Chinese Journal of Tissue Engineering Research ›› 2025, Vol. 29 ›› Issue (25): 5296-5303.doi: 10.12307/2025.524

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Mechanism of adipose tissue-derived mesenchymal stem cell-derived exosomes regulating autophagy of hepatic stellate cells

Chen Zhenkun, Zhu Shiwei, Xiao Jingnan, Tang Weiping   

  1. Division of Hepatobiliary and Pancreatic Surgery, First Affiliated Hospital of University of South China, Hengyang 421001, Hunan Province, China
  • Received:2024-02-27 Accepted:2024-05-14 Online:2025-09-08 Published:2024-12-17
  • Contact: Tang Weiping, MD, Attending physician, Master’s supervisor, Division of Hepatobiliary and Pancreatic Surgery, First Affiliated Hospital of University of South China, Hengyang 421001, Hunan Province, China
  • About author:Chen Zhenkun, Master candidate, Division of Hepatobiliary and Pancreatic Surgery, First Affiliated Hospital of University of South China, Hengyang 421001, Hunan Province, China
  • Supported by:
    Natural Science Foundation of Hunan, No. 2021JJ40488 (to TWP); Subject of Hunan Health Commission, No. 202202054239 (to TWP) 

Abstract: BACKGROUND: Adipose tissue-derived mesenchymal stem cells release a large amount of exosomes to participate in various pathophysiological processes, but the impact and precise mechanism of exosomes derived from adipose tissue-derived mesenchymal stem cells on autophagy of hepatic stellate cells have not been fully elucidated.
OBJECTIVE: To explore the targeted regulatory effect and molecular mechanism of adipose tissue-derived mesenchymal stem cell-derived exosomes on autophagy of hepatic stellate cells through miR-15a-5p. 
METHODS: Adipose tissue was collected from inguinal region of 8-week male C57BL/6 mice. Adipose tissue-derived mesenchymal stem cells were extracted by collagenase digestion. Adipose tissue-derived mesenchymal stem cell-derived exosomes were extracted by ultracentrifugation. Mouse liver tissue was obtained, and hepatic stellate cells were isolated and extracted using collagenase perfusion digestion and density gradient centrifugation. The experiment was divided into two groups. In control group, hepatic stellate cells were cultured alone for 48 hours. In the exosome group, hepatic stellate cells were co-cultured with adipose tissue-derived mesenchymal stem cell-derived exosomes for 48 hours. The effects of exosomes on hepatic stellate cell proliferation, activation, autophagy, and expression of fibrosis markers were detected by western blot assay, RT-qPCR, and immunofluorescence staining. RT-qPCR and western blot assay were used to detect the effect of exosomes on the mRNA and protein expression of miR-15a-5p and the downstream signaling pathway Bcl-2, Beclin-1, and Rubicon in hepatic stellate cells. 
RESULTS AND CONCLUSION: (1) Compared with the control group, the ratio of autophagy markers LC3-II expression decreased, the number of autophagosome was also significantly decreased, and the intracellular lipid droplets were regenerated, simultaneously, cell volume diminished with the weakening of proliferation in hepatic stellate cells of the exosome group, indicated that the hepatic stellate cell activation was significantly inhibited. (2) Compared with the control group, the expressions of α-smooth actin and type I collagen were significantly decreased (P < 0.01), and the expression of miR-15a-5p was significantly increased in hepatic stellate cells of the exosome group (P < 0.01). At the same time, the expression of its downstream target gene Bcl-2 was significantly decreased (P < 0.01), while the expressions of autophagy genes Beclin-1 and Rubicon were significantly increased in hepatic stellate cells of the exosome group (P < 0.01). The results indicate that adipose tissue-derived mesenchymal stem cell-derived exosomes inhibits the expression of Bcl-2 in hepatic stellate cells by targeting miR-15a-5p and increases the expression of downstream autophagy genes Beclin-1 and Rubicon, thereby inhibiting the autophagy of hepatic stellate cells.  

Key words: ">adipose tissue-derived mesenchymal stem cell, exosome, hepatic stellate cell, autophagy, miR-15a-5p, Bcl-2, Beclin-1, Rubicon

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