Exosomes derived from mesenchymal stromal cells exert a therapeutic effect on hypoxia-induced pulmonary hypertension by modulating the YAP1/SPP1 signaling pathway

Objective: Hypoxic pulmonary hypertension (HPH) is a progressive and life-threatening disease characterized by perivascular inflammation, pulmonary vascular remodeling, and occlusion. Mesenchymal stromal cell-derived exosomes (MSC-exo) have emerged as potential therapeutic agents due to their role i...

Full description

Bibliographic Details
Main Authors: Yao-Xin Chen, Zhi-Hua Deng, Xue-Gao, Qiang-Du, Juan-Yin, Guang-Hua Chen, Jun-Gen Li, Yi-Ming Zhao, Hao-Tian Zhang, Guo-Xing Zhang, Jin-Xian Qian
Format: Article
Language:English
Published: Elsevier 2023-12-01
Series:Biomedicine & Pharmacotherapy
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0753332223016141
_version_ 1797630572093243392
author Yao-Xin Chen
Zhi-Hua Deng
Xue-Gao
Qiang-Du
Juan-Yin
Guang-Hua Chen
Jun-Gen Li
Yi-Ming Zhao
Hao-Tian Zhang
Guo-Xing Zhang
Jin-Xian Qian
author_facet Yao-Xin Chen
Zhi-Hua Deng
Xue-Gao
Qiang-Du
Juan-Yin
Guang-Hua Chen
Jun-Gen Li
Yi-Ming Zhao
Hao-Tian Zhang
Guo-Xing Zhang
Jin-Xian Qian
author_sort Yao-Xin Chen
collection DOAJ
description Objective: Hypoxic pulmonary hypertension (HPH) is a progressive and life-threatening disease characterized by perivascular inflammation, pulmonary vascular remodeling, and occlusion. Mesenchymal stromal cell-derived exosomes (MSC-exo) have emerged as potential therapeutic agents due to their role in cell communication and the transportation of bioactive molecules. In this study, we aimed to investigate the therapeutic effects of MSC-exo against HPH and elucidate the underlying molecular mechanism. Methods: Exosomes were isolated from conditioned media of human bone mesenchymal stromal cells using ultracentrifugation and characterized through western blotting, transmission electron microscopy (TEM), and nanoparticle tracking analysis (NTA). An HPH animal model was established in male SD rats, and MSC-exo or phosphate-buffered saline (PBS) were administered via the tail vein for three weeks. Subsequently, right ventricular systolic pressure (RVSP), right ventricular hypertrophy index (RVHI), and pulmonary vascular remodeling were evaluated. Lung tissues from HPH rats and normal rats underwent high-throughput sequencing and transcriptomic analysis. Gene Ontology (GO) analysis was employed to identify upregulated differentially expressed genes. Additionally, rat pulmonary artery smooth muscle cells (PASMC) exposed to platelet-derived growth factor-BB (PDGF-BB) were used to simulate HPH-related pathological behavior. In vitro cellular models were established to examine the molecular mechanism of MSC-exo in HPH. Results: MSC-exo administration protected rats from hypoxia-induced increases in RVSP, RVHI, and pulmonary vascular remodeling. Additionally, MSC-exo alleviated PDGF-BB-induced proliferation and migration of PASMC. Transcriptomic analysis revealed 267 upregulated genes in lung tissues of HPH rats compared to control rats. Gene Ontology analysis indicated significant differences in pathways associated with Yes Associated Protein 1 (YAP1), a key regulator of cell proliferation and organ size. RT-qPCR and western blot analysis confirmed significantly increased expression of YAP1 in HPH lung tissues and PASMC, which was inhibited by MSC-exo treatment. Furthermore, analysis of datasets demonstrated that Secreted Phosphoprotein 1 (SPP1), also known as Osteopontin (OPN), is a downstream binding protein of YAP1 and can be upregulated by PDGF-BB. MSC-exo treatment reduced the expression of both YAP1 and SPP1. Lentivirus-mediated knockdown of YAP1 inhibited PDGF-BB-induced PASMC proliferation, migration, and SPP1 protein levels. Conclusion: Our findings demonstrate that MSC-exo exert a therapeutic effect against hypoxia-induced pulmonary hypertension by modulating the YAP1/SPP1 signaling pathway. The inhibition of YAP1 and downstream SPP1 expression by MSC-exo may contribute to the attenuation of pulmonary vascular remodeling and PASMC proliferation and migration. These results suggest that MSC-exo could serve as a potential therapeutic strategy for the treatment of HPH. Further investigations are warranted to explore the clinical applicability of MSC-exo-based therapies in HPH patients.
