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S-RBD 修饰和 miR-486-5p 工程化间充质干细胞衍生的外泌体抑制铁死亡,减轻放射性肺损伤和长期肺纤维化。

S-RBD-modified and miR-486-5p-engineered exosomes derived from mesenchymal stem cells suppress ferroptosis and alleviate radiation-induced lung injury and long-term pulmonary fibrosis.

机构信息

Department of Special Medicine, School of Basic Medicine, Qingdao University, Qingdao, 266071, People's Republic of China.

Laboratory of Molecular Diagnosis and Regenerative Medicine, The Affiliated Hospital of Qingdao University, Qingdao, 266000, People's Republic of China.

出版信息

J Nanobiotechnology. 2024 Oct 26;22(1):662. doi: 10.1186/s12951-024-02830-9.

DOI:10.1186/s12951-024-02830-9
PMID:39462403
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11515248/
Abstract

BACKGROUND

Radiation-induced lung injury (RILI) is associated with alveolar epithelial cell death and secondary fibrosis in injured lung. Mesenchymal stem cell (MSC)-derived exosomes have regenerative effect against lung injury and the potential to intervene of RILI. However, their intervention efficacy is limited because they lack lung targeting characters and do not carry sufficient specific effectors. SARS-CoV-2 spike glycoprotein (SARS-CoV-2-S-RBD) binds angiotensin-converting enzyme 2 (ACE2) receptor and mediates interaction with host cells. MiR-486-5p is a multifunctional miRNA with angiogenic and antifibrotic potential and acts as an effector in MSC-derived exosomes. Ferroptosis is a form of cell death associated with radiation injury, its roles and mechanisms in RILI remain unclear. In this study, we developed an engineered MSC-derived exosomes with SARS-CoV-2-S-RBD- and miR-486-5p- modification and investigated their intervention effects on RIPF and action mechanisms via suppression of epithelial cell ferroptosis.

RESULTS

Adenovirus-mediated gene modification led to miR-486-5p overexpression in human umbilical cord MSC exosomes (p < 0.05), thereby constructing miR-486-5p engineered MSC exosomes (miR-486-MSC-Exo). MiR-486-MSC-Exo promoted the proliferation and migration of irradiated mouse lung epithelial (MLE-12) cells in vitro and inhibited RILI in vivo (all p < 0.05). MiR-486-MSC-Exo suppressed ferroptosis in MLE-12 cells, and an in vitro assay revealed that the expression of fibrosis-related genes is up-regulated following ferroptosis (both p < 0.05). MiR-486-MSC-Exo reversed the up-regulated expression of fibrosis-related genes induced by TGF-β1 in vitro and improved pathological fibrosis in RIPF mice in vivo (all p < 0.05). SARS-CoV-2-S-RBD-modified and miR-486-5p-engineered MSC exosomes (miR-486-RBD-MSC-Exo) were also constructed, and the distribution of DiR dye-labeled miR-486-RBD-MSC-Exo in hACE2 Sftpc-Cre mice demonstrated long-term retention in the lung (p < 0.05). MiR-486-RBD-MSC-Exo significantly improved the survival rate and pathological changes in hACE2 Sftpc-Cre RIPF mice (all p < 0.05). Furthermore, miR-486-MSC-Exo exerted anti-fibrotic effects via targeted SMAD2 inhibition and Akt phosphorylation activation (p < 0.05).

CONCLUSIONS

Engineered MSC exosomes with SARS-CoV-2-S-RBD- and miR-486-5p-modification were developed. MiR-486-RBD-MSC-Exo suppressed ferroptosis and fibrosis of MLE-12 cells in vitro, and alleviated RILI and long-term RIPF in ACE2 humanized mice in vivo. MiR-486-MSC-Exo exerted anti-fibrotic effects via SMAD2 inhibition and Akt activation. This study provides a potential approach for RIPF intervention.

摘要

背景

放射性肺损伤(RILI)与受损肺中的肺泡上皮细胞死亡和继发性纤维化有关。间充质干细胞(MSC)衍生的外泌体对肺损伤具有再生作用,并具有干预 RILI 的潜力。然而,它们的干预效果有限,因为它们缺乏肺靶向特征,并且不携带足够的特异性效应物。SARS-CoV-2 刺突糖蛋白(SARS-CoV-2-S-RBD)与血管紧张素转换酶 2(ACE2)受体结合,并介导与宿主细胞的相互作用。miR-486-5p 是一种具有血管生成和抗纤维化潜力的多功能 miRNA,作为 MSC 衍生外泌体的效应物发挥作用。铁死亡是一种与辐射损伤相关的细胞死亡形式,其在 RILI 中的作用和机制尚不清楚。在这项研究中,我们开发了一种经过工程改造的 MSC 衍生外泌体,具有 SARS-CoV-2-S-RBD 和 miR-486-5p 的修饰,并通过抑制上皮细胞铁死亡来研究其对 RIPF 的干预作用及其作用机制。

结果

腺病毒介导的基因修饰导致人脐带 MSC 外泌体中的 miR-486-5p 过表达(p<0.05),从而构建了 miR-486-5p 工程 MSC 外泌体(miR-486-MSC-Exo)。miR-486-MSC-Exo 促进了体外照射的小鼠肺上皮(MLE-12)细胞的增殖和迁移,并抑制了体内 RILI(均 p<0.05)。miR-486-MSC-Exo 抑制了 MLE-12 细胞中的铁死亡,并且体外试验表明铁死亡后纤维化相关基因的表达上调(均 p<0.05)。miR-486-MSC-Exo 逆转了体外 TGF-β1 诱导的纤维化相关基因的上调表达,并改善了体内 RIPF 小鼠的病理性纤维化(均 p<0.05)。还构建了 SARS-CoV-2-S-RBD 修饰和 miR-486-5p 工程 MSC 外泌体(miR-486-RBD-MSC-Exo)。DiR 染料标记的 miR-486-RBD-MSC-Exo 在 hACE2 Sftpc-Cre 小鼠中的分布表明其在肺中的长期保留(p<0.05)。miR-486-RBD-MSC-Exo 显著提高了 hACE2 Sftpc-Cre RIPF 小鼠的生存率和病理变化(均 p<0.05)。此外,miR-486-MSC-Exo 通过靶向 SMAD2 抑制和 Akt 磷酸化激活发挥抗纤维化作用(p<0.05)。

结论

开发了具有 SARS-CoV-2-S-RBD 和 miR-486-5p 修饰的工程 MSC 外泌体。miR-486-RBD-MSC-Exo 抑制了体外 MLE-12 细胞的铁死亡和纤维化,并减轻了 ACE2 人源化小鼠体内的 RILI 和长期 RIPF。miR-486-MSC-Exo 通过抑制 SMAD2 和激活 Akt 发挥抗纤维化作用。本研究为 RIPF 的干预提供了一种潜在的方法。

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