Small extracellular vesicles derived from miRNA-486 overexpressed dental pulp stem cells mitigate high altitude pulmonary edema through PTEN/PI3K/AKT/eNOS pathway

High altitude pulmonary edema (HAPE) is a life-threatening, non-cardiogenic pulmonary edema characterized by rapid onset and high mortality. Extracellular vesicles of mesenchymal stem cells are used in the treatment of a variety of lung diseases, but their use in HAPE remains underreported. This stu...

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Main Authors: Changyao Wang, Zhuang Mao, Drolma Gomchok, Xue Li, Huifang Liu, Jingyuan Shao, Hu Cao, Guanzhen Xue, Lin Lv, Junzhao Duan, Tana Wuren, Hua Wang
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Heliyon
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Online Access:http://www.sciencedirect.com/science/article/pii/S2405844025003408
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author Changyao Wang
Zhuang Mao
Drolma Gomchok
Xue Li
Huifang Liu
Jingyuan Shao
Hu Cao
Guanzhen Xue
Lin Lv
Junzhao Duan
Tana Wuren
Hua Wang
author_facet Changyao Wang
Zhuang Mao
Drolma Gomchok
Xue Li
Huifang Liu
Jingyuan Shao
Hu Cao
Guanzhen Xue
Lin Lv
Junzhao Duan
Tana Wuren
Hua Wang
author_sort Changyao Wang
collection DOAJ
description High altitude pulmonary edema (HAPE) is a life-threatening, non-cardiogenic pulmonary edema characterized by rapid onset and high mortality. Extracellular vesicles of mesenchymal stem cells are used in the treatment of a variety of lung diseases, but their use in HAPE remains underreported. This study explores the therapeutic potential of miRNA-486 modified extracellular vesicles from dental pulp stem cells (sEVmiR−486) against HAPE, aiming to decipher the associated molecular mechanisms. The rat HAPE model was established by exposing subjects to a simulated high-altitude, low-oxygen environment within a specialized chamber. The HAPE-afflicted rats received sEVNull and sEVmiR−486 intravenously, and the therapeutic effect was assessed through histopathological analysis, pulmonary artery pressure, lung water content, as well as markers of oxidative stress and inflammation. To supplement in vivo findings, pulmonary microvascular endothelial cells (PMVEC) were stressed with cobalt chloride to emulate hypoxic damage, and then treated with sEVNull and sEVmiR−486 to unravel the mechanism of action. The sEVNull mitigated pathological changes in the lungs, reduced pulmonary artery pressure and lung water content, and alleviated oxidative stress and inflammatory responses in cases of HAPE. Moreover, sEVNull enhanced vascular reactivity and restored pulmonary permeability and tight junction integrity, these effects were intensified by miRNA-486 overexpression. Notably, sEVmiR−486 attenuated oxidative damage in hypoxic PMVEC cells by modulating the PTEN/PI3K/Akt/eNOS signaling pathway. miRNA-486 fortified DPSC-sEVs intervention as a novel and potent treatment strategy for HAPE.
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spelling doaj-art-e96655f46a1d436bbbe3771b94f4126e2025-02-02T05:28:39ZengElsevierHeliyon2405-84402025-01-01112e41960Small extracellular vesicles derived from miRNA-486 overexpressed dental pulp stem cells mitigate high altitude pulmonary edema through PTEN/PI3K/AKT/eNOS pathwayChangyao Wang0Zhuang Mao1Drolma Gomchok2Xue Li3Huifang Liu4Jingyuan Shao5Hu Cao6Guanzhen Xue7Lin Lv8Junzhao Duan9Tana Wuren10Hua Wang11Beijing Institute of Radiation Medicine, Beijing, 100850, ChinaBeijing Institute of Radiation Medicine, Beijing, 100850, ChinaResearch Center for High Altitude Medicine, Qinghai University, Xi'ning, 810008, China; Key Laboratory for Application of High-Altitude Medicine, Qinghai University, Xi'ning, 810008, ChinaBeijing Institute of Radiation Medicine, Beijing, 100850, ChinaResearch Center for High Altitude Medicine, Qinghai University, Xi'ning, 810008, China; Key Laboratory for Application of High-Altitude Medicine, Qinghai University, Xi'ning, 810008, ChinaBeijing Institute of Radiation Medicine, Beijing, 100850, ChinaBeijing Institute of Radiation Medicine, Beijing, 100850, ChinaResearch Center for High Altitude