Key result
Melatonin-engineered nanovesicles cut cardiomyocyte apoptosis ~67% and promote repair after MI.
Why the study?
Extracellular vesicles derived from adipose-derived stem cells have therapeutic potential for myocardial infarction but are limited by inconvenient isolation, low productivity, and high cost.
Absolute Event Rate: 13.88% vs 42.59%
p-value: p=<0.01
Melatonin-engineered adipose-derived biomimetic nanovesicles reduce apoptosis and promote myocardial repair in preclinical models of myocardial infarction.
Should not inform clinical practice; leaves open therapeutic potential of engineered nanovesicles in myocardial infarction.
Myocardial infarction (MI), one type of ischemic heart disease, is a major cause of disability and mortality worldwide. Currently, extracellular vesicles (EVs) derived from adipose-derived stem cells (ADSC) have been proven to be a potentially promising therapeutic treatment for MI. However, the inconvenience of isolation, the low productivity, and the high cost of EVs greatly limits their application in clinic. In this study, we constructed novel biomimetic ADSC-derived nanovesicles (ADSC NVs) to achieve cell-free therapy for MI. Here, we firstly developed a novel Mel@NVs delivery system consisting of engineered ADSC NVs with melatonin (Mel). Then, the characterization and properties of Mel@NVs were performed. The effect of Mel@NVs on cellular oxidative stress and myocardial infarction repair was conducted. The results showed that Mel@NVs treatment under ischemia mimic condition reduced cell apoptosis from 42.59 ± 2.69% to 13.88 ± 1.77%. Moreover, this novel engineered Mel@NVs could ameliorate excessive ROS generation, promote microvessel formation, and attenuate cardiac fibrosis, which further alleviates mitochondrial dysfunction and finally enhance myocardial repair. Hence, the engineered NVs show a potential strategy for MI therapy.
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Zhang et al. (2022) studied Myocardial infarction (n=40). Melatonin engineered adipose-derived biomimetic nanovesicles (Mel@NVs) vs. PBS or NVs alone was evaluated on Cell apoptosis under ischemia mimic condition (p=<0.01). Melatonin engineered adipose-derived biomimetic nanovesicles significantly reduced cardiomyocyte apoptosis from 42.59% to 13.88% under ischemia mimic conditions and promoted myocardial repair in a mouse model of myocardial infarction.
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