HucMSC-sEV-derived miR-320d alleviates IBD by inhibiting macrophage ferroptosis through m6A-mediated BCAT2

Naijian Wang1, Jintao Yuan2, Xiu Wang3

  • 1Department of Laboratory Medicine, Affiliated People's Hospital, Jiangsu University, Zhenjiang 212002, Jiangsu, PR China; Department of Laboratory Medicine, Affiliated Hospital of Nantong University, Nantong 226001, Jiangsu, PR China.

Bioorganic Chemistry
|April 2, 2026
PubMed

Insights

Human umbilical cord mesenchymal stem cell-derived exosomes (hucMSC-sEV) alleviate inflammatory bowel disease (IBD) by regulating N6-methyladenosine (m6A) modification. This process inhibits macrophage ferroptosis and reduces inflammation, offering a new therapeutic avenue for IBD.

Area of Science:

  • Epigenetics and RNA biology
  • Immunology and Inflammation
  • Cell biology and extracellular vesicles

Background:

  • N6-methyladenosine (m6A) modification is a key post-transcriptional regulator implicated in inflammatory bowel disease (IBD) pathogenesis.
  • Human umbilical cord mesenchymal stem cell-derived exosomes (hucMSC-sEV) are known to mitigate IBD by modulating immune responses.
  • The precise role of m6A modification in hucMSC-sEV-mediated IBD treatment remains largely unexplored.

Purpose of the Study:

  • To investigate the involvement of m6A modification in the therapeutic effects of hucMSC-sEV on IBD.
  • To elucidate the molecular mechanisms by which hucMSC-sEV influences m6A levels and inflammatory responses in macrophages.
  • To identify key molecular targets and pathways mediating the anti-inflammatory effects of hucMSC-sEV in IBD.

Main Methods:

  • Analysis of m6A modification levels in macrophages treated with hucMSC-sEV.
  • Investigation of the expression of m6A-related enzymes (ALKBH5, YTHDF2) and their binding to target mRNAs.
  • Identification of downstream targets, such as Branched chain amino acid transaminase 2 (BCAT2), and assessment of ferroptosis inhibition.
  • Characterization of microRNA (miR-320d) content in hucMSC-sEV and its regulatory role on target genes.

Main Results:

  • hucMSC-sEV treatment modulated m6A modification levels in macrophages, reducing the expression of m6A eraser ALKBH5 and reader YTHDF2.
  • BCAT2 was identified as a key target, with hucMSC-sEV-mediated m6A modification inhibiting ferroptosis in macrophages by promoting BCAT2 expression.
  • miR-320d, enriched in hucMSC-sEV, was found to target both ALKBH5 and YTHDF2, thereby enhancing BCAT2 expression and suppressing macrophage ferroptosis.
  • hucMSC-sEV delivery of miR-320d led to increased BCAT2 m6A modification and expression, ultimately inhibiting macrophage ferroptosis and alleviating inflammation.

Conclusions:

  • hucMSC-sEV exerts therapeutic effects in IBD by delivering miR-320d, which enhances BCAT2 m6A modification and expression.
  • This mechanism inhibits macrophage ferroptosis and reduces inflammation, providing a novel insight into exosome-based IBD therapy.
  • The findings support the potential of engineered exosomes for targeted IBD treatment by modulating epigenetic mechanisms.