Key result
Exosomal miR-98-5p from CSWT-stimulated hypoxic cardiomyocytes promotes angiogenesis and proliferation by suppressing FOXN3.
Why the study?
The role of cardiac shock wave therapy in exosomes released from ischemic cardiomyocytes and its function in myocardial ischemia recovery remained to be examined.
p-value: p=<0.001
Cardiac shock wave therapy enhances the release of miR-98-5p-enriched exosomes from ischemic cardiomyocytes, which protects against ischemic injury and promotes angiogenesis in vitro.
Does not support clinical adoption of cardiac shock wave therapy; leaves open miR-98-5p as a hypothesis-generating target for angiogenesis.
Cardiac shock wave therapy (CSWT) as an effectual therapy can activate the function of exosomes to a certain extent. Here, we attempted to examine the role of CSWT in exosome released from ischemic cardiomyocytes and its function in myocardial ischemia recovery. The exosomes derived from OGD/R-treated H9c2 (H9c2-OGD/R-Exo) and CSWT-treated OGD/R-stimulated H9c2 (CSWT-H9c2-OGD/R-Exo) were performed with small RNA sequencing to determine miRNAs that differentially expressed. After miR-98-5p inhibitor transfection, H9c2 were subjected to OGD/R and co-cultured with CSWT-H9c2-OGD/R-Exo, the cell viability, LDH and cell apoptosis were assessed. The transfected HUVECs were co-cultured with CSWT-H9c2-OGD/R-Exo, then HUVECs viability, angiogenesis, migration and invasion were assessed. The luciferase reporter gene assay was conducted to prove the targeting relation between miR-98-5p and FOXN3. miR-98-5p was highly enriched in CSWT-H9c2-OGD/R-Exo in compared with H9c2-OGD/R-Exo. CSWT-H9c2-OGD/R-Exo could improve cell viability, inhibit LDH and cell apoptosis. And miR-98-5p released by CSWT-H9c2-OGD/R-Exo promoted HUVECs viability, angiogenesis, migration and invasion. Further FOXN3 was defined as the downstream target gene of miR-98-5p, and miR-98-5p overexpression decreased FOXN3 expression in HUVECs. Besides, the suppression effects of miR-98-5p inhibitor on HUVECs proliferation, angiogenesis and metastasis was partly blunted by FOXN3 silencing. miR-98-5p released from CSWT-H9c2-OGD/R-Exo promoted HUVECs proliferation, angiogenesis and metastasis through directly targeting and suppressing FOXN3 expression.
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Wu et al. (2025) studied Myocardial ischemia/reperfusion injury (in vitro model). CSWT-H9c2-OGD/R-Exo (Exosomes from CSWT-treated OGD/R-stimulated H9c2 cells) vs. H9c2-OGD/R-Exo or PBS was evaluated on Cell viability, apoptosis, and angiogenesis (p=<0.001). Exosomal miR-98-5p released by CSWT-stimulated hypoxic cardiomyocytes promoted HUVECs proliferation, angiogenesis, and metastasis by directly targeting and suppressing FOXN3 expression.
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