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炎症记忆激活的仿生纳米囊泡通过靶向miR-193a-5p/TLR4/JNK/P38 MAPK途径调节中性粒细胞可塑性和代谢重编程,以实现糖尿病伤口的快速愈合。

Inflammatory memory-activated biomimetic nanovesicles regulate neutrophil plasticity and metabolic reprogramming for rapid diabetic wound healing via targeting miR-193a-5p/TLR4/JNK/P38 MAPK pathways.

作者信息

Fan Yunlong, Yang Jiaman, Xie Yulin, Yang Xin, Zhu He, Liu Yuanyuan, Xia Zhikuan, Ji Shuaifei, Yang Rongya

机构信息

Department of Dermatology, The Seventh Medical Center of Chinese PLA General Hospital, Beijing, 100700, China.

Chinese PLA Medical School, Beijing, 100853, China.

出版信息

J Nanobiotechnology. 2025 Feb 17;23(1):115. doi: 10.1186/s12951-025-03193-5.

Abstract

Diabetic wound therapy faces significant challenges due to the complexity of the wound microenvironment, especially dysregulated immune cell responses and persistent pro-inflammatory sate. Targeting immune cells to reverse pathological wound conditions has increasingly become a promising strategy to promote diabetic wound healing. It has been reported that prolonged memory to acute inflammation sensitizes epidermal stem cells (EpSCs) to tissue damage. The increasing importance of interactions between immune cells and tissue stem cells has raised interest in the potential of EpSCs to induce inflammatory adaptations in diabetic wounds, and meanwhile, the inflammation memory patterns also provide new insight in EpSCs for tissue repair. Here, bioinspired cell-derived mimetic nanovesicles (MNVs) were obtained from inflammation memory-activated EpSCs. LPS treatment could trigger acute inflammation response and activate inflammation memory. MNVs derived from LPS-pretreated EpSCs (LEM) can effectively promote diabetic wound healing by manipulating crucial neutrophil regulatory mechanisms. The in vitro and in vivo studies demonstrated that LEM could stimulate neutrophil mitochondrial metabolic reprogramming, overcome phenotypic switching deficiency of neutrophils, and skew neutrophils toward N2 anti-inflammatory phenotype via regulating miR-193a-5p/TLR4/ JNK/P38 MAPK pathways in diabetic models. Our findings highlighted the great potential of inflammation memory in EpSCs, and also provided an alternative for diabetic wound treatment.

摘要

由于伤口微环境的复杂性,尤其是免疫细胞反应失调和持续的促炎状态,糖尿病伤口治疗面临重大挑战。靶向免疫细胞以逆转病理性伤口状况已日益成为促进糖尿病伤口愈合的一种有前景的策略。据报道,对急性炎症的长期记忆会使表皮干细胞(EpSCs)对组织损伤敏感。免疫细胞与组织干细胞之间相互作用的重要性日益增加,这引发了人们对EpSCs在糖尿病伤口中诱导炎症适应性的潜力的兴趣,同时,炎症记忆模式也为EpSCs参与组织修复提供了新的见解。在此,从炎症记忆激活的EpSCs中获得了受生物启发的细胞衍生模拟纳米囊泡(MNVs)。LPS处理可引发急性炎症反应并激活炎症记忆。源自LPS预处理的EpSCs(LEM)的MNVs可通过操纵关键的中性粒细胞调节机制有效促进糖尿病伤口愈合。体外和体内研究表明,LEM可刺激中性粒细胞线粒体代谢重编程,克服中性粒细胞的表型转换缺陷,并通过调节糖尿病模型中的miR-193a-5p/TLR4/JNK/P38 MAPK途径使中性粒细胞向N2抗炎表型转变。我们的研究结果突出了EpSCs中炎症记忆的巨大潜力,也为糖尿病伤口治疗提供了一种替代方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e89/11834291/ed48e1f98078/12951_2025_3193_Fig1_HTML.jpg

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