MiR-125a-5p in MSC-derived small extracellular vesicles alleviates Müller cells injury in diabetic retinopathy by

Cong Liu1, Jinjin Xiang2,3, Yueqin Chen1

  • 1Department of Ophthalmology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, 210008, China.

PubMed

Insights

Mesenchymal stem cell-derived small extracellular vesicles (MSC-sEVs) protect against diabetic retinopathy (DR) by reducing oxidative stress and improving mitochondrial function in Müller cells. This therapy involves miR-125a-5p modulating mitophagy via the PTP1B pathway.

Area of Science:

  • Ophthalmology
  • Regenerative Medicine
  • Cell Biology

Background:

  • Diabetic retinopathy (DR) is a leading cause of blindness globally, driven by oxidative stress and mitochondrial dysfunction.
  • Mesenchymal stem cell-derived small extracellular vesicles (MSC-sEVs) show therapeutic potential by delivering bioactive cargo.
  • The precise mechanisms by which MSC-sEVs mitigate DR-associated cellular damage remain under investigation.

Purpose of the Study:

  • To investigate the therapeutic effects of MSC-sEVs on diabetic retinopathy (DR) in a rat model.
  • To elucidate the underlying molecular mechanisms involving oxidative stress, mitochondrial function, and mitophagy in Müller cells.

Main Methods:

  • MSC-sEVs were intravitreally injected into streptozotocin-induced diabetic rats.
  • In vitro studies involved co-culturing advanced glycation end-product (AGEs)-induced rat Müller cells with MSC-sEVs, with manipulations of PTP1B and miR-125a-5p.
  • Histological analysis, blood-retinal barrier assessment, oxidative stress markers, mitochondrial function assays, and mitophagy-related protein expression were evaluated.

Main Results:

  • MSC-sEVs treatment improved retinal morphology, blood-retinal barrier integrity, and reduced Müller cell gliosis, PTP1B expression, oxidative stress, and apoptosis in diabetic rats.
  • MSC-sEVs decreased reactive oxygen species (ROS) accumulation and enhanced mitochondrial structure and function in AGEs-treated Müller cells.
  • MSC-sEVs promoted mitophagy in Müller cells, evidenced by altered expression of mitophagy markers (LC3II/LC3I, TOM20, PINK1, Parkin, P62).

Conclusions:

  • MSC-sEVs demonstrate significant therapeutic potential for diabetic retinopathy (DR).
  • The protective effects are mediated by miR-125a-5p within MSC-sEVs, which activate PINK1/Parkin-dependent mitophagy and downregulate PTP1B in Müller cells.
  • This study reveals a novel mechanism for MSC-sEVs in combating DR-induced cellular damage.