Exosomal delivery of METTL3 promotes M1 macrophage polarization by inducing miR-155-5p maturation via m6A

Xinyu Wu1, Hongbo Gong1, Jie Zhang1

  • 1Basic Medical Experimental Teaching Center, Institute of Basic Medicine, North Sichuan Medical College, Sichuan, Nanchong, China.

Annals of Medicine
|July 31, 2026
PubMed
Abstract

Insights

Exosomes drive M1 macrophage polarization via methyltransferase-like 3 (METTL3)-mediated N6-methyladenosine (m6A) modification of miR-155-5p. This process activates inflammatory pathways, offering potential therapeutic targets for inflammation and cancer immunotherapy.

Area of Science:

  • Immunology
  • Epigenetics
  • Molecular Biology

Background:

  • Macrophage polarization is crucial for immune responses and is influenced by epigenetic regulators and exosome-transported microRNAs.
  • The precise mechanisms by which exosomes modulate macrophage polarization, particularly M1 phenotype induction, remain incompletely understood.

Purpose of the Study:

  • To investigate the role of exosomes in regulating miR-155-5p maturation through methyltransferase-like 3 (METTL3)-mediated N6-methyladenosine (m6A) modification.
  • To determine if this exosome-mediated pathway drives M1 macrophage polarization and explore its potential as a therapeutic target for inflammatory diseases and tumor immunotherapy.

Main Methods:

  • THP-1 cells were differentiated into M0 macrophages and polarized to M1 phenotype using LPS and IFN-γ.
  • Exosomes were isolated and characterized; METTL3 and miR-155-5p levels were manipulated within exosomes delivered to recipient macrophages or injected into mice.
  • Macrophage polarization markers, cytokine levels, and signaling pathway activation (NLRP3/TLR4/caspase-1) were assessed using techniques including flow cytometry, ELISA, RT-qPCR, and western blotting.

Main Results:

  • Overexpression of METTL3 in exosomes increased m6A modification and promoted M1 macrophage polarization, evidenced by elevated CD86, iNOS, HLA-DR, IL-1β, IL-6, TNF-α, IL-18, NLRP3, TLR4, and caspase-1 expression.
  • Conversely, METTL3 knockdown led to decreased M1 markers and increased M2 markers.
  • miR-155-5p levels were directly correlated with METTL3-mediated m6A modification and M1 polarization, with direct intervention confirming its regulatory role. In vivo studies corroborated these findings.

Conclusions:

  • Exosomes facilitate miR-155-5p maturation via METTL3-mediated m6A modification, subsequently activating the NLRP3/TLR4/caspase-1 pathway.
  • This exosome-driven mechanism promotes M1 macrophage polarization and exacerbates inflammatory responses.
  • The identified pathway presents novel therapeutic targets for managing inflammation and advancing tumor immunotherapy.

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