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LGG-bEVs are extracellular vesicles derived from the probiotic bacterium Lactobacillus rhamnosus GG (LGG). These bacterial extracellular vesicles (bEVs) function as therapeutic agents by delivering specific cargo, notably 5s-rRNA-derived short RNA fragments, to macrophages. In the context of myocardial ischemia/reperfusion (I/R) injury, LGG-bEVs stimulate macrophage efferocytosis—the process of clearing dead cardiomyocytes—thereby limiting sterile inflammation and cardiac remodeling. Mechanistically, the RNA cargo interacts with the coding regions of genes such as DDX5, YWHAZ, and FRMD4A, upregulating their expression to enhance phagocytic activity. Research conducted by institutions like the University of Cincinnati has demonstrated that systemic administration of LGG-bEVs in mouse models reduces inflammatory cytokine levels (IL-6, TNF-α, MCP-1) and improves long-term cardiac function post-infarction.
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