Abstract
Exercise is an effective measure for preventing and treating cardiovascular diseases, although the exact molecular mechanism remains unknown. Previous studies have shown that both irisin and exosomes can improve the course of cardiovascular disease independently. Therefore, it is speculated that the cardiovascular protective effect of exercise is also related to its ability to regulate the concentrations of irisin and exosomes in the circulatory system. In this review, the potential synergistic interactions between irisin and exosomes are examined, as well as the underlying mechanisms including the AMPK/PI3K/AKT pathway, the TGFβ1/Smad2/3 pathway, the PI3K/AKT/VEGF pathway, and the PTEN/PINK1/Parkin pathway are examined. This paper provides evidence to propose that exercise promotes the release of exosomes enriched with irisin, miR-486-5p and miR-342-5p from skeletal muscles, which results in the activation protective networks in the cardiovascular system. Moreover, the potential synergistic effect in exosomal cargo can provide new ideas for clinical research of exercise mimics.
[http://dx.doi.org/10.1161/CIR.0000000000001123] [PMID: 36695182]
[http://dx.doi.org/10.1038/s41591-020-0786-7] [PMID: 32152584]
[http://dx.doi.org/10.1161/CIR.0000000000001052] [PMID: 35078371]
[http://dx.doi.org/10.3389/fcvm.2019.00020] [PMID: 30895179]
[http://dx.doi.org/10.1016/j.arr.2022.101680] [PMID: 35793739]
[http://dx.doi.org/10.1016/j.tem.2022.06.003] [PMID: 35872067]
[http://dx.doi.org/10.1016/j.ceb.2014.05.004] [PMID: 24959705]
[http://dx.doi.org/10.1016/j.cmet.2012.12.012] [PMID: 23395166]
[http://dx.doi.org/10.1038/nrrheum.2014.193] [PMID: 25422002]
[http://dx.doi.org/10.1038/s41574-019-0174-x] [PMID: 30837717]
[http://dx.doi.org/10.1038/nrendo.2012.49] [PMID: 22473333]
[http://dx.doi.org/10.1016/j.cell.2018.10.025] [PMID: 30550785]
[http://dx.doi.org/10.1038/nature10777] [PMID: 22237023]
[http://dx.doi.org/10.1016/j.phrs.2018.01.012] [PMID: 29414191]
[http://dx.doi.org/10.1371/journal.pone.0060563] [PMID: 23593248]
[http://dx.doi.org/10.3390/ijerph17113863] [PMID: 32485990]
[http://dx.doi.org/10.1016/j.arcmed.2019.05.009] [PMID: 31349953]
[http://dx.doi.org/10.1016/j.yjmcc.2021.06.013] [PMID: 34224725]
[http://dx.doi.org/10.1038/s41418-019-0372-z] [PMID: 31209361]
[http://dx.doi.org/10.1042/CS20190016] [PMID: 30782608]
[http://dx.doi.org/10.1515/jbcpp-2018-0090] [PMID: 30265651]
[http://dx.doi.org/10.1002/jcp.25857] [PMID: 28181692]
[http://dx.doi.org/10.3389/fphys.2021.620608] [PMID: 33597894]
[http://dx.doi.org/10.1016/j.cellsig.2015.04.010] [PMID: 25917316]
[http://dx.doi.org/10.1016/j.cmet.2013.09.008] [PMID: 24120943]
[http://dx.doi.org/10.1155/2014/902186] [PMID: 24723951]
[http://dx.doi.org/10.3390/ijms18040701] [PMID: 28346354]
[http://dx.doi.org/10.1111/j.1476-5381.2009.00240.x] [PMID: 19630832]
