MiR-223-3p promote microglia "M2" polarization by targeting FOXO3a in subarachnoid hemorrhage

Xiaolong Yao1, Bizhou Bie2, Zhizhong Wang2

  • 1Department of Neurosurgery, Renmin Hospital of Wuhan University,Wuhan 430000, Hubei, China; Department of Neurosurgery, The Third People's Hospital of Hubei Province, Wuhan 430000, Hubei, China; Hubei Cerebrovascular Association, Wuhan 430000, Hubei, China.

PubMed
Abstract

Insights

Astrocyte-derived exosomes carrying miR-223-3p reduce brain inflammation after subarachnoid hemorrhage (SAH). This microRNA targets FOXO3a, improving neurological function and mitigating inflammatory responses in microglia.

Area of Science:

  • Neuroscience
  • Molecular Biology
  • Immunology

Background:

  • MicroRNAs (miRs) are crucial regulators of inflammatory responses in subarachnoid hemorrhage (SAH).
  • Astrocyte-derived exosomes are known to contain miRs that influence the brain microenvironment.
  • The specific role of miR-223-3p in regulating microglial function following SAH remains largely uncharacterized.

Purpose of the Study:

  • To investigate the role of miR-223-3p, enriched in astrocyte-derived exosomes, in regulating microglial response in subarachnoid hemorrhage (SAH).
  • To determine if miR-223-3p targets FOXO3a in microglia and modulates the inflammatory cascade.
  • To evaluate the therapeutic potential of miR-223-3p in improving neurological outcomes after SAH.

Main Methods:

  • Quantification of miR-223-3p in cerebrospinal fluid (CSF) of SAH patients using qRT-PCR.
  • Establishment of SAH models in rats and BV2 microglial cells.
  • Assessment of neurological function via mNSS, rotarod, and Morris water maze tests.
  • Analysis of inflammatory and oxidative stress markers (IL-1β, IL-6, TNF-α) using qRT-PCR and ELISA.
  • Detection of key protein levels (FOXO3a, TLR4, NLRP3, NF-κB, iNOS, Cox2, Nrf2, HO-1) via Western blot (WB).
  • Exosome tracking using fluorescent labeling (KPH67) and immunofluorescence (IF) to confirm microglial uptake.

Main Results:

  • miR-223-3p was significantly upregulated in SAH brain tissue and improved neurological deficits and reduced brain edema.
  • Overexpression of miR-223-3p decreased inflammatory factors (IL-1β, IL-6, TNF-α) and oxidative stress.
  • miR-223-3p inhibited microglial activation by targeting FOXO3a, suppressing the NF-κB and TLR4/NLRP3 pathways.
  • Exogenous miR-223-3p, delivered via mimics or astrocyte-derived exosomes, effectively increased miR-223-3p levels in microglia.

Conclusions:

  • Astrocyte-derived exosomes carrying miR-223-3p play a protective role in subarachnoid hemorrhage.
  • miR-223-3p regulates microglial activation and phenotype by targeting FOXO3a, thereby inhibiting inflammatory injury.
  • This pathway represents a potential therapeutic target for managing SAH-induced brain damage.

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