first_indexed 2024-03-11T11:10:04Z
format Article
id doaj.art-043d673269284c85bdba06d7003ade75
institution Directory Open Access Journal
issn 0753-3322
language English
last_indexed 2024-03-11T11:10:04Z
publishDate 2023-12-01
publisher Elsevier
record_format Article
series Biomedicine & Pharmacotherapy
spelling doaj.art-043d673269284c85bdba06d7003ade752023-11-12T04:39:25ZengElsevierBiomedicine & Pharmacotherapy0753-33222023-12-01168115816Exosomes derived from mesenchymal stromal cells exert a therapeutic effect on hypoxia-induced pulmonary hypertension by modulating the YAP1/SPP1 signaling pathwayYao-Xin Chen0Zhi-Hua Deng1 Xue-Gao2 Qiang-Du3 Juan-Yin4Guang-Hua Chen5Jun-Gen Li6Yi-Ming Zhao7Hao-Tian Zhang8Guo-Xing Zhang9Jin-Xian Qian10Department of Respiratory and Critical Care Medicine, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Gusu School, Nanjing Medical University, Suzhou, ChinaDepartment of Respiratory and Critical Care Medicine, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Gusu School, Nanjing Medical University, Suzhou, ChinaDepartment of Respiratory and Critical Care Medicine, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Gusu School, Nanjing Medical University, Suzhou, ChinaDepartment of Respiratory and Critical Care Medicine, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Gusu School, Nanjing Medical University, Suzhou, ChinaDepartment of Central Laboratory, Suzhou Municipal Hospital, Suzhou, ChinaDepartment of Hematology, the First Affiliated Hospital of Suzhou University, Jiangsu Hematology Institute, National Clinical Medical Research Center for Hematology, Suzhou, ChinaDepartment of Emergency Medicine, the First Affiliated Hospital of Suzhou University, Suzhou, ChinaDepartment of Hematology, the First Affiliated Hospital of Suzhou University, Jiangsu Hematology Institute, National Clinical Medical Research Center for Hematology, Suzhou, ChinaDepartment of Physiology and Neurosciences, Medical College of Soochow University, Suzhou, ChinaDepartment of Physiology and Neurosciences, Medical College of Soochow University, Suzhou, China; Correspondence to: Department of Physiology and Neurosciences, Medical College of Soochow University, 199 Ren-Ai Road, Dushu Lake Campus, Suzhou Industrial Park, Suzhou 215123, China.Department of Respiratory and Critical Care Medicine, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Gusu School, Nanjing Medical University, Suzhou, China; Correspondence to: Department of Respiratory and Critical Care Medicine, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Gusu School, Nanjing Medical University, Guanji Road 242, Gusu District, Suzhou 215008, China.Objective: Hypoxic pulmonary hypertension (HPH) is a progressive and life-threatening disease characterized by perivascular inflammation, pulmonary vascular remodeling, and occlusion. Mesenchymal stromal cell-derived exosomes (MSC-exo) have emerged as potential therapeutic agents due to their role in cell communication and the transportation of bioactive molecules. In this study, we aimed to investigate the therapeutic effects of MSC-exo against HPH and elucidate the underlying molecular mechanism. Methods: Exosomes were isolated from conditioned media of human bone mesenchymal stromal cells using ultracentrifugation and characterized through western blotting, transmission electron microscopy (TEM), and nanoparticle tracking analysis (NTA). An HPH animal model was established in male SD rats, and MSC-exo or phosphate-buffered saline (PBS) were administered via the tail vein for three weeks. Subsequently, right ventricular systolic pressure (RVSP), right ventricular hypertrophy index (RVHI), and pulmonary vascular remodeling were evaluated. Lung tissues from HPH rats and normal rats underwent high-throughput sequencing and transcriptomic analysis. Gene Ontology (GO) analysis was employed to identify upregulated differentially expressed genes. Additionally, rat pulmonary artery smooth muscle cells (PASMC) exposed to platelet-derived growth factor-BB (PDGF-BB) were used to simulate HPH-related pathological behavior. In vitro cellular models were established to examine the molecular mechanism of MSC-exo in HPH. Results: MSC-exo administration protected rats from hypoxia-induced increases in RVSP, RVHI, and pulmonary vascular remodeling. Additionally, MSC-exo alleviated PDGF-BB-induced proliferation and migration of PASMC. Transcriptomic analysis revealed 267 upregulated genes in lung tissues of HPH rats compared to control rats. Gene Ontology analysis indicated significant differences in pathways associated with Yes Associated Protein 1 (YAP1), a key regulator of cell proliferation and organ size. RT-qPCR and western blot analysis confirmed significantly increased