[http://dx.doi.org/10.1016/j.tips.2008.05.003] [PMID: 18579222]
[http://dx.doi.org/10.1161/JAHA.116.003433] [PMID: 27912206]
[http://dx.doi.org/10.1016/j.redox.2021.102120] [PMID: 34479089]
[http://dx.doi.org/10.1093/cvr/cvy023] [PMID: 29394331]
[http://dx.doi.org/10.1371/journal.pone.0136816] [PMID: 26305684]
[http://dx.doi.org/10.1038/s41573-021-00198-1] [PMID: 33976384]
[http://dx.doi.org/10.1016/j.atherosclerosis.2015.10.020] [PMID: 26520898]
[http://dx.doi.org/10.1371/journal.pone.0158038] [PMID: 27355581]
[http://dx.doi.org/10.1016/j.numecd.2019.09.025] [PMID: 31740239]
[http://dx.doi.org/10.1016/j.cca.2021.08.022] [PMID: 34425103]
[http://dx.doi.org/10.1038/s41598-019-40643-1] [PMID: 30858489]
[http://dx.doi.org/10.1126/science.1221688] [PMID: 22491843]
[http://dx.doi.org/10.1016/j.cmet.2015.08.001] [PMID: 26278051]
[http://dx.doi.org/10.12998/wjcc.v7.i12.1444] [PMID: 31363472]
[http://dx.doi.org/10.3390/biom11020322] [PMID: 33672565]
[http://dx.doi.org/10.1159/000535582] [PMID: 38043511]
[http://dx.doi.org/10.1016/j.isci.2023.105990] [PMID: 36798442]
[http://dx.doi.org/10.3390/biomedicines9060701] [PMID: 34205641]
[http://dx.doi.org/10.3390/ijerph17103589] [PMID: 32443802]
[http://dx.doi.org/10.1515/hmbci-2020-0007] [PMID: 32989959]
[http://dx.doi.org/10.24875/RIC.18002764] [PMID: 31056592]
[http://dx.doi.org/10.23736/S0022-4707.22.13949-6] [PMID: 35686866]
[http://dx.doi.org/10.5114/pm.2019.90810] [PMID: 31975984]
[http://dx.doi.org/10.1016/j.imr.2018.01.007] [PMID: 29629290]
[http://dx.doi.org/10.3389/fphys.2020.562895] [PMID: 33178035]
[http://dx.doi.org/10.1055/a-0828-8047] [PMID: 30703846]
[http://dx.doi.org/10.1080/13813455.2020.1829649] [PMID: 33044849]
[http://dx.doi.org/10.1515/hmbci-2018-0053] [PMID: 30367793]
[http://dx.doi.org/10.1080/13813455.2020.1716018] [PMID: 31979994]
[http://dx.doi.org/10.1556/2060.106.2019.24] [PMID: 31578075]
[http://dx.doi.org/10.1620/tjem.244.93] [PMID: 29415899]
[http://dx.doi.org/10.1530/EC-21-0625] [PMID: 35148278]
[http://dx.doi.org/10.1139/apnm-2017-0614] [PMID: 29365291]
[http://dx.doi.org/10.1016/j.freeradbiomed.2020.06.038] [PMID: 32726688]
[http://dx.doi.org/10.4103/CJP.CJP_84_19] [PMID: 32056983]
[http://dx.doi.org/10.1080/13813455.2019.1635622] [PMID: 31290696]
[http://dx.doi.org/10.1038/nri855] [PMID: 12154376]
[http://dx.doi.org/10.7150/thno.29945] [PMID: 31149048]
[http://dx.doi.org/10.1016/j.thromres.2019.02.002] [PMID: 30844685]
[http://dx.doi.org/10.1152/ajpheart.00304.2020] [PMID: 33164579]
[http://dx.doi.org/10.3390/cells9030592] [PMID: 32131460]
[http://dx.doi.org/10.7150/thno.53326] [PMID: 33391520]
[http://dx.doi.org/10.1126/scitranslmed.abb0202] [PMID: 33692129]
[http://dx.doi.org/10.1016/j.celrep.2020.107881] [PMID: 32668250]
[http://dx.doi.org/10.1093/abbs/gmab093] [PMID: 34254638]
[http://dx.doi.org/10.3389/fimmu.2019.02205] [PMID: 31632389]
