-Chuan Qi, Fan-Rong Liang.
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