Mesenchymal stem cells-derived exosomes attenuate mouse non-heart-beating liver transplantation through Mir-17-5p-regulated Kupffer cell pyroptosis

Abstract Background Liver transplantation is the most effective treatment for end-stage liver disease. However, the shortage of donor livers has become a significant obstacle to the advancement of liver transplantation. Mesenchymal stem cells-derived exosomes (MSCs-Exo) have been extensively investi...

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Main Authors: Yang Tian, Ming Jin, Nanwei Ye, Zhenzhen Gao, Yuancong Jiang, Sheng Yan
Format: Article
Language:English
Published: BMC 2025-02-01
Series:Stem Cell Research & Therapy
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Online Access:https://doi.org/10.1186/s13287-025-04169-w
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author Yang Tian
Ming Jin
Nanwei Ye
Zhenzhen Gao
Yuancong Jiang
Sheng Yan
author_facet Yang Tian
Ming Jin
Nanwei Ye
Zhenzhen Gao
Yuancong Jiang
Sheng Yan
author_sort Yang Tian
collection DOAJ
description Abstract Background Liver transplantation is the most effective treatment for end-stage liver disease. However, the shortage of donor livers has become a significant obstacle to the advancement of liver transplantation. Mesenchymal stem cells-derived exosomes (MSCs-Exo) have been extensively investigated in liver diseases. However, the underlying mechanisms of how they can protect organ donation after cardiac death (DCD) livers remain unclear. Methods In this study, an arterialized mouse non-heart-beating (NHB) liver transplantation model was used to investigate the effect of MSCs-Exo on NHB liver transplantation. The survival rates, histology, pro-inflammatory cytokine and chemokine expression, and underlying mechanisms were investigated. Results The infusion of MSCs-Exo reduced the injury to DCD liver graft tissue. In vitro and in vivo experiments demonstrated that MSCs-Exo could inhibit hydrogen peroxide-induced pyroptosis of Kupffer cells. We found that miR-17-5p was significantly abundant in MSCs-Exo, targeting and regulating the TXNIP expression. This action inhibited NLRP3-mediated pyroptosis of Kupffer cells through the classical Caspase1-dependent pathway, alleviating DCD liver graft injury. Conclusion Our study elucidated a protective role for MSCs-Exo in a NHB liver transplantation model. This mechanism provides a theoretical basis and new strategies for the clinical application of MSCs-Exo to improve liver graft quality and alleviate the organ shortage in liver transplantation.
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spelling doaj-art-81aef7a2b72545c8809779eb818fcf4c2025-02-09T12:15:41ZengBMCStem Cell Research & Therapy1757-65122025-02-0116111910.1186/s13287-025-04169-wMesenchymal stem cells-derived exosomes attenuate mouse non-heart-beating liver transplantation through Mir-17-5p-regulated Kupffer cell pyroptosisYang Tian0Ming Jin1Nanwei Ye2Zhenzhen Gao3Yuancong Jiang4Sheng Yan5Department of Surgery, Second Affiliated Hospital of School of Medicine, Zhejiang UniversityDepartment of Surgery, Second Affiliated Hospital of School of Medicine, Zhejiang UniversityDepartment of Medical Research Center, Shaoxing People’s Hospital, Zhejiang University School of MedicineDepartment of Surgery, Second Affiliated Hospital of School of Medicine, Zhejiang UniversityDepartment of Surgery, Shaoxing People’s Hospital, Zhejiang University School of MedicineDepartment of Surgery, Second Affiliated Hospital of School of Medicine, Zhejiang UniversityAbstract Background Liver transplantation is the most effective treatment for end-stage liver disease. However, the shortage of donor livers has become a significant obstacle to the advancement of liver transplantation. Mesenchymal stem cells-derived exosomes (MSCs-Exo) have been extensively investigated in liver diseases. However, the underlying mechanisms of how they can protect organ donation after cardiac death (DCD) livers remain unclear. Methods In this study, an arterialized mouse non-heart-beating (NHB) liver transplantation model was used to investigate the effect of MSCs-Exo on NHB liver transplantation. The survival rates, histology, pro-inflammatory cytokine and chemokine expression, and underlying mechanisms were investigated. Results The infusion of MSCs-Exo reduced the injury to DCD liver graft tissue. In vitro and in vivo experiments demonstrated that MSCs-Exo could inhibit hydrogen peroxide-induced pyroptosis of Kupffer cells. We found that miR-17-5p was significantly abundant in MSCs-Exo, targeting and regulating the TXNIP expression. This action inhibited NLRP3-mediated pyroptosis of Kupffer cells through the classical Caspase1-dependent pathway, alleviating DCD liver graft injury. Conclusion Our study elucidated a protective role for MSCs-Exo in a NHB liver transplantation model. This mechanism provides a theoretical basis and new strategies for the clinical application of MSCs-Exo to improve liver graft quality and alleviate the organ shortage in liver transplantation.https://doi.org/10.1186/s13287-025-04169-wDonation after cardiac deathLiver transplantationIschemia/reperfusion injuryMesenchymal stem cells-derived exosomesPyroptosis
spellingShingle Yang Tian
Ming Jin
Nanwei Ye
Zhenzhen Gao
Yuancong Jiang
Sheng Yan
Mesenchymal stem cells-derived exosomes attenuate mouse non-heart-beating liver transplantation through Mir-17-5p-regulated Kupffer cell pyroptosis
Stem Cell Research & Therapy
Donation after cardiac death
Liver transplantation
Ischemia/reperfusion injury
Mesenchymal stem cells-derived exosomes
Pyroptosis
title Mesenchymal stem cells-derived exosomes attenuate mouse non-heart-beating liver transplantation through Mir-17-5p-regulated Kupffer cell pyroptosis
title_full Mesenchymal stem cells-derived exosomes attenuate mouse non-heart-beating liver transplantation through Mir-17-5p-regulated Kupffer cell pyroptosis
title_fullStr Mesenchymal stem cells-derived exosomes attenuate mouse non-heart-beating liver transplantation through Mir-17-5p-regulated Kupffer cell pyroptosis
title_full_unstemmed Mesenchymal stem cells-derived exosomes attenuate mouse non-heart-beating liver transplantation through Mir-17-5p-regulated Kupffer cell pyroptosis
title_short Mesenchymal stem cells-derived exosomes attenuate mouse non-heart-beating liver transplantation through Mir-17-5p-regulated Kupffer cell pyroptosis
title_sort mesenchymal stem cells derived exosomes attenuate mouse non heart beating liver transplantation through mir 17 5p regulated kupffer cell pyroptosis
topic Donation after cardiac death
Liver transplantation
Ischemia/reperfusion injury
Mesenchymal stem cells-derived exosomes
Pyroptosis
url https://doi.org/10.1186/s13287-025-04169-w
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