Circulating Exosomes Mediate Neurodegeneration Following Hepatic Ischemia-reperfusion Through Inducing Microglial

Yidan Wang1, Lili Jia2, Min Wei1

  • 1The First Central Clinical School, Tianjin Medical University, Tianjin, China.

Transplantation
|June 9, 2023
PubMed

Insights

Circulating exosomes link hepatic ischemia reperfusion (HIR) to brain injury in young rats. These exosomes activate microglial pyroptosis, causing hippocampal neuron damage, highlighting a key mechanism in pediatric liver transplant recipients.

Area of Science:

  • Neuroscience
  • Cell Biology
  • Transplantation Research

Background:

  • Pediatric liver transplantation can lead to poor neurodevelopmental outcomes.
  • Hepatic ischemia reperfusion (HIR) is implicated, but its link to brain injury is unclear.
  • Circulating exosomes may mediate information transmission between organs, potentially linking HIR to brain injury.

Purpose of the Study:

  • To investigate the role of circulating exosomes in hepatic ischemia reperfusion (HIR)-induced hippocampal injury in young rats.
  • To determine if exosomes from HIR model rats cause neuronal injury and microglial pyroptosis in normal rats.

Main Methods:

  • Exosomes were isolated from the sera of HIR model rats and administered to normal young rats.
  • Techniques included Western blotting, ELISA, histology, and qPCR to assess neuronal injury and microglial pyroptosis.
  • In vitro studies involved co-culturing primary microglia with exosomes, with pharmacological inhibition of exosome biogenesis or NLRP3 inflammasome.

Main Results:

  • Serum-derived exosomes from HIR rats were found to be crucial mediators of neuronal degeneration in the developing hippocampus.
  • Ischemia-reperfusion derived exosomes (I/R-exosomes) were taken up by microglia, promoting microglial pyroptosis both in vivo and in vitro.
  • Suppression of microglial pyroptosis alleviated exosome-induced neuronal injury.

Conclusions:

  • Circulating exosomes play a vital role in mediating hippocampal neuron injury following HIR in young rats.
  • Microglial pyroptosis, triggered by circulating exosomes, is a key mechanism underlying this injury.
  • Targeting exosome-mediated microglial pyroptosis may offer therapeutic strategies for neuroprotection after pediatric liver transplantation.
Abstract