Mesenchymal Stem Cell-Extracellular Vesicles Deliver MicroRNAs That Prevent Nerve Growth Factor-Induced Sensory

Lanhui Qiu1, Paula-Milan Rois2, Tuğdem Muslu-Ufuk3

  • 1Department of Pharmacology, University of Cambridge, Cambridge CB2 1PD, United Kingdom.

Insights

Mesenchymal stem cell extracellular vesicles (MSC-EVs) prevent osteoarthritis pain by regulating sensory neuron sensitization. This effect requires MSC-EV internalization and transcriptional changes mediated by specific microRNAs, highlighting a novel therapeutic mechanism.

Area of Science:

  • Neuroscience
  • Cell Biology
  • Biomedical Engineering

Background:

  • Osteoarthritis (OA) is a global health issue characterized by pain, affecting 600 million people.
  • Mesenchymal stem cells (MSCs) and their extracellular vesicles (MSC-EVs) show promise for managing OA pain.
  • MSC-EVs have demonstrated the ability to reduce OA-induced pain and normalize sensory neuron excitability in preclinical models.

Purpose of the Study:

  • To elucidate the mechanism by which MSC-EVs prevent nerve growth factor (NGF)-induced sensitization of sensory neurons.
  • To investigate the role of MSC-EV internalization and transcriptional regulation in pain modulation.
  • To identify specific microRNAs within MSC-EVs responsible for counteracting NGF-induced sensitization.

Main Methods:

  • Experiments were conducted using male and female C57BL/6J mice.
  • Protease-mediated 'shaving' of MSC-EVs was used to assess the necessity of internalization.
  • Inhibition of transcription and gold nanoparticle-mediated delivery of candidate microRNAs (miRNAs) were employed to study miRNA function.

Main Results:

  • Protease treatment of MSC-EVs inhibited their internalization into sensory neurons and blocked the prevention of NGF-induced sensitization.
  • Short-term (10-minute) exposure to MSC-EVs was insufficient to prevent NGF sensitization.
  • Inhibition of transcription prevented NGF-induced sensitization, and specific miRNAs (miR-21-5p, miR-148a-3p, miR-451a) delivered via gold nanoparticles could individually prevent sensitization, with a combination showing the strongest effect.

Conclusions:

  • MSC-EVs prevent NGF-induced sensory neuron sensitization through a mechanism involving cellular uptake and transcriptional regulation.
  • MicroRNAs encapsulated within MSC-EVs play a critical role in mediating these anti-sensitization effects.
  • A specific miRNA cocktail, particularly miR-21-5p, holds potential for therapeutic development in OA pain management.