Mesenchymal stem cell-derived exosomal CBLB ameliorates infantile pneumonia progression probably by ubiquitinating

Fang Guo1, Fuxing Song1, Zhenjiang Chen1

  • 1Department of Pediatrics, Jinan City People's Hospital, No. 001, Xuehu Street, Changshao North Road, Laiwu District, Jinan, 271100, China.

Abstract

Insights

Mesenchymal stem cell-derived exosomes carrying CBLB show promise in treating infantile pneumonia (IP). These exosomes protect lung cells and reduce inflammation by targeting MAPK14, offering a potential new therapy for this childhood disease.

Area of Science:

  • Biomedical research
  • Cell biology
  • Immunology

Background:

  • Infantile pneumonia (IP) is a major cause of illness and death in children.
  • Mesenchymal stem cells (MSCs) possess immunomodulatory capabilities, making them promising for pneumonia treatment.

Purpose of the Study:

  • To investigate the therapeutic role of bone marrow-derived MSCs in infantile pneumonia.
  • To elucidate the underlying molecular mechanisms involving exosomes and specific proteins.

Main Methods:

  • Established a cell model of IP using lipopolysaccharide (LPS)-stimulated lung fibroblasts (WI-38).
  • Analyzed MSCs using flow cytometry and assessed differentiation potential.
  • Utilized qRT-PCR, western blotting, and immunohistochemistry to measure gene and protein expression.
  • Evaluated cell viability, proliferation, and apoptosis, and measured cytokine levels.
  • Assessed therapeutic effects in a mouse model of pneumonia and investigated protein interactions via co-immunoprecipitation.

Main Results:

  • MSC-derived exosomes were internalized by LPS-treated WI-38 cells, mitigating LPS-induced suppression of CBLB mRNA.
  • Exosomes enhanced cell proliferation, reduced apoptosis, and decreased pro-inflammatory cytokines (IL-6, IL-1β, TNF-α) by regulating CBLB.
  • In vivo, MSC-derived exosomes protected against LPS-induced lung injury, with effects reversed by CBLB-deficient exosomes.
  • CBLB destabilizes MAPK14 protein expression; CBLB overexpression counteracted LPS-induced negative effects on proliferation and inflammation via MAPK14 regulation.

Conclusions:

  • MSC-derived exosomal CBLB demonstrates therapeutic potential for infantile pneumonia.
  • The mechanism involves ubiquitinating MAPK14, suggesting a novel pathway for clinical intervention.

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