Hyaluronic acid stimulation of stem cells for cardiac repair: a cell-free strategy for myocardial infarct

Seon-Yeong Jeong (Co-first Author), Bong-Woo Park (Co-first Author), Jinju Kim, Seulki Lee, Haedeun You, Joohyun Lee, Susie Lee, Jae-Hyun Park, Jinju Kim, Woosup Sim, Kiwon Ban, Joonghoon Park, Hun-Jun Park*, Soo Kim*

*Corresponding author for this work

Research output: Journal Publications and ReviewsRGC 21 - Publication in refereed journalpeer-review

6 Citations (Scopus)
23 Downloads (CityUHK Scholars)

Abstract

Background  Myocardial infarction (MI), a representative form of ischemic heart disease, remains a huge burden worldwide. This study aimed to explore whether extracellular vesicles (EVs) secreted from hyaluronic acid (HA)-primed induced mesenchymal stem cells (HA-iMSC-EVs) could enhance the cardiac repair after MI.

Results  HA-iMSC-EVs showed typical characteristics for EVs such as morphology, size, and marker proteins expression. Compared with iMSC-EVs, HA-iMSC-EVs showed enhanced tube formation and survival against oxidative stress in endothelial cells, while reduced reactive oxygen species (ROS) generation in cardiomyocytes. In THP-1 macrophages, both types of EVs markedly reduced the expression of pro-inflammatory signaling players, whereas HA-iMSC-EVs were more potent in augmenting anti-inflammatory markers. A significant decrease of inflammasome proteins was observed in HA-iMSC-EV-treated THP-1. Further, phospho-SMAD2 as well as fibrosis markers in TGF-β1-stimulated cardiomyocytes were reduced in HA-iMSC-EVs treatment. Proteomic data showed that HA-iMSC-EVs were enriched with multiple pathways including immunity, extracellular matrix organization, angiogenesis, and cell cycle. The localization of HA-iMSC-EVs in myocardium was confirmed after delivery by either intravenous or intramyocardial route, with the latter increased intensity. Echocardiography revealed that intramyocardial HA-iMSC-EVs injections improved cardiac function and reduced adverse cardiac remodeling and necrotic size in MI heart. Histologically, MI hearts receiving HA-iMSC-EVs had increased capillary density and viable myocardium, while showed reduced fibrosis.

Conclusions  Our results suggest that HA-iMSC-EVs improve cardiac function by augmenting vessel growth, while reducing ROS generation, inflammation, and fibrosis in MI heart.

© The Author(s) 2024
Original languageEnglish
Article number149
JournalJournal of Nanobiotechnology
Volume22
Online published4 Apr 2024
DOIs
Publication statusPublished - 2024

Research Keywords

  • Humans
  • Hyaluronic Acid/pharmacology
  • Endothelial Cells/metabolism
  • Reactive Oxygen Species/metabolism
  • Proteomics
  • Myocardial Infarction/therapy
  • Myocytes, Cardiac/metabolism
  • Mesenchymal Stem Cells/metabolism
  • Fibrosis

Publisher's Copyright Statement

  • This full text is made available under CC-BY 4.0. https://creativecommons.org/licenses/by/4.0/

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