Key result
Circulating extracellular vesicles from healthy individuals delivered miR-133a-3p to target ELAVL1, decreasing NLRP3 mRNA stability and inhibiting PANoptosis to attenuate myocardial injury.
Why the study?
To investigate novel therapeutic strategies for myocardial injury, focusing on the roles of circulating extracellular vesicles in intercellular communication.
Circulating extracellular vesicles from healthy individuals deliver miR-133a-3p to inhibit PANoptosis and protect against myocardial ischemia-reperfusion injury, highlighting a potential novel therapeutic mechanism.
May support EV-miR-133a-3p therapy for myocardial injury; hypothesis-generating in animal models only.
BACKGROUND: In the quest to elucidate novel therapeutic strategies for myocardial injury, recent investigations have underscored the pivotal roles played by circulating extracellular vesicles (EVs) in intercellular communication. METHOD: EVs were extracted from individuals who had experienced AMI-EVs and those who were N-EVs. To assess the impact of circulating EVs on cardiomyocyte and endothelial cell proliferation, apoptosis, migration, and tube formation, a range of in vitro assays such as CCK8, EdU assays, flow cytometry, wound healing assays and angiogenesis assays were conducted. Differentially expressed miRNAs in EVs were validated using microarray analysis and real-time PCR. Through bioinformatics analysis, ELAVL1 was identified as a potential downstream target of miR-133a-3p. This finding was further confirmed by conducting dual-luciferase reporter assay and RNA co-immunoprecipitation experiments. To investigate the regulatory effects of circulating EVs from various sources on myocardial injury and PANoptosis, an animal model of ischemia-reperfusion-induced myocardial injury was established. RESULT: Our findings revealed that circulating EVs effectively deliver miR-133a-3p to target cells, where it binds to ELAVL1, leading to a decrease in NLRP3 mRNA stability. This reduction in NLRP3 mRNA stability subsequently inhibits the assembly of the PANoptosome, a multi-protein complex implicated in PANoptosis. As a result, we observed a significant mitigation of PANoptosis in our myocardial injury models, demonstrating the protective role of miR-133a-3p against excessive cell death. CONCLUSION: The present study underscores the regulatory role of circulating EV-delivered miR-133a-3p in modulating PANoptosis through ELAVL1-mediated NLRP3 mRNA stabilization. This mechanism represents a potential therapeutic target for attenuating myocardial injury by suppressing PANoptosis.
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Wang et al. (2025) studied Acute myocardial infarction. Normal circulating extracellular vesicles (N-EVs) vs. PBS or AMI-EVs was evaluated on Cardiac function (LVEF) and PANoptosis markers (p=<0.05). Circulating extracellular vesicles from healthy individuals delivered miR-133a-3p to target ELAVL1, decreasing NLRP3 mRNA stability and inhibiting PANoptosis to attenuate myocardial injury.
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