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Updated: May 1, 2026

Three-dimensional Confocal Analysis of Microglia/macrophage Markers of Polarization in Experimental Brain Injury
Published on: September 4, 2013
Exosomal Src from hypoxic vascular smooth muscle cells exacerbates ischemic brain injury by promoting M1 microglial
Xiaoting Zhang1, Jingpei Guo1, Junbin Liu1
1Center of Interventional Medicine, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, Guangdong Province, 519000, China; Center of Cerebrovascular Disease, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, Guangdong Province, 519000, China; Guangdong Provincial Engineering Research Center of Molecular Imaging, The Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai, Guangdong Province, 519000, China.
Abstract:
Inflammatory response mediated by M1 microglia is a crucial factor leading to the exacerbation of brain injury after ischemic stroke (IS). Under the stimulation of IS, vascular smooth muscle cells (VSMCs) switch to the synthetic phenotype characterized by exosome secretion. Previous studies have shown that exosomes play an important role in the regulation of microglial polarization. We reported that exosomes derived from primary human brain VSMCs under hypoxia (HExos), but not those under normoxia (Exos), significantly promoted primary human microglia (HM1900) shift to M1 phenotype. Proteomic analysis showed that the Src protein enriched in HExos was a potential pro-inflammatory mediator. In vitro experiments showed that the expression of Src and M1 markers were upregulated in HM1900 co-incubated with HExos. However, the Src inhibitor dasatinib (DAS) significantly promoted the transformation of HM1900 phenotype from M1 to M2. In vivo experiments of pMCAO mice also revealed that DAS could effectively inhibit the activation of M1 microglia/macrophages, protect neurons from apoptosis, and improve neuronal function. These data suggested that hypoxic-VSMCs-derived exosomes were involved in post-IS inflammation by promoting M1 microglial polarization through Src transmission. Targeting inhibition of Src potentially acts as an effective strategy for treating brain injury after IS.
Insights
Hypoxic vascular smooth muscle cell exosomes promote M1 microglia activation, worsening ischemic stroke (IS) brain injury. Inhibiting Src in these exosomes offers a potential therapeutic strategy for IS by reducing inflammation and protecting neurons.
Area of Science:
- Neuroscience
- Immunology
- Cell Biology
Background:
- Inflammatory M1 microglia exacerbate brain injury following ischemic stroke (IS).
- Vascular smooth muscle cells (VSMCs) under ischemic conditions secrete exosomes.
- Exosomes regulate microglial polarization, influencing inflammatory responses.
Purpose of the Study:
- To investigate the role of exosomes derived from hypoxic VSMCs (HExos) in microglial polarization and IS.
- To identify potential therapeutic targets for mitigating IS-induced brain injury.
Main Methods:
- Isolation and characterization of exosomes from normoxic (Exos) and hypoxic (HExos) human VSMCs.
- Co-incubation of HExos with primary human microglia (HM1900) to assess M1 polarization.
- Proteomic analysis of HExos to identify key mediators (e.g., Src).
- In vitro and in vivo (pMCAO mouse model) experiments using Src inhibitor dasatinib (DAS).
Main Results:
- HExos, but not Exos, significantly promoted M1 polarization in HM1900.
- Src protein was enriched in HExos and upregulated M1 markers in microglia.
- Dasatinib (DAS) inhibited M1 polarization, promoted M2 phenotype, reduced M1 microglia/macrophages, protected neurons, and improved function in pMCAO mice.
Conclusions:
- Hypoxic VSMC-derived exosomes promote M1 microglial polarization via Src transmission, contributing to post-IS inflammation.
- Targeting Src inhibition with agents like dasatinib presents a promising therapeutic strategy for treating ischemic stroke brain injury.
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