BMSCs-Derived Extracellular VesiclemiR-29a-3p Improved the Stability of Rat Myasthenia Gravis by Regulating Treg/Th17

Zhongben Tang1, Meiqiu Chen2, Chen Chen1

  • 1Department of Thoracic, The Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, China.

Immunological Investigations
|September 18, 2024
PubMed
Abstract

Insights

Microvesicle miR-29a-3p from stem cells shows therapeutic potential for myasthenia gravis (MG). This treatment improved muscle function and immune balance in rats with experimental autoimmune MG (EAMG).

Area of Science:

  • Immunology
  • Molecular Biology
  • Neuroscience

Background:

  • Myasthenia gravis (MG) is an autoimmune disease affecting neuromuscular junctions.
  • Microvesicle-derived microRNAs (miRNAs) are implicated in autoimmune disorders.
  • The specific role of miR-29a-3p in MG pathogenesis is not well understood.

Purpose of the Study:

  • To investigate the therapeutic effects of miR-29a-3p delivered via stem cell-derived microvesicles (MVs) in a rat model of experimental autoimmune myasthenia gravis (EAMG).
  • To elucidate the underlying mechanism of miR-29a-3p action in EAMG.

Main Methods:

  • EAMG was induced in rats using a nicotinic acetylcholine receptor peptide.
  • Rats were treated with MVs, control MVs, or MVs engineered to overexpress miR-29a-3p (MV-miR-29a-3p-agomir).
  • Assessments included motor function tests, muscle histology, serum antibody levels, and immune cell profiling (Th17/Treg balance).

Main Results:

  • Bone marrow mesenchymal stem cell (BMSC)-derived MVs promoted miR-29a-3p expression in EAMG rats.
  • Treatment with BMSC-derived miR-29a-3p MVs improved motor function (hanging and swimming) and reduced muscle atrophy.
  • These MVs decreased anti-acetylcholine receptor antibodies (AchR-Ab), suppressed IFN-γ, and enhanced IL-4 and IL-10 by restoring Treg/Th17 balance.

Conclusions:

  • BMSC-derived microvesicle miR-29a-3p demonstrates significant therapeutic benefits in an EAMG rat model.
  • The mechanism involves modulating the Treg/Th17 cell balance, suggesting a potential novel treatment strategy for myasthenia gravis.