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Bai Xiaozhi,Tao Ke,Liu Yang,et al.Effects and underlying mechanism of exosomes of adipose-derived mesenchymal stem cells on acute lung injury of septic mice[J].Chin J Burns Wounds,2024,40(12):1-10.DOI: 10.3760/cma.j.cn501225-20240927-00355.
Citation: Bai Xiaozhi,Tao Ke,Liu Yang,et al.Effects and underlying mechanism of exosomes of adipose-derived mesenchymal stem cells on acute lung injury of septic mice[J].Chin J Burns Wounds,2024,40(12):1-10.DOI: 10.3760/cma.j.cn501225-20240927-00355.

Effects and underlying mechanism of exosomes of adipose-derived mesenchymal stem cells on acute lung injury of septic mice

doi: 10.3760/cma.j.cn501225-20240927-00355
Funds:

General Program of National Natural Science Foundation of China 82272269

  • Received Date: 2024-09-27
    Available Online: 2024-12-02
  •   Objective  To explore effects and underlying mechanism of exosomes of adipose-derived mesenchymal stem cells (ADSC) on acute lung injury of septic mice.  Methods  The study was an experimental study. ADSC of passages 4-5 were selected, and exosomes in their supernatant were isolated and extracted by differential ultracentrifugation. Exosomes were then used after identification. Twenty-four adult male BALB/c mice were selected and divided into control group, simple cecal ligation and puncture (CLP) group, and CLP+ADSC-exosome group according to the random number table method (the grouping method was the same as below), with 8 mice in each group, which were treated accordingly. At 24 hours after injury, hematoxylin-eosin staining was used to observe the morphology of lung tissues, the in-situ end-labeling method was used to detect the apoptosis of lung tissue cells, the enzyme-linked immunosorbent assay was used to detect the levels of tumor necrosis factor-α (TNF-α) and interleukin-1β (IL-1β) in the serum of mice, relevant kits were used to detect the contents of malondialdehyde and superoxide dismutase (SOD) in lung tissues, and immunofluorescence method was used to detect the expressions of CD86 and CD206 in lung tissue cells of mice. Mouse macrophage RAW246.7 was taken and divided into control group, simple LPS group, and LPS+ADSC-exosome group, which were treated accordingly. Twelve hours later, the ATP content, the percentage of mitochondrial ROS positive cells, as well as mitochondrial membrane potential in cells were detected by related detection kits. The real-time fluorescence quantitative reverse-ranscription PCR method was used to detect the mRNA expression levels of M1 polarization marker factor inducible nitric oxide synthase (iNOS), M2 polarization marker factor arginase-1 (Arg1), and inflammatory factors TNF-α and IL-1β in cells. Three samples were used for mRNA expression detection, and four samples were used for the detection of other indicators.  Results  At 24 hours after injury, the lung tissue structure of mice in control group was clear and intact without inflammatory cell infiltration. Compared with that in control group, the lung tissue edema as well as the inflammatory cell infiltration of mice was much more obvious in simple CLP group. However, compared with that in simple CLP group, the lung tissue edema in CLP+ADSC-exosome group mice was significantly alleviated, the inflammatory cell infiltration was significantly reduced, and the cell apoptosis and necrosis were significantly improved. Twenty-four hours after injury, compared with that in control group, the contents of TNF-α and IL-1β in the serum of mice in simple CLP group were significantly increased (with t values of 50.82 and 30.81, respectively, P<0.05); compared with that in simple CLP group, the contents of TNF-α and IL-1β in the serum of mice in CLP+ADSC-exosome group were significantly decreased (with t values of 16.36 and 19.25, respectively, P<0.05). Compared with that in control group, the content of malondialdehyde in the lung tissue of mice in simple CLP group was significantly increased (t=9.89, P<0.05), and the content of SOD was significantly decreased (t=5.01, P<0.05); compared with that in simple CLP group, the content of malondialdehyde in the lung tissue of mice in CLP+ADSC-exosome group was significantly decreased (t=4.38, P<0.05), and the content of SOD was significantly increased (t=2.97, P<0.05). Twenty-four hours after injury, compared with that in control group, the number of CD86 positive cells in the lung tissue of mice in simple CLP group was significantly increased, and the number of CD206 positive cells was significantly decreased; compared with that in simple CLP group, the number of CD86 positive cells in the lung tissue of mice in CLP+ADSC-exosome group was significantly decreased, and the number of CD206 positive cells was significantly increased. After 12 hours of culture, compared with that in control group, the ATP content of RAW246.7 cells in simple LPS group was significantly decreased (t=6.28, P<0.05); compared with that in simple LPS group, the ATP content of RAW246.7 cells in LPS+ADSC-exosome group was significantly increased (t=4.01, P<0.05). After 12 hours of culture, compared with 22%±4% in blank control group, 40%±6% of positive cells of mitochondrial reactive oxygen species in RAW246.7 cells in simple LPS group was significantly increased (t=5.04, P<0.05); Compared with that in LPS group, 30%±5% of positive cells of mitochondrial reactive oxygen species in RAW246.7 cells in LPS+ADSC-exosome group was significantly decreased (t=2.65, P<0.05). After 12 hours of culture, compared with that in control group, the mRNA expressions of TNF-α, IL-1β, and iNOS in RAW246.7 cells in simple LPS group were significantly increased (with t values of16.51, 31.04, and 7.70, respectively, P<0.05), and the decrease in the mRNA expression of Arg1 was not statistically significant (P>0.05); compared with that in simple LPS group, the mRNA expressions of TNF-α, IL-1β, and iNOS in RAW246.7 cells in LPS+ADSC-exosome group were significantly decreased (with t values of 11.38, 22.58, and 5.28, respectively, P<0.05), and the mRNA expression of Arg1 was significantly increased (t=7.66, P<0.05).  Conclusions  Human ADSC-exosomes may play a role in improving lung injury in septic mice by improving LPS-induced mitochondrial dysfunction in RAW246.7 cells, inhibiting macrophage polarization to M1, and reducing the inflammatory response.

     

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