Hyperoxia-activated circulating extracellular vesicles induce lung and brain injury in neonatal rats

Anum Ali1, Ronald Zambrano1, Matthew R Duncan1

  • 1Division of Neonatology and Batchelor Children's Research Institute, Department of Pediatrics, University of Miami Miller School of Medicine, P. O. Box 016960, Miami, FL, 33101, USA.

Scientific Reports
|April 23, 2021
PubMed

Insights

Hyperoxia causes lung injury in preterm infants, leading to brain damage via circulating extracellular vesicles (EVs). These EVs carry inflammatory cargo, linking lung and brain injury in bronchopulmonary dysplasia (BPD).

Area of Science:

  • Neonatal medicine
  • Cell biology
  • Neuroscience

Background:

  • Bronchopulmonary dysplasia (BPD) involves lung injury and impaired development in preterm infants, predicting poor neurodevelopmental outcomes.
  • The precise mechanisms linking lung injury to brain injury in BPD remain unclear.
  • Extracellular vesicles (EVs) mediate intercellular communication, potentially linking organ damage.

Purpose of the Study:

  • To investigate if hyperoxia induces lung release of circulating EVs.
  • To determine if these EVs contribute to lung and brain injury in a neonatal rat model.
  • To explore the role of Gasdermin D (GSDMD) in hyperoxia-induced EV-mediated injury.

Main Methods:

  • Neonatal rats were exposed to hyperoxia to model BPD.
  • Plasma EVs were isolated and characterized for cargo (surfactant protein C, active GSDMD).
  • EVs were adoptively transferred to assess their impact on recipient rats' lung and brain tissues, and on cultured cells (pulmonary vascular endothelial cells, neural stem cells).

Main Results:

  • Hyperoxia increased plasma EV levels in rats.
  • These EVs contained elevated surfactant protein C and active GSDMD (GSDMD-p30).
  • Adoptive transfer of these EVs induced BPD hallmarks and brain inflammatory injury in recipients, and cell death in cultured cells.

Conclusions:

  • Hyperoxia-activated circulating EVs mediate lung-to-brain crosstalk.
  • These EVs contribute to brain injury and neurodevelopmental impairment in BPD.
  • GSDMD-containing EVs represent a key mechanism linking lung injury to brain damage in BPD.

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