Huang Chen, Zhang Xun, Wu Shi-Xiong, Chang Qing, Zheng Zhi-Kun, Xu Jing
Department of Cardiovascular Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450000, China.
Mater Today Bio. 2025 Jan 19;31:101500. doi: 10.1016/j.mtbio.2025.101500. eCollection 2025 Apr.
In an effort to address the detrimental effects of myocardial ischemia/reperfusion injury (MI/RI), this study introduces a novel therapeutic strategy that involves a microneedle (MN) patch loaded with exosomes derived from human umbilical cord mesenchymal stem cells (hUCMSCs) and carrying small interfering RNA (siRNA) targeting early growth response-1 (EGR1). By delivering hUCMSCs-derived exosomes containing EGR1 siRNA (hUCMSCs-Exosi-EGR1), the MN patch demonstrated promising cardioprotective effects in both and models of MI/RI. The results highlighted the efficacy of Exosi-EGR1 in enhancing cardiomyocyte viability, attenuating oxidative stress levels, and fostering mitophagy regulation. Moreover, the Exosi-EGR1 MN patch exhibited excellent mechanical properties and sustained drug release characteristics when embedded in a Gelatin methacryloyl (GelMA) matrix. Noteworthy outcomes from experiments included significant improvements in cardiac function, reduced cardiac fibrosis, and decreased apoptosis rates in MI/RI mice, emphasizing the potential therapeutic value of the Exosi-EGR1 MN patch in mitigating MI/RI through modulation of oxidative stress and mitophagy mechanisms.
为了应对心肌缺血/再灌注损伤(MI/RI)的有害影响,本研究引入了一种新的治疗策略,即使用一种微针(MN)贴片,该贴片负载有人脐带间充质干细胞(hUCMSCs)来源的外泌体,并携带靶向早期生长反应-1(EGR1)的小干扰RNA(siRNA)。通过递送含有EGR1 siRNA的hUCMSCs来源的外泌体(hUCMSCs-Exosi-EGR1),MN贴片在MI/RI的体内和体外模型中均显示出有前景的心脏保护作用。结果突出了Exosi-EGR1在提高心肌细胞活力、减轻氧化应激水平和促进线粒体自噬调节方面的功效。此外,当嵌入甲基丙烯酸明胶(GelMA)基质中时,Exosi-EGR1 MN贴片表现出优异的机械性能和持续的药物释放特性。体内实验的显著结果包括MI/RI小鼠的心脏功能显著改善、心脏纤维化减轻和凋亡率降低,强调了Exosi-EGR1 MN贴片通过调节氧化应激和线粒体自噬机制减轻MI/RI的潜在治疗价值。
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