Platelet-Derived Exosomal miR-142-3p Inhibits Macrophage M1 Polarization and PANoptosis to Alleviate Acute Lung

Man Zhao1, Quanzhao He1, Ziyuan Wang2

  • 1Department of Critical Care Medicine, Peking University Third Hospital, Beijing100191, China.

Insights

Activated platelet-derived exosomes (AP-exos) reduce lung inflammation and injury in acute lung injury by suppressing macrophage M1 polarization and PANoptosis via the miR-142-3p/T120B/MAPK pathway.

Area of Science:

  • Pulmonary Medicine
  • Immunology
  • Cell Biology

Background:

  • Acute lung injury/acute respiratory distress syndrome (ALI/ARDS) is a severe inflammatory lung condition with limited treatment options.
  • Platelet-derived exosomes (PLT-exos) show potential therapeutic benefits due to their anti-inflammatory properties and targeting capabilities.
  • The precise mechanisms of PLT-exos in ALI/ARDS pathogenesis are not fully understood.

Purpose of the Study:

  • To investigate the therapeutic effects and underlying mechanisms of activated platelet-derived exosomes (AP-exos) in a lipopolysaccharide (LPS)-induced ALI model.
  • To explore the role of miR-142-3p and its downstream targets in AP-exos-mediated protection against ALI/ARDS.

Main Methods:

  • Established a lipopolysaccharide (LPS)-induced ALI model in murine and cell cultures.
  • Investigated the uptake of AP-exos by lung macrophages and their effects on M1 polarization and PANoptosis.
  • Analyzed the involvement of the MAPK pathway, miR-142-3p, and TMEM120B (T120B) in the therapeutic mechanism.

Main Results:

  • AP-exos were preferentially taken up by lung macrophages, suppressing M1 polarization and PANoptosis, thereby reducing lung inflammation and injury.
  • The protective effects were linked to the inhibition of the MAPK pathway.
  • miR-142-3p, enriched in AP-exos, partially mediated the protective effects, and its plasma levels correlated negatively with ARDS severity. TMEM120B was identified as a downstream target of miR-142-3p.

Conclusions:

  • Activated platelet-derived exosomes exert protective effects against ALI/ARDS by inhibiting macrophage M1 polarization and PANoptosis.
  • The miR-142-3p/T120B/MAPK axis is a key mechanism underlying the therapeutic action of AP-exos in ALI/ARDS.
  • Plasma exosomal miR-142-3p may serve as a potential biomarker for predicting ARDS severity.

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