Key result
Hypoxic and AMI-derived exosomes reduce cardiomyocyte apoptosis by inducing M2 macrophage polarization.
Why the study?
The mechanisms underlying the crosstalk between cardiomyocytes and macrophages via exosomes under hypoxia have not been fully characterized.
Cardiomyocyte-derived exosomes under hypoxia promote M2 macrophage polarization, which subsequently protects cardiomyocytes from apoptosis, highlighting a potential therapeutic mechanism in acute myocardial infarction.
Answers are grounded in this paper and cite their sources.
May support exosome therapies in AMI; leaves open translation from animal models to patients.
Recent studies have confirmed that cardiomyocyte-derived exosomes have many pivotal biological functions, like influencing the progress of coronary artery disease via modulating macrophage phenotypes. However, the mechanisms underlying the crosstalk between cardiomyocytes and macrophages have not been fully characterized. Hence, this study aimed to observe the interaction between cardiomyocytes under hypoxia and macrophages through exosome communication and further evaluate the ability of exosomes derived from cardiomyocytes cultured under hypoxic conditions (Hypo-Exo) to polarize macrophages, and the effect of alternatively activated macrophages (M2) on hypoxic cardiomyocytes. Our results revealed that hypoxia facilitated the production of transforming growth factor-beta (TGF-β) in H9c2 cell-derived exosomes. Moreover, exosomes derived from cardiomyocytes cultured under normal conditions (Nor-Exo) and Hypo-Exo could induce RAW264.7 cells into classically activated macrophages (M1) and M2 macrophages respectively. Likewise, macrophage activation was induced by circulating exosomes isolated from normal human controls (hNor-Exo) or patients with acute myocardial infarction (hAMI-Exo). Thus, our findings support that the profiles of hAMI-Exo have been changed, which could regulate the polarization of macrophages and subsequently the polarized M2 macrophages reduced the apoptosis of cardiomyocytes in return. Based on our findings, we speculate that exosomes have emerged as important inflammatory response modulators regulating cardiac oxidative stress injury.
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Zhang et al. (2022) studied Acute myocardial infarction / Hypoxia. Hypoxia-induced cardiomyocyte-derived exosomes (Hypo-Exo) and hAMI-Exo vs. Normoxia-induced exosomes (Nor-Exo) and hNor-Exo was evaluated on Macrophage polarization and cardiomyocyte apoptosis. Exosomes derived from hypoxic cardiomyocytes or patients with acute myocardial infarction induced M2 macrophage polarization, which subsequently reduced cardiomyocyte apoptosis.
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