Table 1 Summary of the pathological roles of Mφ-EVs in diseases.

From: Macrophage-derived extracellular vesicles: diverse mediators of pathology and therapeutics in multiple diseases

Disease models

EVs source and Isolation methods

EV subtypes (diameter)

Effective molecules

Pathological mechanisms

References

Cardiovascular

Atherosclerosis

- Mouse peritoneal Mφ with oxLDL

- Precipitation

EVs (40–300 nm)

miR-146a

Decreased migration of naïve macrophages by downregulation of IGF2BP1 and HuR target to β-actin

70

 

- THP-1 cell line with oxLDL

- Precipitation

Exos (30–130 nm)

Not studied

Decreased the growth and tube formation abilities in ECs

71

 

- THP-1 cell line with oxLDL

- Ultracentrifugation

Exos (undefined)

lncRNA GAS5

Elevated apoptosis of ECs with increasing expression of expressions of P53, Caspase 3, Caspase 7, and Caspase 9

72

 

- J774a.1 cell line with oxLDL

- Ultracentrifugation

EVs (tens to hundreds nm)

Integrins

Enhanced migration and adhesion abilities of VSMC by activating ERK and Akt pathway

74

 

- RAW264.7 cell line with nicotin

- Ultracentrifugation and density gradient fractionation

Exos (30–100 nm)

miR-21-3p

Enhanced migration and proliferation in VSMC by inhibiting PTEN pathway

75

Myocardial infarction

- Mouse BMDM with Ang II

- Ultracentrifugation

Exos (40–100 nm)

miR-155

- Decreased proliferation of cardiac fibroblast by downregulating Ras and ERK expression

- Increased inflammatory response in cardiac fibroblast by activating STAT3 pathway

78

Hypertension

- THP-1 cell line with Ang II

- Ultracentrifugation

Exos (undefined)

miR-17

Increased inflammation in ECs by upregulating adhesion molecules ICAM-1 and PAI-1

79

Intracranial aneurysm

- IA patients’ PBMCs with GM-CSF

- Ultracentrifugation

Exos (30–120 nm)

miR-155-5p

Enhanced proliferation and migration of VSMCs by downregulating GERM1

80

Metabolic

Diabetes

- Mouse ATM from obesity adipose tissue

- Ultracentrifugation

Exos (30–120 nm)

miR-29a

Impaired insulin sensitivity by inhibiting PPARγ pathway

86

 

Exos (30–100 nm)

miR-155

 

87

 

- THP-1 cell line with LPS

- Precipitation

Exos (undefined)

Not studied

Elevated expression of relevant inflammation gene in adipocytes such as CXCL5, SOD, C3, and CD34

88

Premature

- Mouse BMDM from Ercc1 knockout mice

- Ultracentrifugation

Exos (30–80 nm)

Ercc1

- Elevated glucose uptake by increasing GLUT-1 expression in PPCs

- Elevated inflammatory response by activating NF-κB in PPCs

89

Infectious

   

Tuberculosis

- RAW 264.7 cell line with M.tb

- Sucrose gradient centrifugation

Exos (50–100 nm)

Not studied

- Elevated inflammatory response in BMM via transmigration of mycobacterial components

- Accelerated the formation of granuloma by recruiting and activating Mφ towards lung tissue

92

Acquired Immune Deficiency Syndrome

- Human PMDM with HIV-Bal

- Iodixanol Gradient

Exos (undefined)[75]

MVs (~300 nm) and Exos (~60 nm)[76]

HIV-1 viral RNA

Containing abundant viral constituents to uninfected MDM

93,94

 

- Human PMDM with HIV-Bal

- Ultracentrifugation

  

Enhanced HIV-1 infection by increasing proinflammatory cytokines release

 

Tumor

Ovarian cancer

- THP-1 cell line and human peripheral blood mononuclear cells derived Mφ with M-CSF and IL-4

- Precipitation

Exos (undefined)

miR-21-5p and miR-29a-3p

Elevated Treg/T17 ratio in CD4+ T cell by suppressing STAT3 pathway to promote tumor growth

97

 

- THP-1 cell line with IL-4

- Precipitation

Exos (50–150 nm)

miR-223

Promoted drug resistance by activating PTEN-PI3K/AKT pathways in epithelial ovarian cancer cells

99

Pancreatic ductal adenocarcinoma

- THP-1 cell line with IL-4

- Precipitation

Exos (~90 nm)

miR-501-3p

Enhanced the migration and invasion of PDAC cells by activating TGF-β pathway leading to tumor formation and metastasis

98

Fibrosis

Tendon injury

- Mouse BMDM

- Ultracentrifugation

Exos (70–150 nm)

miR-223

Promoted the fibroblast to myofibroblast transition (EMT) by activating TGF-β pathway

103

Diabetic nephropathy

- RAW264.7 cell line with high glucose

- Precipitation

Exos (40–100 nm)

Not studied

 

108

Lung fibrosis

- RAW264.7 cell line with SiO2

- Ultracentrifugation

Exos (30–150 nm)

miR-125a-5p

 

105

 

- Rat primary peritonea macrophages with IL-4

- Precipitation

Exos (undefined)

miR-328

 

106

 

- THP-1 cell line with PMA and asbestos

- Not given

Exos (undefined)

lncRNA-ASLNCS5088

 

107

 

- THP-1 cell line with PMA and asbestos

- Precipitation

Exos (undefined)

Not studied

Up-regulated genes hCCNB2, hEGR1, and hFANCD2; down-regulated genes hCRELD2, hERO1B, and hJAG1 in mesothelial cells

104

Diabetes cardiac dysfunction

- RAW264.7 cell line with high glucose and BMDM from diabetes mice

- Precipitation

Exos (undefined)

HuR protein

Increased inflammatory response and fibrogenesis in cardiac fibroblasts

109