Exosomal MiR-223-3p from Adipose-Derived Stem Cells Alleviates Hypoxia/Reoxygenation-Induced Ferroptosis of H9c2

Zhuyuan Liu1, Yanru He1, Chunshu Hao1

  • 1Department of Cardiology, Zhongda Hospital, Southeast University.

PubMed

Insights

Adipose-derived stem cell exosomes carrying microRNA-223-3p protect heart cells from injury. This study shows exosomal miR-223-3p alleviates hypoxia/reoxygenation-induced ferroptosis by targeting transferrin receptor, offering a new treatment pathway for myocardial ischemia-reperfusion injury.

Area of Science:

  • Cardiovascular Biology
  • Stem Cell Biology
  • Exosome Biology

Background:

  • Myocardial ischemia-reperfusion injury (MI/RI) causes cardiac dysfunction.
  • Stem cell-derived exosomes show therapeutic potential for MI/RI.
  • The specific role of microRNA-223-3p (miR-223-3p) in adipose-derived stem cell exosomes (ADSC-Exo) for MI/RI is not fully understood.

Purpose of the Study:

  • To investigate the effects of exosomal miR-223-3p from ADSCs on hypoxia/reoxygenation (H/R)-induced H9c2 cell injury.
  • To determine the underlying mechanism involving transferrin receptor (TFRC).

Main Methods:

  • Characterization of ADSC-Exo (morphology, size, surface markers CD9/CD63).
  • Assessment of H9c2 cell viability, proliferation, apoptosis, reactive oxygen species (ROS), glutathione (GSH), malondialdehyde (MDA), and Fe2+ levels.
  • Manipulation of miR-223-3p and TFRC expression in ADSC-Exo and H9c2 cells.
  • Bioinformatic analysis and experimental validation of miR-223-3p targeting TFRC.

Main Results:

  • ADSC-Exo enhanced H9c2 cell viability, proliferation, GSH, GPX4, and miR-223-3p levels, while reducing apoptosis, ROS, MDA, Fe2+, ACSL4, and TFRC.
  • Overexpression of exosomal miR-223-3p from ADSCs amplified these protective effects.
  • Overexpression of TFRC in H9c2 cells reversed the benefits of miR-223-3p overexpressing ADSC-Exo.
  • miR-223-3p was confirmed to directly target and downregulate TFRC.

Conclusions:

  • Exosomal miR-223-3p derived from ADSCs mitigates H/R-induced ferroptosis in H9c2 cells.
  • This protective effect is mediated by the inhibition of TFRC.
  • Exosomal miR-223-3p targeting TFRC presents a novel therapeutic strategy for MI/RI.

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