Exosomal miR-132-3p derived from M1 macrophages mediates diffuse alveolar haemorrhage in systemic lupus erythematosus

Xun Chen1, Jun Xie1, Fuce Lu1

  • 1Department of Pediatrics, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China.

PubMed
Abstract

Insights

Exosomal miR-132-3p from M1 macrophages drives lung injury in systemic lupus erythematosus (SLE)-associated diffuse alveolar hemorrhage (DAH). Targeting this microRNA offers a potential new therapy for SLE-DAH.

Area of Science:

  • Immunology
  • Molecular Biology
  • Pulmonary Medicine

Background:

  • Systemic lupus erythematosus (SLE) can lead to diffuse alveolar hemorrhage (DAH), a severe pulmonary complication.
  • The role of specific microRNAs, such as miR-132-3p, in SLE-DAH pathogenesis remains incompletely understood.

Purpose of the Study:

  • To investigate the contribution of exosomal miR-132-3p derived from M1 macrophages to SLE-associated DAH.
  • To elucidate the underlying molecular mechanisms, including its impact on alveolar barrier integrity and inflammatory signaling.

Main Methods:

  • Established a pristane-induced murine model of SLE-DAH.
  • Utilized in vitro studies with human alveolar epithelial cells (A549) and pulmonary microvascular endothelial cells (HPMECs).
  • Administered miR-132-3p antagomirs/inhibitors or mimics and assessed barrier function, inflammation, and apoptosis via molecular and cellular assays.

Main Results:

  • Pristane-induced SLE-DAH mice showed lung injury, inflammation, and altered cytokine profiles, which were ameliorated by miR-132-3p antagomir.
  • Exosomal miR-132-3p was upregulated and contributed to impaired alveolar barrier integrity, increased permeability, and apoptosis.
  • miR-132-3p directly targeted SIRT1, suppressing it and activating the NF-κB signaling pathway.

Conclusions:

  • Exosomal miR-132-3p from M1 macrophages exacerbates lung injury in SLE-DAH by disrupting alveolar barrier integrity and promoting inflammation via the SIRT1/NF-κB pathway.
  • Inhibition of miR-132-3p presents a promising therapeutic strategy for SLE-associated DAH.

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