Exosomal circ-CACNG2 promotes cardiomyocyte apoptosis in multiple myeloma via modulating miR-197-3p/caspase3 axis

Manya Yu1, Lin Ji2, Sumei Li1

  • 1Department of Traditional Chinese Medicine, Shandong University of Traditional Chinese Medicine, 16369 Jingshi Road, Jinan, 250014, China.

Insights

Multiple myeloma exosomes harm heart cells by promoting apoptosis and reducing viability. This involves circ-CACNG2, which impacts miR-197-3p and caspase3, indicating a new mechanism for cardiac complications in multiple myeloma (MM).

Area of Science:

  • Cardiology
  • Oncology
  • Molecular Biology

Background:

  • Multiple myeloma (MM) exosomes contribute to complications like bone lesions and renal failure.
  • The specific mechanisms by which MM exosomes affect cardiac function remain unclear.
  • Understanding exosome-mediated cardiac damage is crucial for MM patient care.

Purpose of the Study:

  • To investigate the impact of MM exosomes on cardiomyocyte viability, cell cycle, oxidative stress, and apoptosis.
  • To elucidate the role of circular RNA CACNG2 (circ-CACNG2) in MM-induced cardiac effects.
  • To identify the molecular pathways involved in MM exosome-mediated cardiomyocyte dysfunction.

Main Methods:

  • Co-culture of H9C2 cardiomyocytes with U266 MM cell line exosomes (U266-exo).
  • Analysis of circ-CACNG2 levels in MM patient serum exosomes.
  • In vitro experiments including viability assays, apoptosis assays, RIPA, pull-down assays, dual-luciferase reporter assays, and RNA FISH.
  • Rescue experiments to validate the molecular mechanism.

Main Results:

  • U266-exo significantly inhibited H9C2 cell viability and promoted apoptosis.
  • MM patient serum exosomes showed elevated levels of circ-CACNG2.
  • circ-CACNG2 was identified as an independent prognostic and diagnostic indicator for MM-related cardiac complications.
  • circ-CACNG2 directly binds to miR-197-3p and caspase3, regulating apoptosis via the circ-CACNG2/miR-197-3p/caspase3 axis.

Conclusions:

  • MM exosomes impair cardiomyocyte viability and induce apoptosis.
  • The circ-CACNG2/miR-197-3p/caspase3 pathway is a key mechanism in MM-exosome-induced cardiac complications.
  • circ-CACNG2 serves as a potential biomarker for predicting and diagnosing cardiac issues in multiple myeloma patients.

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