RT Journal Article SR Electronic T1 Age and Sex-Dependent Differences in Human Cardiac Matrix-Bound Exosomes Modulate Fibrosis through Synergistic miRNA Effects JF bioRxiv FD Cold Spring Harbor Laboratory SP 2022.11.14.516464 DO 10.1101/2022.11.14.516464 A1 Ronan, George A1 Bahcecioglu, Gokhan A1 Yang, Jun A1 Zorlutuna, Pinar YR 2022 UL http://biorxiv.org/content/early/2022/11/16/2022.11.14.516464.abstract AB Aging is a risk factor for cardiovascular disease, the leading cause of death worldwide. Cardiac fibrosis is a harmful result of repeated myocardial infarction that increases risk of morbidity and future injury. Interestingly, rates of cardiac fibrosis are different between young and aged individuals, as well as men and women. Here, for the first time, we identify and isolate matrix-bound extracellular vesicles from the left ventricles (LVs) of young or aged men and women. These LV vesicles (LVVs) show differences in morphology and content between these four cohorts. LVVs effects on fibrosis were also investigated in vitro, and it was shown that aged male LVVs were pro-fibrotic, while other LVVs were anti-fibrotic. miRNAs identified from these LVVs could partially recapitulate these effects together, but not individually, and confer other benefits. These data suggest that synergistic effects of matrix-resident exosomal miRNAs may influence the differential clinical response to MI.Competing Interest StatementThe authors have declared no competing interest.