[http://dx.doi.org/10.3389/fphys.2020.604274] [PMID: 33597890]
[http://dx.doi.org/10.1113/EP090152] [PMID: 35561231]
[http://dx.doi.org/10.1073/pnas.2016112117] [PMID: 33199621]
[http://dx.doi.org/10.1249/MSS.0000000000003031] [PMID: 36069865]
[http://dx.doi.org/10.3389/fbioe.2022.903779] [PMID: 36082169]
[http://dx.doi.org/10.3389/fnut.2022.940673] [PMID: 35782940]
[http://dx.doi.org/10.1113/EP088017] [PMID: 31917487]
[http://dx.doi.org/10.1101/cshperspect.a029827] [PMID: 28490541]
[http://dx.doi.org/10.3390/ijms24033039] [PMID: 36769362]
[http://dx.doi.org/10.1161/CIRCRESAHA.118.314635] [PMID: 30879399]
[http://dx.doi.org/10.1096/fj.202100242R] [PMID: 34033143]
[http://dx.doi.org/10.1152/japplphysiol.00664.2021] [PMID: 35297690]
[http://dx.doi.org/10.1152/physiolgenomics.00171.2021] [PMID: 35816651]
[http://dx.doi.org/10.3389/fphys.2019.00554] [PMID: 31143128]
[http://dx.doi.org/10.1249/MSS.0000000000002632] [PMID: 33731656]
[http://dx.doi.org/10.1096/fj.202101323R] [PMID: 35142393]
[http://dx.doi.org/10.1113/EP090062] [PMID: 35293040]
[http://dx.doi.org/10.1038/s41366-019-0460-7] [PMID: 31578459]
[http://dx.doi.org/10.1111/acel.13647] [PMID: 35661560]
[http://dx.doi.org/10.3390/nu13020665] [PMID: 33669497]
[http://dx.doi.org/10.3389/fphys.2019.01275] [PMID: 31632302]
[http://dx.doi.org/10.1007/s11010-017-3160-4] [PMID: 28819811]
[http://dx.doi.org/10.1249/MSS.0000000000001672] [PMID: 30222687]
[http://dx.doi.org/10.1152/ajpendo.00172.2020] [PMID: 32744099]
[http://dx.doi.org/10.3389/fphys.2018.00532] [PMID: 29881354]
[http://dx.doi.org/10.1126/sciadv.abi9551] [PMID: 34623918]
[http://dx.doi.org/10.1002/jcp.30094] [PMID: 33037627]
[http://dx.doi.org/10.1126/science.aau6977] [PMID: 32029601]
[http://dx.doi.org/10.3389/fcell.2021.634853] [PMID: 33614663]
[http://dx.doi.org/10.3389/fonc.2021.746040] [PMID: 34595123]
[http://dx.doi.org/10.1016/j.jshs.2019.05.002] [PMID: 31921483]
[http://dx.doi.org/10.1111/jcmm.12990] [PMID: 27680680]
[http://dx.doi.org/10.1016/j.yjmcc.2018.07.250] [PMID: 30053525]
[http://dx.doi.org/10.1002/jcp.28382] [PMID: 30793300]
[http://dx.doi.org/10.1097/SHK.0000000000001775] [PMID: 34779800]
[http://dx.doi.org/10.1111/acel.13556] [PMID: 35166002]
[http://dx.doi.org/10.1016/j.intimp.2015.09.028] [PMID: 26481965]
[PMID: 31966617]
[http://dx.doi.org/10.1186/s13578-020-00413-3] [PMID: 32257109]
[http://dx.doi.org/10.1016/j.omtn.2022.03.009] [PMID: 35402076]
[http://dx.doi.org/10.1146/annurev-biochem-082411-113907] [PMID: 24905788]
[http://dx.doi.org/10.1016/j.ejphar.2019.03.045] [PMID: 31075240]
[http://dx.doi.org/10.1186/s12935-018-0697-6] [PMID: 30533999]
[http://dx.doi.org/10.1083/jcb.202001057] [PMID: 33119040]
[http://dx.doi.org/10.7754/Clin.Lab.2017.171208] [PMID: 29739089]
[http://dx.doi.org/10.1038/s41420-021-00434-y] [PMID: 33723236]
[http://dx.doi.org/10.3389/fimmu.2021.643149] [PMID: 34177893]
