Exosomal miR-15a-5p from cardiomyocytes promotes myocardial fibrosis

Feng Cao1,2,3, Zhe Li4,5,6, Wenmao Ding4,5,6

  • 1Department of Cardiology, Renmin Hospital of Wuhan University, NO.99 Zhangzhidong Road, Wuchang District, Wuhan, 430060, China. fengcao213@163.com.

Insights

Cardiomyocyte exosomes deliver miR-15a-5p to cardiac fibroblasts, promoting myocardial fibrosis by targeting dyrk2. This uncovers a new target for anti-fibrotic therapies.

Area of Science:

  • Cardiovascular Biology
  • Cell Biology
  • Molecular Medicine

Background:

  • Myofibroblast activation is central to myocardial fibrosis.
  • The precise triggers for cardiac fibroblast to myofibroblast differentiation are not fully understood.
  • Exosomes mediate intercellular communication between cardiomyocytes and cardiac fibroblasts.

Purpose of the Study:

  • To investigate the role of exosomes from angiotensin (Ang)-II-treated cardiomyocytes in cardiac fibroblast activation.
  • To elucidate the molecular mechanisms by which these exosomes influence myocardial fibrosis.
  • To identify potential therapeutic targets for anti-fibrotic interventions.

Main Methods:

  • In vivo (Ang-II-treated mice) and in vitro (mouse cardiac fibroblasts) models were used.
  • Exosome characterization involved transmission electron microscopy, nanoparticle tracking analysis, and western blotting for exosomal markers (CD9, CD63, CD81).
  • MiR-15a-5p expression, exosome-fibroblast interaction, target engagement (dyrk2), fibrosis markers, cell viability, and myocardial pathology were assessed using QRT-PCR, luciferase assays, western blotting, CCK-8, HE, and Masson staining.

Main Results:

  • Exosomes derived from Ang-II-treated cardiomyocytes were identified and characterized.
  • MiR-15a-5p expression was upregulated in myocardial fibrosis patients, Ang-II-treated mice, and Ang-II-treated cardiomyocytes.
  • Exosomes transported miR-15a-5p to cardiac fibroblasts, leading to dyrk2 targeting, NFAT dephosphorylation, increased cell viability, and elevated expression of fibrosis markers (α-SMA, COL1A1, COL3A1), ultimately promoting myocardial fibrosis.

Conclusions:

  • Exosomes from Ang-II-stimulated cardiomyocytes promote myocardial fibrosis via miR-15a-5p transfer to cardiac fibroblasts.
  • The mechanism involves targeting dyrk2, dephosphorylating NFAT, and upregulating fibrosis-associated proteins.
  • This pathway presents a novel molecular target for developing anti-fibrotic therapies.