Small extracellular vesicles facilitate epithelial-mesenchymal transition in chronic rhinosinusitis with nasal polyps

X Wang1, R Zheng1, W Liang2

  • 1Department of Otolaryngology-Head and Neck Surgery, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China; Department of Allergy, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.

Rhinology
|April 1, 2024
PubMed
Abstract

Insights

Small extracellular vesicles (sEVs) from nasal polyps promote epithelial-mesenchymal transition (EMT) by delivering miR-375-3p, which targets QKI. This highlights sEVs and miR-375-3p as potential diagnostic and therapeutic targets for chronic rhinosinusitis with nasal polyps (CRSwNP).

Area of Science:

  • Molecular Biology
  • Cell Biology
  • Otorhinolaryngology

Background:

  • Epithelial-mesenchymal transition (EMT) is implicated in chronic rhinosinusitis with nasal polyps (CRSwNP) pathogenesis.
  • The role of small extracellular vesicles (sEVs) in CRSwNP-associated EMT remains under-investigated.

Purpose of the Study:

  • To investigate the role of sEVs in promoting EMT in human nasal epithelial cells (hNECs).
  • To identify specific microRNAs within sEVs that contribute to EMT in CRSwNP.
  • To explore the potential of sEVs and associated microRNAs as diagnostic or therapeutic targets for CRSwNP.

Main Methods:

  • Isolation of sEVs from nasal mucosa using ultracentrifugation.
  • MicroRNA sequencing and RT-qPCR to analyze differential microRNA expression in sEVs.
  • Assessment of EMT induction in hNECs by sEVs and specific microRNAs, including target gene identification (QKI) for miR-375-3p using dual-luciferase reporter assays.

Main Results:

  • sEVs derived from eosinophilic CRSwNP (ENP-sEVs) induced EMT in hNECs, correlating with increased EMT markers.
  • MiR-375-3p was significantly elevated in ENP-sEVs and directly targeted QKI, promoting EMT.
  • The abundance of miR-375-3p in sEVs correlated with CRSwNP clinical symptom scores and disease severity.

Conclusions:

  • MiR-375-3p-enriched sEVs promote EMT in hNECs by suppressing QKI, contributing to CRSwNP.
  • MiR-375-3p within sEVs shows potential as a diagnostic biomarker for CRSwNP severity.
  • Targeting miR-375-3p and sEVs offers a promising avenue for innovative CRSwNP management strategies.