Medicine, Qinghai University, Xi'ning, 810008, China; Key Laboratory for Application of High-Altitude Medicine, Qinghai University, Xi'ning, 810008, ChinaBeijing Institute of Radiation Medicine, Beijing, 100850, ChinaBeijing Institute of Radiation Medicine, Beijing, 100850, ChinaResearch Center for High Altitude Medicine, Qinghai University, Xi'ning, 810008, China; Key Laboratory for Application of High-Altitude Medicine, Qinghai University, Xi'ning, 810008, China; Corresponding author. Research Center for High Altitude Medicine, Qinghai University, Xi'ning, 810008, China.Beijing Institute of Radiation Medicine, Beijing, 100850, China; Corresponding author.High altitude pulmonary edema (HAPE) is a life-threatening, non-cardiogenic pulmonary edema characterized by rapid onset and high mortality. Extracellular vesicles of mesenchymal stem cells are used in the treatment of a variety of lung diseases, but their use in HAPE remains underreported. This study explores the therapeutic potential of miRNA-486 modified extracellular vesicles from dental pulp stem cells (sEVmiR−486) against HAPE, aiming to decipher the associated molecular mechanisms. The rat HAPE model was established by exposing subjects to a simulated high-altitude, low-oxygen environment within a specialized chamber. The HAPE-afflicted rats received sEVNull and sEVmiR−486 intravenously, and the therapeutic effect was assessed through histopathological analysis, pulmonary artery pressure, lung water content, as well as markers of oxidative stress and inflammation. To supplement in vivo findings, pulmonary microvascular endothelial cells (PMVEC) were stressed with cobalt chloride to emulate hypoxic damage, and then treated with sEVNull and sEVmiR−486 to unravel the mechanism of action. The sEVNull mitigated pathological changes in the lungs, reduced pulmonary artery pressure and lung water content, and alleviated oxidative stress and inflammatory responses in cases of HAPE. Moreover, sEVNull enhanced vascular reactivity and restored pulmonary permeability and tight junction integrity, these effects were intensified by miRNA-486 overexpression. Notably, sEVmiR−486 attenuated oxidative damage in hypoxic PMVEC cells by modulating the PTEN/PI3K/Akt/eNOS signaling pathway. miRNA-486 fortified DPSC-sEVs intervention as a novel and potent treatment strategy for HAPE.http://www.sciencedirect.com/science/article/pii/S2405844025003408High-altitude pulmonary edemaExtracellular vesiclesmiR-486Oxidative stress
spellingShingle Changyao Wang
Zhuang Mao
Drolma Gomchok
Xue Li
Huifang Liu
Jingyuan Shao
Hu Cao
Guanzhen Xue
Lin Lv
Junzhao Duan
Tana Wuren
Hua Wang
Small extracellular vesicles derived from miRNA-486 overexpressed dental pulp stem cells mitigate high altitude pulmonary edema through PTEN/PI3K/AKT/eNOS pathway
Heliyon
High-altitude pulmonary edema
Extracellular vesicles
miR-486
Oxidative stress
title Small extracellular vesicles derived from miRNA-486 overexpressed dental pulp stem cells mitigate high altitude pulmonary edema through PTEN/PI3K/AKT/eNOS pathway
title_full Small extracellular vesicles derived from miRNA-486 overexpressed dental pulp stem cells mitigate high altitude pulmonary edema through PTEN/PI3K/AKT/eNOS pathway
title_fullStr Small extracellular vesicles derived from miRNA-486 overexpressed dental pulp stem cells mitigate high altitude pulmonary edema through PTEN/PI3K/AKT/eNOS pathway
title_full_unstemmed Small extracellular vesicles derived from miRNA-486 overexpressed dental pulp stem cells mitigate high altitude pulmonary edema through PTEN/PI3K/AKT/eNOS pathway
title_short Small extracellular vesicles derived from miRNA-486 overexpressed dental pulp stem cells mitigate high altitude pulmonary edema through PTEN/PI3K/AKT/eNOS pathway
title_sort small extracellular vesicles derived from mirna 486 overexpressed dental pulp stem cells mitigate high altitude pulmonary edema through pten pi3k akt enos pathway
topic High-altitude pulmonary edema
Extracellular vesicles
miR-486
Oxidative stress
url http://www.sciencedirect.com/science/article/pii/S2405844025003408
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