Abstract
Adipose-derived stem cells (ASCs) are a cornerstone of regenerative medicine due to their multipotency, ease of isolation, and ability to differentiate into various cell types, including endothelial cells (ECs). ASCs can be harvested from different fat depots, such as subcutaneous, visceral, and perivascular adipose tissue, each exhibiting unique biological properties and differentiation potentials. These depot-specific differences influence their ability to differentiate into ECs and contribute to angiogenesis, the process of forming new blood vessels, which is critical for tissue repair and regeneration in conditions like ischemic diseases, chronic wounds, and tissue engineering. MicroRNAs (miRNAs), small non-coding RNAs that regulate gene expression, play a central role in directing ASC differentiation into ECs and modulating angiogenic processes. Specific miRNAs, such as miR-126, miR-145, miR-210, and miR-424, have been identified as key regulators of endothelial differentiation by targeting signaling pathways like VEGF, PI3K/Akt, and Notch. These miRNAs promote the expression of endothelial-specific markers, such as CD144, CD31 and von Willebrand factor, while enhancing EC functionality, including proliferation, migration, and tube formation. Interestingly, the miRNA expression profiles and angiogenic potential of ASCs vary depending on their fat depot origin, with subcutaneous ASCs often showing superior angiogenic capacity compared to visceral ASCs. Beyond direct differentiation, ASC-derived miRNAs also contribute to angiogenesis through paracrine signaling, influencing the surrounding microenvironment and supporting vascular repair. The dual role of miRNAs in ASC differentiation and angiogenesis highlights their therapeutic potential in cell-based therapies. By understanding the interplay between fat depot-specific ASCs, miRNAs, and angiogenesis, researchers aim to develop innovative strategies to enhance vascular regeneration, improve tissue perfusion, and achieve better clinical outcomes in patients with vascular-related disorders. The integration of depot-specific ASCs and miRNA-based therapies represents a transformative approach in the field of regenerative medicine.