Heme Oxygenase-1 Modulates Macrophage Polarization Through Endothelial Exosomal miR-184-3p and Reduces Sepsis-Induce

Wei Chen1, Yuan Zhang1,2,3, Jinkun Chen1

  • 1Tianjin Nankai Hospital, Tianjin Medical University, Tianjin, 300100, People's Republic of China.

Abstract

Insights

Heme oxygenase-1 (HO-1) regulates macrophage polarization via pulmonary microvascular endothelial cell (PMVEC) exosomes, impacting sepsis-induced acute lung injury (ALI). HO-1 influences the miR-184-3p/Semaphorin 7A (Sema7a) pathway, modulating the M1/M2 macrophage ratio to mitigate lung inflammation.

Area of Science:

  • Cell Biology
  • Immunology
  • Pathophysiology

Background:

  • Sepsis-induced acute lung injury (ALI) involves pulmonary microvascular endothelial cells (PMVECs) and macrophage polarization.
  • Heme oxygenase-1 (HO-1) exhibits protective functions in ALI, but its role in PMVEC exosome-mediated macrophage communication during sepsis is unclear.

Purpose of the Study:

  • To investigate the mechanism by which HO-1 influences macrophage polarization through PMVEC-derived exosomes in sepsis-induced ALI.
  • To elucidate the role of exosomal microRNAs (miRNAs) in HO-1-mediated intercellular communication between endothelial cells and macrophages.

Main Methods:

  • Utilized HO-1 knockout mice and isolated exosomes from PMVECs.
  • Determined differential miRNA expression in exosomes via sequencing.
  • Employed an in vitro co-culture system of macrophages (MH-S cells) and PMVEC-derived exosomes, alongside in vivo analysis of pulmonary inflammation and macrophage polarization.

Main Results:

  • miR-184-3p was significantly downregulated in exosomes from HO-1-overexpressing PMVECs (HP-exos).
  • Overexpression of HO-1 led to decreased miR-184-3p, which negatively regulates Semaphorin 7A (Sema7a).
  • This HO-1/miR-184-3p/Sema7a axis attenuated M1 macrophage polarization and promoted M2 polarization, thereby mitigating lung injury and inflammation.

Conclusions:

  • HO-1 plays a critical role in modulating macrophage polarization via PMVEC exosomes during sepsis-induced ALI.
  • The study identified a novel therapeutic pathway involving HO-1 regulating the miR-184-3p/Sema7a axis to control the M1/M2 macrophage ratio and alleviate lung inflammation.