Engineered Akkermansia muciniphila extracellular vesicles for targeted delivery of miR-21-5p alleviate postmenopausal

Ning Ji1,2,3, Jing Zhao1,2,3, Yingrui Mao4

  • 1Institute of Translational Medicine, Organoid Research Center, Shanghai University, Shanghai, 200444, China.

Abstract

Insights

Engineered bacterial extracellular vesicles (BEVs) from Akkermansia muciniphila target bone, delivering miR-21-5p to treat osteoporosis by promoting bone formation and inhibiting bone loss. This gut-bone axis approach offers a novel therapeutic strategy.

Area of Science:

  • Biomaterials Science
  • Molecular Biology
  • Translational Medicine

Background:

  • Osteoporosis (OP) is a metabolic bone disease characterized by low bone density and impaired structure.
  • Current OP treatments face limitations due to non-specific targeting and toxicity.
  • The gut-bone axis offers a novel therapeutic avenue, leading to the development of engineered bacterial extracellular vesicles (BEVs) from probiotic Akkermansia muciniphila (AKK).

Purpose of the Study:

  • To develop an engineered bacterial extracellular vesicle (BEV) system for targeted osteoporosis therapy.
  • To elucidate the molecular mechanism underlying the therapeutic effects of BEVs in the context of the gut-bone axis.
  • To evaluate the efficacy of engineered BEVs in an in vivo osteoporosis model.

Main Methods:

  • Engineered bacterial extracellular vesicles (BEVs) from Akkermansia muciniphila (AKK) were developed and decorated with a bone-targeting peptide (BT-AKK-EVs).
  • MiRNA sequencing and functional assays were performed to identify key effector molecules.
  • The PI3K-AKT signaling pathway was investigated for its role in osteogenesis and osteoclastogenesis.
  • Therapeutic efficacy was assessed in ovariectomized mice.

Main Results:

  • Engineered BEVs (BT-AKK-EVs) successfully targeted bone tissues.
  • MiR-21-5p was identified as a crucial molecule enriched in AKK-EVs.
  • BT-AKK-EVs promoted osteogenic differentiation and inhibited osteoclastogenesis via the PI3K-AKT pathway.
  • Systemic administration of BT-AKK-EVs significantly alleviated bone loss in vivo.

Conclusions:

  • Engineered probiotic BEVs represent a safe and effective platform for targeted bone therapy.
  • Vesicle-packaged microRNAs (miRNAs) mediate gut-bone communication, offering a novel therapeutic mechanism.
  • This approach provides a transformative strategy for treating metabolic bone disorders like osteoporosis.