Exosomes (EXOs) are a subgroup of extracellular vesicles (EVs) that contain
numerous biologically active molecules. They exhibit an essential mode of cell
communication, primarily between distinct cell populations, for the maintenance
of tissue homeostasis and coordination of adaptive responses to various stresses.
These intercellular communications are vital for the complex, multicellular
cardiovascular system. In the last ten years, their potential role as effective
tissue-to-tissue communicators has received increasing attention in
cardiovascular physiology and pathology. There is growing evidence that repair of
the heart and regeneration can be promoted by EXOs derived from cardiomyocytes or
stem/progenitor cells. However, the underlying mechanisms remain unclear. EVs
derived from different stem/progenitor cell populations have been used as
cell-free therapies in different preclinical models involving cardiovascular
diseases and have shown promising results. In this review, we have summarized the
recent developments in EXOs research, the impact of EXOs derived from different
cells on the cardiovascular system, their potential therapeutic roles as well as
new diagnostic biomarkers, and the possible clinical translational outcomes.