Background:
Heart
transplant
(HTx)
is
gold-standard
therapy
for
patients
with
end-stage
heart
failure.
Cardiac
rehabilitation
(CR)
a
multidisciplinary
intervention
shown
to
improve
cardiovascular
prognosis
and
quality
of
life.
The
aim
in
this
randomized
controlled
trial
explore
the
safety
efficacy
cardiac
telerehabilitation
after
HTx.
In
addition,
biomarkers
outcomes
will
be
identified,
as
data
that
enable
treatment
tailored
patient
phenotype.Methods:
Patients
HTx
recruited
at
IRCCS
S.
Maria
Nascente
–
Fondazione
Don
Gnocchi,
Milan,
Italy
(n=40).
Consenting
participants
randomly
allocated
either
two
groups
(1:1):
an
group
who
receive
on-site
CR
followed
by
12
weeks
telerehabilitation,
or
control
standard
homecare
exercise
programme.
Recruitment
began
on
20th
May
2023
expected
continue
until
2025.
Socio-demographic
characteristics,
lifestyle,
health
status,
events,
cognitive
function,
anxiety
depression
symptoms,
life
assessed,
well
capacity
muscular
endurance.
Participants
evaluated
before
intervention,
post-CR
6
months.
analysis
circulating
extracellular
vesicles
using
Surface
Plasmon
Resonance
imaging
(SPRi),
based
rehabilomic
approach,
applied
both
pre-
post-CR.Conclusion:
This
study
approach
used
investigate
biomolecular
phenotypization
patients.
GeroScience,
Journal Year:
2023,
Volume and Issue:
45(6), P. 3211 - 3239
Published: July 26, 2023
Abstract
Physical
activity,
including
walking,
has
numerous
health
benefits
in
older
adults,
supported
by
a
plethora
of
observational
and
interventional
studies.
Walking
decreases
the
risk
or
severity
various
outcomes
such
as
cardiovascular
cerebrovascular
diseases,
type
2
diabetes
mellitus,
cognitive
impairment
dementia,
while
also
improving
mental
well-being,
sleep,
longevity.
Dose-response
relationships
for
walking
duration
intensity
are
established
adverse
outcomes.
Walking’s
favorable
effects
on
factors
attributed
to
its
impact
circulatory,
cardiopulmonary,
immune
function.
Meeting
current
physical
activity
guidelines
briskly
30
min
per
day
5
days
can
reduce
several
age-associated
diseases.
Additionally,
low-intensity
exercise,
exerts
anti-aging
helps
prevent
age-related
making
it
powerful
tool
promoting
healthy
aging.
This
is
exemplified
lifestyles
individuals
Blue
Zones,
regions
world
with
highest
concentration
centenarians.
other
activities
contribute
significantly
longevity
these
regions,
being
an
integral
part
their
daily
lives.
Thus,
incorporating
into
routines
encouraging
walking-based
interventions
be
effective
strategy
aging
all
populations.
The
goal
this
review
provide
overview
vast
consistent
evidence
supporting
specific
focus
discuss
outcomes,
prevention
Furthermore,
will
delve
molecular
cellular
mechanisms
aging,
providing
insights
underlying
biological
through
which
beneficial
effects.
Redox Biology,
Journal Year:
2023,
Volume and Issue:
67, P. 102894 - 102894
Published: Oct. 6, 2023
The
present
review
summarizes
the
beneficial
and
detrimental
roles
of
reactive
oxygen
species
in
myocardial
ischemia/reperfusion
injury
cardioprotection.
In
first
part,
continued
need
for
cardioprotection
beyond
that
by
rapid
reperfusion
acute
infarction
is
emphasized.
Then,
pathomechanisms
to
myocardium
coronary
circulation
different
modes
cell
death
are
characterized.
Different
mechanical
pharmacological
interventions
protect
ischemic/reperfused
elective
percutaneous
artery
bypass
grafting,
cardiotoxicity
from
cancer
therapy
detailed.
second
part
keeps
focus
on
ROS
providing
a
comprehensive
overview
molecular
cellular
mechanisms
involved
injury.
Starting
mitochondria
as
main
sources
targets
myocardium,
complex
network
extracellular
processes
discussed,
including
relationships
with
Ca2+
homeostasis,
thiol
group
redox
balance,
hydrogen
sulfide
modulation,
cross-talk
NAPDH
oxidases,
exosomes,
cytokines
growth
factors.
While
mechanistic
insights
needed
improve
our
current
therapeutic
approaches,
advancements
knowledge
ROS-mediated
indicate
facets
oxidative
stress
opposed
requirement
physiological
protective
reactions.
This
inevitable
contrast
likely
underlie
unsuccessful
clinical
trials
limits
development
novel
cardioprotective
simply
based
upon
removal.
