Adipose Tissue Macrophages in Metabolic Dysfunction-Associated Steatohepatitis Secrete Extracellular Vesicles That

Theresa V Rohm1, Felipe Castellani Gomes Dos Reis1, Karina Cunha E Rocha1

  • 1Division of Endocrinology and Metabolism, Department of Medicine, University of California San Diego, La Jolla, California.

Gastroenterology
|April 9, 2025
PubMed
Abstract

Insights

Small extracellular vesicles (sEVs) from metabolic dysfunction-associated steatohepatitis (MASH) adipose tissue macrophages promote liver fibrosis. Targeting fibrogenic miRNAs within these MASH-ATM-sEVs offers therapeutic potential for MASH.

Area of Science:

  • Cell biology
  • Immunology
  • Hepatology

Background:

  • Metabolic dysfunction-associated steatohepatitis (MASH) requires effective interventions.
  • Adipose tissue macrophage (ATM)-derived small extracellular vesicles (sEVs) may play a role in MASH pathogenesis.
  • Understanding MASH-ATM-sEVs is crucial for developing new therapies.

Purpose of the Study:

  • To evaluate the contribution of MASH-ATM-sEVs to liver fibrosis development in obese mice.
  • To identify specific miRNAs within MASH-ATM-sEVs that drive fibrogenesis.
  • To explore the therapeutic potential of targeting MASH-ATM-sEVs.

Main Methods:

  • Characterization of MASH-ATMs and their secreted sEVs using flow cytometry and nanoparticle tracking analysis.
  • In vitro and in vivo assessment of fibrogenic effects of sEVs on hepatic stellate cells.
  • Isolation of miRNA-depleted sEVs and cotreatment with specific miRNA antagomirs.

Main Results:

  • MASH-ATMs secreted sEVs enriched in fibrogenic miRNAs (miR-155, miR-34a) that down-regulate Pparg.
  • MASH-ATM-sEVs induced hepatic stellate cell activation and exacerbated liver fibrosis in obese mice.
  • Anti-inflammatory macrophage sEVs mitigated fibrosis, while miRNA-free MASH-ATM-sEVs had no effect.

Conclusions:

  • MASH-ATM-sEVs promote liver fibrosis in obesity through fibrogenic miRNAs.
  • Extrahepatic signals, specifically miRNAs in sEVs, are mechanistically important in MASH.
  • Modulating macrophage phenotypes and their sEV cargo holds therapeutic promise for MASH.