Adipose tissue macrophage-derived exosomal miR-210-5p in modulating insulin sensitivity in rats born small for

Hui Xiong1, Wei Liu1, Jie Song2

  • 1Department of Pediatrics, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.

Insights

MicroRNA-210-5p delivered by exosomes from adipose tissue macrophages promotes insulin resistance in small for gestational age rats with catch-up growth. Targeting SIDT2 may offer a therapeutic strategy for these children.

Area of Science:

  • Endocrinology
  • Molecular Biology
  • Metabolic Research

Background:

  • Insulin resistance is a key factor in the development of children born small for gestational age (SGA) who experience catch-up growth (CUG).
  • Adipose tissue macrophages (ATMs) secrete exosomes containing microRNA (miRNA) that influence insulin resistance, but the precise mechanisms are not fully understood.
  • This study investigates the role of miR-210-5p in insulin resistance in rats born SGA with CUG.

Purpose of the Study:

  • To elucidate the role of miR-210-5p in insulin resistance in rats born SGA with CUG.
  • To identify the molecular mechanism by which miR-210-5p contributes to insulin resistance.
  • To explore potential therapeutic targets for SGA with CUG.

Main Methods:

  • Induction of SGA in rats via dietary restriction.
  • Isolation and characterization of exosomes from ATMs using Transmission Electron Microscopy (TEM) and Western blot.
  • Confirmation of exosome uptake via PKH-67 staining.
  • Quantification of miR-210-5p expression using qRT-PCR.
  • Assessment of glucose uptake/output and insulin sensitivity in vivo.
  • Validation of the interaction between miR-210-5p and SIDT2 using a dual-luciferase reporter assay.

Main Results:

  • Exosomes derived from ATMs of CUG-SGA rats showed significantly higher miR-210-5p expression.
  • ATM-derived exosomes effectively delivered miR-210-5p into target cells (adipocytes, myocytes, hepatocytes), exacerbating insulin resistance.
  • SIDT2 was identified as a direct target of miR-210-5p, and its restoration reversed miR-210-5p-induced insulin resistance.
  • Overexpression of SIDT2 diminished the negative impact of CUG-SGA-ATM-exosomal miR-210-5p on insulin sensitivity.

Conclusions:

  • ATM-derived exosomal miR-210-5p promotes insulin resistance in CUG-SGA rats by targeting SIDT2.
  • This pathway represents a novel molecular mechanism contributing to insulin resistance in this condition.
  • Targeting the miR-210-5p/SIDT2 axis offers a potential therapeutic strategy for children born SGA with CUG.
Abstract

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