expression of YAP1 in HPH lung tissues and PASMC, which was inhibited by MSC-exo treatment. Furthermore, analysis of datasets demonstrated that Secreted Phosphoprotein 1 (SPP1), also known as Osteopontin (OPN), is a downstream binding protein of YAP1 and can be upregulated by PDGF-BB. MSC-exo treatment reduced the expression of both YAP1 and SPP1. Lentivirus-mediated knockdown of YAP1 inhibited PDGF-BB-induced PASMC proliferation, migration, and SPP1 protein levels. Conclusion: Our findings demonstrate that MSC-exo exert a therapeutic effect against hypoxia-induced pulmonary hypertension by modulating the YAP1/SPP1 signaling pathway. The inhibition of YAP1 and downstream SPP1 expression by MSC-exo may contribute to the attenuation of pulmonary vascular remodeling and PASMC proliferation and migration. These results suggest that MSC-exo could serve as a potential therapeutic strategy for the treatment of HPH. Further investigations are warranted to explore the clinical applicability of MSC-exo-based therapies in HPH patients.http://www.sciencedirect.com/science/article/pii/S0753332223016141Hypoxic pulmonary hypertension (HPH)Mesenchymal Stem Cell (MSC)ExosomePulmonary artery smooth muscle cell (PASMC)ProliferationYAP1/SPP1 signaling pathway
spellingShingle Yao-Xin Chen
Zhi-Hua Deng
Xue-Gao
Qiang-Du
Juan-Yin
Guang-Hua Chen
Jun-Gen Li
Yi-Ming Zhao
Hao-Tian Zhang
Guo-Xing Zhang
Jin-Xian Qian
Exosomes derived from mesenchymal stromal cells exert a therapeutic effect on hypoxia-induced pulmonary hypertension by modulating the YAP1/SPP1 signaling pathway
Biomedicine & Pharmacotherapy
Hypoxic pulmonary hypertension (HPH)
Mesenchymal Stem Cell (MSC)
Exosome
Pulmonary artery smooth muscle cell (PASMC)
Proliferation
YAP1/SPP1 signaling pathway
title Exosomes derived from mesenchymal stromal cells exert a therapeutic effect on hypoxia-induced pulmonary hypertension by modulating the YAP1/SPP1 signaling pathway
title_full Exosomes derived from mesenchymal stromal cells exert a therapeutic effect on hypoxia-induced pulmonary hypertension by modulating the YAP1/SPP1 signaling pathway
title_fullStr Exosomes derived from mesenchymal stromal cells exert a therapeutic effect on hypoxia-induced pulmonary hypertension by modulating the YAP1/SPP1 signaling pathway
title_full_unstemmed Exosomes derived from mesenchymal stromal cells exert a therapeutic effect on hypoxia-induced pulmonary hypertension by modulating the YAP1/SPP1 signaling pathway
title_short Exosomes derived from mesenchymal stromal cells exert a therapeutic effect on hypoxia-induced pulmonary hypertension by modulating the YAP1/SPP1 signaling pathway
title_sort exosomes derived from mesenchymal stromal cells exert a therapeutic effect on hypoxia induced pulmonary hypertension by modulating the yap1 spp1 signaling pathway
topic Hypoxic pulmonary hypertension (HPH)
Mesenchymal Stem Cell (MSC)
Exosome
Pulmonary artery smooth muscle cell (PASMC)
Proliferation
YAP1/SPP1 signaling pathway
url http://www.sciencedirect.com/science/article/pii/S0753332223016141
work_keys_str_mv AT yaoxinchen exosomesderivedfrommesenchymalstromalcellsexertatherapeuticeffectonhypoxiainducedpulmonaryhypertensionbymodulatingtheyap1spp1signalingpathway
AT zhihuadeng exosomesderivedfrommesenchymalstromalcellsexertatherapeuticeffectonhypoxiainducedpulmonaryhypertensionbymodulatingtheyap1spp1signalingpathway
AT xuegao exosomesderivedfrommesenchymalstromalcellsexertatherapeuticeffectonhypoxiainducedpulmonaryhypertensionbymodulatingtheyap1spp1signalingpathway
AT qiangdu exosomesderivedfrommesenchymalstromalcellsexertatherapeuticeffectonhypoxiainducedpulmonaryhypertensionbymodulatingtheyap1spp1signalingpathway
AT juanyin exosomesderivedfrommesenchymalstromalcellsexertatherapeuticeffectonhypoxiainducedpulmonaryhypertensionbymodulatingtheyap1spp1signalingpathway
AT guanghuachen exosomesderivedfrommesenchymalstromalcellsexertatherapeuticeffectonhypoxiainducedpulmonaryhypertensionbymodulatingtheyap1spp1signalingpathway
AT jungenli exosomesderivedfrommesenchymalstromalcellsexertatherapeuticeffectonhypoxiainducedpulmonaryhypertensionbymodulatingtheyap1spp1signalingpathway
AT yimingzhao exosomesderivedfrommesenchymalstromalcellsexertatherapeuticeffectonhypoxiainducedpulmonaryhypertensionbymodulatingtheyap1spp1signalingpathway
AT haotianzhang exosomesderivedfrommesenchymalstromalcellsexertatherapeuticeffectonhypoxiainducedpulmonaryhypertensionbymodulatingtheyap1spp1signalingpathway
AT guoxingzhang exosomesderivedfrommesenchymalstromalcellsexertatherapeuticeffectonhypoxiainducedpulmonaryhypertensionbymodulatingtheyap1spp1signalingpathway
AT jinxianqian exosomesderivedfrommesenchymalstromalcellsexertatherapeuticeffectonhypoxiainducedpulmonaryhypertensionbymodulatingtheyap1spp1signalingpathway