[http://dx.doi.org/10.1186/s13287-020-01746-z] [PMID: 32522253]
[http://dx.doi.org/10.1111/jcmm.13360] [PMID: 29063670]
[http://dx.doi.org/10.1536/ihj.18-476] [PMID: 30971629]
[http://dx.doi.org/10.1016/j.cbi.2019.01.031] [PMID: 30703374]
[http://dx.doi.org/10.1155/2018/9086747] [PMID: 30046380]
[http://dx.doi.org/10.1007/978-981-10-6583-5_7] [PMID: 29147905]
[http://dx.doi.org/10.1111/jcmm.17539] [PMID: 36117396]
[http://dx.doi.org/10.1038/srep14131] [PMID: 26370615]
[http://dx.doi.org/10.1080/09546634.2020.1728210] [PMID: 32079424]
[http://dx.doi.org/10.1038/s41419-019-1873-x] [PMID: 31511493]
[http://dx.doi.org/10.23812/19-41A] [PMID: 31556264]
[http://dx.doi.org/10.1016/j.ymthe.2016.12.017] [PMID: 28131417]
[http://dx.doi.org/10.26355/eurrev_201905_17826] [PMID: 31115025]
[http://dx.doi.org/10.26355/eurrev_201908_18552] [PMID: 31378905]
[http://dx.doi.org/10.1016/j.freeradbiomed.2021.01.023] [PMID: 33476797]
[http://dx.doi.org/10.1007/s12012-020-09603-4] [PMID: 32856216]
[http://dx.doi.org/10.1371/journal.pone.0110273] [PMID: 25338001]
[http://dx.doi.org/10.15283/ijsc21005] [PMID: 34456190]
[http://dx.doi.org/10.3389/fcvm.2022.851603] [PMID: 35463776]
[http://dx.doi.org/10.3390/ijms24031809] [PMID: 36768133]
[http://dx.doi.org/10.1038/s41401-019-0230-z] [PMID: 31061533]
[http://dx.doi.org/10.1155/2020/6384803] [PMID: 32509148]
[http://dx.doi.org/10.1172/jci.insight.136277] [PMID: 32516137]
[http://dx.doi.org/10.1016/j.yjmcc.2012.04.003] [PMID: 22525256]
[http://dx.doi.org/10.1186/s13287-020-01978-z] [PMID: 33138861]
[http://dx.doi.org/10.1016/j.kint.2016.07.015] [PMID: 27650731]
[http://dx.doi.org/10.1186/s12943-020-01205-6] [PMID: 32366257]
[http://dx.doi.org/10.1186/s12951-022-01632-1] [PMID: 36153544]
[http://dx.doi.org/10.1016/j.ijcard.2022.05.025] [PMID: 35594994]
[http://dx.doi.org/10.1080/07853890.2017.1417631] [PMID: 29237304]
[http://dx.doi.org/10.1002/cphy.c170005] [PMID: 28915329]
[http://dx.doi.org/10.1155/2022/3319056] [PMID: 36262283]
[http://dx.doi.org/10.1002/cbin.11763] [PMID: 35032153]
[http://dx.doi.org/10.1007/s12192-019-00992-2] [PMID: 30993599]
[http://dx.doi.org/10.18632/aging.102899] [PMID: 32155590]
[http://dx.doi.org/10.1007/s12192-022-01273-1] [PMID: 35426609]
[http://dx.doi.org/10.1016/j.ijcard.2018.03.054] [PMID: 29887448]
[http://dx.doi.org/10.1093/brain/awac313] [PMID: 36039535]
[http://dx.doi.org/10.3389/fgene.2019.00435] [PMID: 31139208]
[http://dx.doi.org/10.3390/ijms20040805] [PMID: 30781825]
[http://dx.doi.org/10.1007/s12015-022-10436-7] [PMID: 35943688]
[http://dx.doi.org/10.3389/fncel.2022.874102] [PMID: 35573832]
[http://dx.doi.org/10.1096/fj.201901838R] [PMID: 31907983]
[http://dx.doi.org/10.1186/s13287-020-01836-y] [PMID: 33100224]
[http://dx.doi.org/10.1016/j.atherosclerosis.2020.12.020] [PMID: 33465658]
[http://dx.doi.org/10.1080/00015385.2023.2223005] [PMID: 37318090]