Review Article

Potential Role of Exosomes in Mending a Broken Heart: Nanoshuttles Propelling Future Clinical Therapeutics Forward

Table 2

Exosomes isolated from stem cells derived from human source and their cardioprotective effects on the heart post-MI.

Source cells (human)Conditions for Exo generationIn vivo modelDose/route of administrationOutcomesReferences

ESC-MSCSerum-free, collected after 72 hMouse, MI16 μg/kg total Exo protein; tail vein inj 5 min before reperfusion↑ LV function
↓ infarct size
Arslan et al. [47]
Serum-free, collected after 72 hMouse, I/Rμg total Exo protein; tail vein inj 5 min prior to reperfusion↓ infarct sizeLai et al. [48]

BM-MSCSerum-free, collected after 72 h at hypoxia (1% O2)Rat, MI4 inj 20 μg total Exo protein; IM inj into infarct border zone 30 min after ligation↑ LVEF, FS, LVSP
↓ LVDEP
↓ infarct size
↑ blood vessel mass
Bian et al. [49]

CDCSerum-free, collected after 5 daysRat, I/R10 μg total Exo protein; injected into LV cavity over 20s with aortic cross clamp 10 min into reperfusion↓ infarct mass
↓ infiltration of macrophage
↓ apoptosis of cardiomyocytes
Cambier et al. [56]
Serum-free, collected after 15 days at confluenceMouse, MI2.8 × 109 Exo; IM inj at 2 sites in peri-infarct area either immediately or 3 weeks later↑ LVEF
↓ fibrosis
↓ infarct size (for both dose intervals)
Ibrahim et al. [127]
Serum-free, collected after 15 days at confluencePig, MI16.5 × 1011 Exo in 10 injections; IM injection to infarct areaMaintained LVEF
↓ scar mass
↑ blood vessel density
↑ proliferation of cardiomyocytes
Gallet et al. [126]

CPC1% HSA, collected after 48 hRat, MI30 μg or 300 μg total Exo protein; IM inj into viable myocardium bordering LV infarct zone at 3 sites↑ LVEF
↑ in systolic LV wall thickening
↓ fibrosis
Barile et al. [55]

PMPsHealthy donors, no medication for 2 weeksRat, MIμg total Exo protein per injection; 4 inj 2 mm from cyanotic region↑ functional vascularizationBrill et al. [101]

ESC-MSC: embryonic stem cell-derived mesenchymal stem cell; BM-MSC: bone marrow derived mesenchymal stem cell; CPC: cardiac progenitor cell; CDC: cardiosphere-derived cells; PMP: platelet microparticles; MI: myocardial infarction; I/R: ischemia/reperfusion; Exo: exosome; inj: injection; IM: intramyocardial; IPC: ischemic preconditioning; LV: left ventricular; LVEF: left ventricular ejection fraction; FS: fractional shortening; LVSP: left ventricular systolic pressure; LVDEP: left ventricular end-diastolic pressure; HSA: human serum albumin.