Key result
Oncostatin M-loaded extracellular vesicles reduce myocardial fibrosis and hypertrophy while boosting vessel density in mice.
Why the study?
Strategies are needed to bolster the therapeutic ability of mesenchymal stromal cell-derived small extracellular vesicles for cardiac applications, exploring the anti-fibrotic potential of oncostatin M.
Do Oncostatin M-enriched small extracellular vesicles derived from mesenchymal stem cells reduce myocardial fibrosis, prevent cardiac hypertrophy, and enhance angiogenesis in a murine model of isoproterenol-induced cardiac injury?
Do Oncostatin M-enriched small extracellular vesicles derived from mesenchymal stem cells reduce myocardial fibrosis, prevent cardiac hypertrophy, and enhance angiogenesis in a murine model of isoproterenol-induced cardiac injury?
Engineering mesenchymal stem cell-derived small extracellular vesicles to display cleavage-resistant Oncostatin M on their surface enhances their anti-fibrotic, anti-hypertrophic, and pro-angiogenic potency in preclinical models of cardiac fibrosis.
Hypothesis-generating for engineered vesicles in murine fibrosis; leaves open human translation and safety.
Myocardial fibrosis is a pathological hallmark of cardiac dysfunction. Oncostatin M (OSM) is a pleiotropic cytokine that can promote fibrosis in different organs after sustained exposure. However, OSM released by macrophages during cardiac fibrosis suppresses cardiac fibroblast activation by modulating transforming growth factor beta 1 (TGF-β1) expression and extracellular matrix deposition. Small extracellular vesicles (SEVs) from mesenchymal stromal cells (MSCs) are being investigated to treat myocardial infarction, using different strategies to bolster their therapeutic ability. Here, we generated TERT-immortalized human MSC cell lines (MSC-T) engineered to overexpress two forms of cleavage-resistant OSM fused to CD81TM (OSM-SEVs), which allows the display of the cytokine at the surface of secreted SEVs. The therapeutic potential of OSM-SEVs was assessed in vitro using human cardiac ventricular fibroblasts (HCF-Vs) activated by TGF-β1. Compared with control SEVs, OSM-loaded SEVs reduced proliferation in HCF-V and blunted telo-collagen expression. When injected intraperitoneally into mice treated with isoproterenol, OSM-loaded SEVs reduced fibrosis, prevented cardiac hypertrophy, and increased angiogenesis. Overall, we demonstrate that the enrichment of functional OSM on the surface of MSC-T-SEVs increases their potency in terms of anti-fibrotic and pro-angiogenic properties, which opens new perspectives for this novel biological product in cell-free-based therapies.
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Tejedor et al. (2023) studied Isoproterenol-induced cardiac hypertrophy and interstitial myocardial fibrosis (n=15). Oncostatin M-enriched mesenchymal stem cell-derived small extracellular vesicles (mutOSM-CD81-SEVs) vs. Control small extracellular vesicles (CD81-SEVs) or equivalent volume of phosphate-buffered saline (PBS) was evaluated on Myocardial interstitial fibrosis (collagen-stained area via Picrosirius red and myofibroblast periostin staining) at day 21 (p=<0.05). Oncostatin M-loaded MSC-derived small extracellular vesicles significantly reduced myocardial collagen area (p<0.05) and cardiomyocyte hypertrophy (p<0.01) while increasing vessel density (p<0.01) in isoproterenol-treated mice.
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