The foam cell-derived exosomes exacerbate ischemic white matter injury via transmitting metabolic defects to

Hang Zhang1, Luo-Qi Zhou1, Sheng Yang1

  • 1Department of Neurology, Tongji Hospital, Tongji Medical College and State Key Laboratory for Diagnosis and Treatment of Severe Zoonotic Infectious Diseases, Huazhong University of Science and Technology, Wuhan 430030, China; Hubei Key Laboratory of Neural Injury and Functional Reconstruction, Huazhong University of Science and Technology, Wuhan 430030, China; Key Laboratory of Vascular Aging, Ministry of Education, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.

Cell Metabolism
|May 9, 2025
PubMed

Insights

Atherosclerosis (AS) circulating exosomes worsen brain white matter injury and vascular cognitive impairment (VCI). Targeting the miR-101-3p-Nrf2 axis in microglia may offer therapeutic strategies for AS-related VCI.

Area of Science:

  • Neuroscience
  • Cardiovascular Biology
  • Cell Biology

Background:

  • Atherosclerosis (AS) is a known risk factor for vascular cognitive impairment (VCI).
  • The precise mechanisms linking AS to VCI, particularly the role of exosomes, are not fully understood.
  • Understanding these mechanisms is crucial for developing effective treatments for VCI.

Purpose of the Study:

  • To investigate the role of circulating exosomes from atherosclerotic lesions in exacerbating ischemic white matter injury and VCI.
  • To elucidate the molecular mechanisms by which these exosomes affect brain cells, specifically microglia.
  • To identify potential therapeutic targets for mitigating AS-induced VCI.

Main Methods:

  • Utilized exosome isolation and characterization techniques.
  • Administered AS-derived exosomes to induce white matter injury and VCI in a model system.
  • Investigated the targeting of microglia by foam cell-derived exosomes.
  • Analyzed the transmission of redox imbalance, mitochondrial dysfunction, and metabolic defects via the miR-101-3p-Nrf2-Slc2a1 axis.
  • Employed anti-miR-101-3p and Nrf2 activation (genetic and pharmacological) to assess therapeutic potential.

Main Results:

  • AS circulating exosomes were found to exacerbate ischemic white matter injury and VCI.
  • Exosomes from macrophage-derived foam cells specifically targeted microglia.
  • These exosomes transmitted cellular damage pathways (redox imbalance, mitochondrial dysfunction, metabolic defects) to microglia through the miR-101-3p-Nrf2-Slc2a1 axis.
  • Inhibition of miR-101-3p or activation of Nrf2 ameliorated the effects of AS exosomes and improved VCI outcomes.

Conclusions:

  • Peripheral AS macrophages communicate with central brain microglia via circulating exosomes.
  • The miR-101-3p-Nrf2-Slc2a1 pathway is a key mediator of exosome-induced VCI.
  • Targeting this pathway presents a promising therapeutic strategy for AS-induced VCI.