Mesenchymal stem cell-derived exosomes ameliorate cardiomyocyte apoptosis in hypoxic conditions through microRNA144

Zhuzhi Wen1,2,3, Zun Mai3,4, Xiaolin Zhu1,2,3

  • 1Department of Cardiology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, 107 Yangjiang West Road, Guangzhou, 510120, China.

Abstract

Insights

Bone marrow mesenchymal stem cell-derived exosomes deliver microRNA-144 (miR-144) to protect heart cells from hypoxic injury. This therapy targets the PTEN/AKT pathway, offering a promising treatment for ischemic conditions.

Area of Science:

  • Cardiology
  • Stem Cell Biology
  • Molecular Biology

Background:

  • Stem cell-derived exosomes show potential for cardioprotection under hypoxia.
  • MicroRNAs (miRNAs) within exosomes are key mediators of this effect.
  • This study focuses on miRNA-144 (miR-144) from bone marrow mesenchymal stem cell (MSC)-derived exosomes.

Purpose of the Study:

  • To investigate the cardioprotective role of miR-144 delivered by MSC-exosomes.
  • To elucidate the underlying molecular mechanisms in cardiomyocyte apoptosis under hypoxia.
  • To identify the specific molecular targets of miR-144 in this process.

Main Methods:

  • Isolation and characterization of MSC-derived exosomes.
  • Culture of H9C2 cardiomyocytes under hypoxic conditions.
  • Treatment with exosomes, miR-144 mimics/inhibitors, and PTEN inhibitors.
  • Assessment of cell apoptosis, miRNA expression, and protein levels (PTEN, AKT/p-AKT).

Main Results:

  • MSC-exosomes were internalized by H9C2 cells and reduced apoptosis.
  • miR-144, enriched in exosomes, mediated this protective effect by targeting PTEN.
  • Upregulation of p-AKT and downregulation of PTEN were observed, inhibiting apoptosis.
  • PTEN inhibition mimicked the protective effects of miR-144.

Conclusions:

  • MSC-derived exosomes deliver miR-144 to inhibit cardiomyocyte apoptosis via the PTEN/AKT pathway under hypoxic conditions.
  • This highlights the therapeutic potential of exosome-mediated miRNA delivery for ischemic heart disease.
  • MSC-exosomes represent a promising vehicle for miRNA-based cardioprotective therapies.