Cell Communication and Signaling,
Journal Year:
2024,
Volume and Issue:
22(1)
Published: July 9, 2024
Abstract
Background
Stem
cell-derived
extracellular
vesicles
(EVs)
are
an
emerging
class
of
therapeutics
with
excellent
biocompatibility,
bioactivity
and
pro-regenerative
capacity.
One
the
potential
targets
for
EV-based
medicines
cardiovascular
diseases
(CVD).
In
this
work
we
used
EVs
derived
from
human
induced
pluripotent
stem
cells
(hiPSCs;
hiPS-EVs)
cultured
under
different
oxygen
concentrations
(21,
5
3%
O
2
)
to
dissect
molecular
mechanisms
responsible
cardioprotection.
Methods
were
isolated
by
ultrafiltration
combined
size
exclusion
chromatography
(UF
+
SEC),
followed
characterization
nanoparticle
tracking
analysis,
atomic
force
microscopy
(AFM)
Western
blot
methods.
Liquid
tandem
mass
spectrometry
coupled
bioinformatic
analyses
identify
differentially
enriched
proteins
in
various
conditions.
We
directly
compared
cardioprotective
effects
these
oxygen-glucose
deprivation/reoxygenation
(OGD/R)
model
cardiomyocyte
(CM)
injury.
Using
advanced
biology,
fluorescence
microscopy,
spectroscopy
bioinformatics
techniques,
investigated
intracellular
signaling
pathways
involved
regulation
cell
survival,
apoptosis
antioxidant
response.
The
direct
effect
on
NRF2-regulated
was
evaluated
CMs
following
NRF2
inhibition
ML385.
Results
demonstrate
that
hiPS-EVs
physiological
hypoxia
at
5%
(EV-H5)
exert
enhanced
cytoprotective
function
towards
damaged
other
tested
conditions
(normoxia;
EV-N
;
EV-H3).
This
resulted
higher
phosphorylation
rates
Akt
kinase
recipient
after
transfer,
modulation
AMPK
activity
reduced
apoptosis.
Furthermore,
provide
evidence
improved
calcium
sustained
contractility
treated
EV-H5
using
AFM
measurements.
Mechanistically,
our
revealed
associated
pathway
regulated
NRF2.
regard,
increased
nuclear
translocation
protein
its
transcription
upon
OGD/R.
contrast,
ML385
abolished
protective
CMs.
Conclusions
work,
a
superior
EV-H3.
Such
most
effective
restoring
redox
balance
stressed
CMs,
preserving
their
contractile
preventing
death.
Our
data
support
use
hypoxia,
as
cell-free
regenerative
properties
treatment
cardiac
diseases.
Journal of Extracellular Vesicles,
Journal Year:
2024,
Volume and Issue:
13(8)
Published: Aug. 1, 2024
Abstract
The
benefits
of
regular
physical
exercise
on
cancer
prevention,
as
well
reducing
fatigue,
treatment
side
effects
and
recurrence,
improving
quality
life
overall
survival
patients,
are
increasingly
recognised.
Initial
studies
showed
that
the
concentration
extracellular
vesicles
(EVs)
increases
during
activity
EVs
carry
biologically
active
cargo.
These
released
by
blood
cells,
skeletal
muscle
other
organs
involved
in
exercise,
thus
suggesting
may
mediate
tissue
crosstalk
exercise.
This
possibility
triggered
a
great
interest
study
roles
systemic
adaptation
to
their
potential
applications
prevention
various
diseases,
including
cancer.
review
presents
exploring
molecular
cargo
Furthermore,
we
discuss
putative
stimuli
trigger
EV
release
from
cell
types,
biological
functions
impact
exercise‐induced
development
progression.
Understanding
interplay
between
EVs,
biology
offer
insights
into
novel
therapeutic
strategies
preventive
measures
for
Redox Biology,
Journal Year:
2024,
Volume and Issue:
70, P. 103033 - 103033
Published: Jan. 5, 2024
Most
anticancer
treatments
act
on
oxidative-stress
pathways
by
producing
reactive
oxygen
species
(ROS)
to
kill
cancer
cells,
commonly
resulting
in
consequential
drug-induced
systemic
cytotoxicity.
Physical
activity
(PA)
has
arisen
as
an
integrative
therapy,
having
positive
health
effects,
including
redox-homeostasis.
Here,
we
investigated
the
impact
of
online
supervised
PA
program
promoter-specific
DNA
methylation,
and
corresponding
gene
expression/activity,
3
antioxidants-
(SOD1,
SOD2,
CAT)
breast
(BC)-related
genes
(BRCA1,
L3MBTL1
RASSF1A)
a
population-based
sample
women
diagnosed
with
primary
BC,
undergoing
medical
treatment.
