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Abstract
Essence
Cardiac extracellular-vesicle miR-4433b-3p emerged as a candidate heart-brain signal that may accelerate brain aging by disrupting neuronal autophagy.
Evidence
Small RNA sequencing and human plasma EV validation were paired with mouse source tracing and intervention experiments showing aged cardiac EVs accumulated in the hippocampus and impaired memory.
Caveat
The strongest mechanistic and rescue evidence comes from mouse experiments, while the human data show miRNA enrichment and biomarker correlation rather than cognitive causality.
Simplified