M2 macrophage-secreted exosomal miR-216a regulates microglial polarization by targeting the HMGB1/TLR4/NF-κB pathway

Shilin Cao1, Haihe Yang2, Peiyao Li1

  • 1Department of Pain, First Affiliated Hospital of Kunming Medical University Kunming 650000, Yunnan, China.

Abstract

Insights

M2 macrophage-derived exosomes show therapeutic potential for bone cancer pain (BCP). Exosomal miR-216a delays BCP by targeting HMGB1/TLR4/NF-κB, promoting anti-inflammatory M2 microglial polarization.

Area of Science:

  • Cell Biology
  • Neuroscience
  • Oncology

Background:

  • Bone cancer pain (BCP) poses a significant clinical challenge.
  • Exosomes derived from M2 macrophages (M2-exos) are emerging as potential therapeutic agents.
  • Understanding the mechanisms of M2-exos in BCP is crucial for developing effective treatments.

Purpose of the Study:

  • To investigate the therapeutic effects of M2-exos on bone cancer pain (BCP).
  • To elucidate the underlying mechanisms of M2-exos in BCP models, focusing on microglial polarization.

Main Methods:

  • M2-polarized macrophages were generated and their exosomes (M2-exos) characterized.
  • In vitro and in vivo models of BCP were established, involving BV2 microglia and a mouse model.
  • M2-exos were administered, and their effects on microglial activation, neuroinflammation, and pain behaviors were assessed using various assays and techniques.

Main Results:

  • M2-exos administration repolarized microglia to an anti-inflammatory M2 phenotype in vitro and reduced neuroinflammation in vivo.
  • miR-216a, enriched in M2-exos, was identified as a key mediator, delivering into microglia and blocking its function abolished therapeutic effects.
  • Mechanistically, miR-216a targets HMGB1, inhibiting the TLR4/NF-κB pathway and promoting M2 microglial polarization, thereby delaying BCP progression.

Conclusions:

  • M2 macrophage-derived exosomal miR-216a demonstrates significant therapeutic potential for delaying bone cancer pain progression.
  • The mechanism involves targeting HMGB1 and the TLR4/NF-κB pathway to induce M2 microglial polarization, reducing neuroinflammation.
  • These findings highlight M2-exos as a promising cell-free therapy for managing bone cancer pain.