We
further
examined
mechanisms
involved
methylating
demethylating
pathways,
predicted
biological
interactions
exercise-modulated
molecules,
functional
relevance
modulated
antioxidant
markers
parameters
related
aerobic
capacity/endurance,
physical
fatigue
quality
life
(QoL).
maintained
levels
SOD
blood
plasma,
at
cellular
level
significantly
increased
SOD2
mRNA
(≈+77
%),
contrary
their
depletion
due
This
change
was
inversely
correlated
methylation
promoter
(≈-20
%).
Similarly,
found
significant
effect
only
(≈-25
which
its
(≈+43
Finally,
TET1
(≈+15
%)
decreased
expression
DNMT3B
(≈-28
Our
results
suggest
that
PA-modulated
affects
several
signalling
pathways/biological
activities
oxidative
stress
response,
chromatin
organization/regulation,
DNA/protein
binding.
These
changes
may
positively
clinical
outcomes
improve
response
treatment
post-surgery
BC
patients.
Journal of the American Heart Association,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Sept. 18, 2024
Engaging
in
regular
exercise
and
physical
activity
contributes
to
delaying
the
onset
of
cardiovascular
diseases
(CVDs).
However,
physiological
mechanisms
underlying
benefits
or
CVDs
remain
unclear.
The
disruption
mitochondrial
homeostasis
is
implicated
pathological
process
CVDs.
Exercise
training
effectively
delays
progression
by
significantly
ameliorating
homeostasis.
This
includes
improving
biogenesis,
increasing
fusion,
decreasing
fission,
promoting
mitophagy,
mitigating
morphology
function.
review
provides
a
comprehensive
overview
context
CVDs,
establishing
connection
between
these
conditions.
Through
detailed
examination
molecular
within
mitochondria,
study
illuminates
how
can
provide
innovative
perspectives
for
future
therapies
European Neuropsychopharmacology,
Journal Year:
2025,
Volume and Issue:
94, P. 59 - 75
Published: March 9, 2025
Extracellular
vesicles
(EVs)
are
small,
membrane-bound
particles
that
naturally
released
by
nearly
all
cell
types
in
the
body.
They
serve
as
molecular
biosignatures,
reflecting
state
of
their
cells
origin
and
providing
a
non-invasive
peripheral
marker
central
nervous
system
(CNS)
activity
under
physiological
pathological
conditions.
We
conducted
systematic
review
(ID:
CRD42024528824)
studies
investigating
use
EVs
mood
disorders
within
clinical
populations.
screened
articles
indexed
PubMed,
EMBASE,
Scopus,
ISI
Web
Science,
APA
PsycInfo
from
January
2010
to
October
2024.
Available
research
has
focused
on
four
key
areas:
(1)
EV
cargo
mechanistic
diagnostic
biomarkers;
(2)
predictive
or
tracking
biomarkers
for
antidepressant
response;
(3)
neuroimaging
correlates;
(4)
physical
properties.
Most
examined
major
depressive
disorder
(MDD),
with
others
addressing
bipolar
(BD),
adolescent
depression,
postpartum
late-life
depression.
Notably,
only
35,55
%
utilized
brain-derived
EVs.
Through
analyses
EV-derived
miRNA,
proteins,
mtDNA,
metabolites,
these
have
explored
neural
mitochondrial
function,
brain
insulin
resistance,
neurogenesis,
neuroinflammation,
blood-brain
barrier
permeability
context
disorders.
Some
markers
demonstrated
potential.
This
discusses
findings,
limitations
current
research,
future
directions
leveraging
study
Drug Delivery,
Journal Year:
2024,
Volume and Issue:
31(1)
Published: June 4, 2024
With
the
rapid
development
of
drug
delivery
systems,
extracellular
vesicles
(EVs)
have
emerged
as
promising
stars
for
improving
targeting
abilities
and
realizing
effective
delivery.
Numerous
studies
shown
when
compared
to
conventional
strategies
in
targeted
(TDD),
EVs-based
several
distinguished
advantages
besides
targeting,
such
participating
cell-to-cell
communications
immune
response,
showing
high
biocompatibility
stability,
penetrating
through
biological
barriers,
etc.
In
this
review,
we
mainly
focus
on
mass
production
EVs
including
challenges
scaling
up
a
cost-effective
reproducible
manner,
loading
active
methods,
examples
vehicles
TDD
consideration
potential
safety
regulatory
issues
associated.
We
also
conclude
discuss
rigor
reproducibility
production,
current
research
status
application
delivery,
clinical
conversion
prospects,
existing
chances
challenges.
Current Opinion in Hematology,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Oct. 1, 2024
Cardiovascular
disease
(CVD)
remains
a
major
global
health
burden.
Rising
incidences
necessitate
improved
understanding
of
the
pathophysiological
processes
underlying
progression
to
foster
development
novel
therapeutic
strategies.
Besides
their
well
recognized
role
in
CVD,
platelet-derived
extracellular
vesicles
(PEVs)
mediate
inter-organ
cross
talk
and
contribute
various
inflammatory
diseases.