Bone marrow mesenchymal stem cell derived exosomal miR-455-5p protects against spinal cord ischemia reperfusion

Bing Liu1, Wenjun Zheng2, Li Dai3

  • 1Department of Cardiac Surgery, The First Hospital of China Medical University, Shenyang, Liaoning, People's Republic of China; Department of Vascular Surgery, The Second Hospital of Dalian Medical University, Dalian, Liaoning, People's Republic of China.

Tissue & Cell
|November 25, 2021
PubMed

Insights

Exosomes carrying miR-455-5p protect against spinal cord ischemia reperfusion (SCIR) injury. This therapy enhances motor function recovery by reducing neuronal apoptosis and activating autophagy.

Area of Science:

  • Neuroscience
  • Regenerative Medicine
  • Molecular Biology

Background:

  • MicroRNAs (miRNAs) delivered via exosomes show therapeutic potential for various diseases.
  • miR-455-5p is downregulated in ischemic stroke, but its role in spinal cord ischemia reperfusion (SCIR) injury remains unclear.

Purpose of the Study:

  • To investigate the therapeutic effect of exosome-delivered miR-455-5p on SCIR injury in a rat model.
  • To elucidate the underlying mechanisms of neuroprotection.

Main Methods:

  • Bone marrow mesenchymal stem cell (BMSC)-derived exosomes were engineered to overexpress miR-455-5p using lentivirus vectors.
  • A rat model of SCIR was established, followed by intrathecal injection of engineered exosomes.
  • Histopathological analysis (HE, Nissl staining), motor function assessment, immunofluorescence, and dual-luciferase reporter assay were performed.

Main Results:

  • Administration of exosomal miR-455-5p increased miR-455-5p levels in the injured spinal cord.
  • Exosomal miR-455-5p significantly improved hind-limb motor function recovery in SCIR rats.
  • Histological examination revealed reduced damage, decreased neuronal apoptosis, and activated autophagy in the injured spinal cord.
  • Nogo-A, a direct target of miR-455-5p, was found to be downregulated.

Conclusions:

  • Exosomes engineered to deliver miR-455-5p exert significant neuroprotective effects against SCIR injury.
  • This therapeutic strategy promotes autophagy and inhibits apoptosis in neurons, leading to functional recovery.
  • Targeting Nogo-A via miR-455-5p is a key mechanism in the observed neuroprotection.