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MiR-146a-armed exosomes reverse immunosuppressive networks in NSCLC by dual-targeting of MYD88/STAT3 and PD-L1 axes
Mina Alimohammadi1, Safa Tahmasebi1, Davar Amani1
1Department of Immunology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Background:
MiR-146a has been found to be a tumor suppressor and is downregulated in NSCLC cells. This study investigated the effects of delivering miR-146a via tumor-derived exosomes (TEX-MiR-146a) on the behavior of malignant cells and immunological modulation in NSCLC models.
Methods:
miR-146a expression was evaluated in A-549 and normal MRC-5 lung epithelial cells. Exosomes were isolated from A-549 cells, loaded with a miR-146a mimic, and characterized for size, morphology, surface markers, and loading efficiency. In vitro, the functional effects of TEXmiR-146a were compared to controls using tests for cell survival, apoptosis, migration, invasion, wound healing, colony formation, and gene expression. Co-culture immunological assays, including T cell subset and cytokine profiling, were also performed using patient-derived peripheral blood mononuclear cells (PBMCs).
Results:
TEXmiR-146a efficiently loaded miR-146a into cells (60.1 % ± 4.0 efficiency, P < 0.0001). Treatment with TEXmiR-146a (25 μg/ml) significantly reduced the viability of A-549 cells by ∼51 % after 48 h (P < 0.0001). Cell migration and invasion were inhibited by >50 %, with migrating cells reduced to 116.7 ± 7.09 (P < 0.001) and invading cells to 171.7 ± 6.028 (P < 0.001), respectively, compared to controls. Pro-apoptotic genes Bax/Bcl-2 (P = 0.0002) and Caspase-3 were upregulated (P = 0.0003), while metastatic and immunoregulatory genes VEGF-A, MMP-9, STAT3, MYD88, and PD-L1 were downregulated (all P < 0.05). In patient PBMCs, TEXmiR-146a increased the frequency of cytotoxic CD8+ T cells (24.75 ± 1.23 % versus 20.15 ± 1.26 %, P < 0.0001) and decreased Treg cells (2.01 ± 1.22 % versus 4.04 ± 1.72 %, P = 0.015) compared to the TEX group, alongside a significant reduction in TGF-β (P = 0.01).
Conclusion:
Exosomal delivery of miR-146a effectively restores tumor suppressor functions and reverses immunosuppressive networks in NSCLC by dual-targeting key oncogenic and immunomodulatory axes, presenting a potent cell-free immunotherapeutic strategy.
Insights
Tumor-derived exosomes loaded with miR-146a (TEX-MiR-146a) suppress non-small cell lung cancer (NSCLC) progression. This novel immunotherapy approach also modulates the immune microenvironment, enhancing anti-tumor responses.
Area of Science:
- Oncology
- Immunology
- Biotechnology
Background:
- MicroRNA-146a (miR-146a) acts as a tumor suppressor, but its expression is reduced in non-small cell lung cancer (NSCLC).
- This study explores the therapeutic potential of delivering miR-146a using tumor-derived exosomes (TEX-MiR-146a) in NSCLC models.
Purpose of the Study:
- To investigate the efficacy of exosomal miR-146a delivery in inhibiting NSCLC cell behavior.
- To evaluate the immunomodulatory effects of TEX-MiR-146a on the tumor microenvironment.
Main Methods:
- miR-146a mimic loaded into A-549 cell-derived exosomes (TEXmiR-146a).
- In vitro assays assessed cancer cell viability, apoptosis, migration, invasion, and gene expression.
- Co-culture assays with patient PBMCs evaluated T cell subsets and cytokine profiles.
Main Results:
- TEXmiR-146a significantly reduced NSCLC cell viability, migration, and invasion.
- Treatment upregulated pro-apoptotic genes and downregulated key metastatic and immunoregulatory genes (VEGF-A, MMP-9, STAT3, MYD88, PD-L1).
- TEXmiR-146a increased cytotoxic CD8+ T cells and decreased regulatory T cells and TGF-β in patient PBMCs.
Conclusions:
- Exosomal delivery of miR-146a effectively restores tumor suppressor functions in NSCLC.
- This strategy reverses immunosuppressive networks by targeting oncogenic and immunomodulatory pathways.
- TEX-MiR-146a represents a promising cell-free immunotherapeutic approach for NSCLC.
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