Bone Marrow Mesenchymal Stem Cell-Derived Exosomes microRNA-31-5p Repress Pulmonary Fibrosis via IGFBP7

Lingrui Zhang1, Ke Qiu1, Chenchen Zhang2

  • 1School of Nursing and Health Care, Leshan Vocational and Technical College, Leshan, China.

Human Gene Therapy
|August 18, 2025
PubMed

Insights

Bone marrow mesenchymal stem cell-derived exosomes (BMSCs-Exos) deliver microRNA-31-5p (miR-31-5p) to treat pulmonary fibrosis (PF). This microRNA targets IGFBP7, reducing fibrosis and inflammation in mice.

Area of Science:

  • Regenerative Medicine
  • Molecular Biology
  • Pulmonary Medicine

Background:

  • Pulmonary fibrosis (PF) is a debilitating lung disease with limited treatment options.
  • Bone marrow mesenchymal stem cell-derived exosomes (BMSCs-Exos) show therapeutic promise for PF due to their molecular cargo.
  • The specific mechanisms by which BMSCs-Exos exert their effects in PF require further elucidation.

Purpose of the Study:

  • To investigate the role of microRNA-31-5p (miR-31-5p), carried by BMSCs-Exos, in the pathogenesis and treatment of pulmonary fibrosis.
  • To determine if miR-31-5p modulates Insulin-like Growth Factor Binding Protein 7 (IGFBP7) in the context of PF.
  • To evaluate the therapeutic potential of BMSCs-Exos and miR-31-5p in a bleomycin-induced mouse model of PF.

Main Methods:

  • Pulmonary fibrosis was induced in C57BL/6 mice using bleomycin (BLM).
  • Pulmonary function tests and histological examination of lung tissues were performed.
  • BMSCs were isolated, identified, and BMSCs-Exos were characterized using transmission electron microscopy and surface marker analysis.
  • The expression levels of miR-31-5p and IGFBP7 were measured, and their targeting relationship was assessed.
  • Mice were treated with BMSCs-Exos, and the effects of miR-31-5p and IGFBP7 overexpression were evaluated.

Main Results:

  • BLM-induced PF in mice resulted in impaired pulmonary function, increased lung collagen deposition, and elevated levels of pro-inflammatory cytokines (TNF-α, IL-1β, IL-6).
  • BMSCs-Exos treatment attenuated BLM-induced PF, improving lung function and reducing fibrotic markers.
  • BMSCs-Exo-derived miR-31-5p was found to directly target and downregulate both the transcript and protein levels of IGFBP7.
  • Overexpression of IGFBP7 reversed the protective effects of miR-31-5p on PF.

Conclusions:

  • BMSCs-Exos ameliorate pulmonary fibrosis development in mice.
  • The therapeutic effect of BMSCs-Exos in PF is mediated, at least in part, by the delivery of miR-31-5p.
  • miR-31-5p exerts its antifibrotic effects by repressing IGFBP7 expression, highlighting a novel therapeutic pathway for PF.