Yao Xiaolong, Bie Bizhou, Wang Zhizhong, Chen Yingchun, Sheng Liuqing, Li Mingchang
Department of Neurosurgery, Renmin Hospital of Wuhan University,Wuhan 430000, Hubei, China; Department of Neurosurgery, The Third People's Hospital of Hubei Province, Wuhan 430000, Hubei, China; Hubei Cerebrovascular Association, Wuhan 430000, Hubei, China.
Department of Neurosurgery, The Third People's Hospital of Hubei Province, Wuhan 430000, Hubei, China; Hubei Cerebrovascular Association, Wuhan 430000, Hubei, China.
J Neuroimmunol. 2025 Sep 15;406:578677. doi: 10.1016/j.jneuroim.2025.578677. Epub 2025 Jun 26.
Exosome-derived micorRNAs (miRs) play important role in regulation the inflammatory response in subarachnoid hemorrhage (SAH). However, the ability of miR-223-3p, which is enriched in astrocyte-derived exosomes, to regulate FOXO3a in microglia is still unclear.
MiR-223-3p in CSF from SAH patients was measured by qRT-PCR. Rats and BV2 cells were used to establish SAH model. Neurological function was evaluated by the mNSS, rotarod test, and Morris water maze. QRT-PCR and enzyme-linked immunosorbent assay (ELISA) were used to analyze oxidative stress and inflammatory factors interleukin-1β (IL-1β), IL-6 and tumor necrosis factor α (TNF-α). The levels of FOXO3a, TLR4, NLRP3, NF-κB, iNOS, Cox2, Nrf2 and HO-1 were detected by WB. The exosomes were labeled with KPH67, and uptaken by microglia, detecting by IF.
Among the miRs involved in SAH, miR-223-3p exhibited one of the greatest change. MiR-223-3p in the brain tissue of SAH rats was upregulated. Moreover, the upregulation of miR-223-3p significantly improved neurological deficits and reduced brain edema. Meanwhile, miR-223-3p reduced the inflammatory factors like IL-1β, IL-6, TNF-α, and decreased oxidative stress, inhibited the activation of NF-κB, TLR4/NLRP3 in microglia by targeting Foxo3a. The "M1" polarization marker, including iNOS, Cox2, TLR4, NLRP3 and NF-κB, in microglia decreased markedly after the overexpression of miR-223-3p. Moreover, miR-223-3p targets FOXO3a and inhibits it expression no matter in vitro or in vivo. In vitro, both miR-223-3p mimics and astrocyte-derived exosomes obviously increased the expression of miR-223-3p in microglia.
In SAH, astrocyte-derived exosomes rich in miR-223-3p may regulate the activation and phenotype of microglia by targeting FOXO3a, resulting in the inhibition of inflammatory injury.
外泌体源性微小RNA(miR)在蛛网膜下腔出血(SAH)炎症反应调节中起重要作用。然而,富含星形胶质细胞源性外泌体的miR-223-3p调节小胶质细胞中FOXO3a的能力仍不清楚。
采用qRT-PCR检测SAH患者脑脊液中miR-223-3p。用大鼠和BV2细胞建立SAH模型。通过改良神经功能缺损评分(mNSS)、转棒试验和莫里斯水迷宫评估神经功能。采用qRT-PCR和酶联免疫吸附测定(ELISA)分析氧化应激和炎性因子白细胞介素-1β(IL-1β)、IL-6和肿瘤坏死因子α(TNF-α)。通过蛋白质免疫印迹法(WB)检测FOXO3a、Toll样受体4(TLR4)、NOD样受体蛋白3(NLRP3)、核因子κB(NF-κB)、诱导型一氧化氮合酶(iNOS)、环氧化酶-2(Cox2)、核因子E2相关因子2(Nrf2)和血红素加氧酶-1(HO-1)的水平。用KPH67标记外泌体,并由小胶质细胞摄取,通过免疫荧光法(IF)检测。
在参与SAH的miR中,miR-223-3p变化最为显著。SAH大鼠脑组织中miR-223-3p上调。此外,miR-223-3p上调显著改善神经功能缺损并减轻脑水肿。同时,miR-223-3p降低IL-1β、IL-6、TNF-α等炎性因子水平,减轻氧化应激,通过靶向Foxo3a抑制小胶质细胞中NF-κB、TLR4/NLRP3的激活。miR-223-3p过表达后,小胶质细胞中“M1”极化标志物iNOS、Cox2、TLR4、NLRP3和NF-κB明显降低。此外,无论在体外还是体内,miR-223-3p均靶向FOXO3a并抑制其表达。在体外,miR-223-3p模拟物和星形胶质细胞源性外泌体均明显增加小胶质细胞中miR-223-3p的表达。
在SAH中,富含miR-223-3p的星形胶质细胞源性外泌体可能通过靶向FOXO3a调节小胶质细胞的激活和表型,从而抑制炎症损伤。