PMID- 31182988 OWN - NLM STAT- MEDLINE DCOM- 20191216 LR - 20200225 IS - 1942-0994 (Electronic) IS - 1942-0900 (Print) IS - 1942-0994 (Linking) VI - 2019 DP - 2019 TI - Exosomes Derived from TIMP2-Modified Human Umbilical Cord Mesenchymal Stem Cells Enhance the Repair Effect in Rat Model with Myocardial Infarction Possibly by the Akt/Sfrp2 Pathway. PG - 1958941 LID - 10.1155/2019/1958941 [doi] LID - 1958941 AB - Exosomes derived from human umbilical cord mesenchymal stem cells (hucMSCs) are a promising new therapeutic option for myocardial infarction (MI). The tissue matrix metalloproteinase inhibitor 2, also known as TIMP2, is a member of the tissue inhibitor family of metalloproteinases. Since TIMP2-mediated inhibition of matrix metalloproteinases (MMPs) is a key determinant of post-MI remodeling, we analyzed the therapeutic effects of exosomes derived from TIMP2-overexpressing hucMSCs (huc-exo(TIMP2)) on the MI rat model. The huc-exo(TIMP2) significantly improved in vivo cardiac function as measured by echocardiography and promoted angiogenesis in MI injury. It also restricted extracellular matrix (ECM) remodeling, as indicated by the reduced collagen deposition. In addition, huc-exo(TIMP2) administration increased the in situ expression of the antiapoptotic Bcl-2 and decreased that of the proapoptotic Bax and pro-caspase-9 in the infracted myocardium. Meanwhile, huc-exo(TIMP2) upregulated superoxide dismutase (SOD) as well as glutathione (GSH) and decreased the malondialdehyde (MDA) level in MI models. In vitro huc-exo(TIMP2) pretreatment could inhibit H(2)O(2)-mediated H9C2-cardiomyocyte apoptosis and promote human umbilical vein endothelial cell (HUVEC) proliferation, migration, and tube formation, as well as decrease TGFbeta-induced MMP2, MMP9, and alpha-SMA secretion by cardiac fibroblasts (CFs). Besides that, huc-exo(TIMP2) pretreatment also increased the expression of Akt phosphorylation in the infarcted myocardium, which may relate to a high level of secreted frizzled-related protein 2 (Sfrp2) in huc-exo(TIMP2), indicating a mechanistic basis of its action. Importantly, Sfrp2 knockdown in huc-exo(TIMP2) abrogated the protective effects. Taken together, huc-exo(TIMP2) improved cardiac function by alleviating MI-induced oxidative stress and ECM remodeling, partly via the Akt/Sfrp2 pathway. FAU - Ni, Jing AU - Ni J AD - Department of Cardiology, Shanghai Tenth People's Hospital, Shanghai, China. FAU - Liu, Xijun AU - Liu X AD - Department of Cardiology, Shanghai Tenth People's Hospital, Shanghai, China. AD - Pan-Vascular Research Institute, Heart, Lung, and Blood Center, Tongji University School of Medicine, Shanghai, China. FAU - Yin, Yiheng AU - Yin Y AD - Pan-Vascular Research Institute, Heart, Lung, and Blood Center, Tongji University School of Medicine, Shanghai, China. FAU - Zhang, Peiyu AU - Zhang P AD - Department of Cardiology, Shanghai Tenth People's Hospital, Shanghai, China. FAU - Xu, Ya-Wei AU - Xu YW AD - Department of Cardiology, Shanghai Tenth People's Hospital, Shanghai, China. AD - Pan-Vascular Research Institute, Heart, Lung, and Blood Center, Tongji University School of Medicine, Shanghai, China. FAU - Liu, Zheng AU - Liu Z AUID- ORCID: 0000-0001-6952-3406 AD - Department of Cardiology, Shanghai Tenth People's Hospital, Shanghai, China. AD - Pan-Vascular Research Institute, Heart, Lung, and Blood Center, Tongji University School of Medicine, Shanghai, China. LA - eng PT - Journal Article DEP - 20190428 PL - United States TA - Oxid Med Cell Longev JT - Oxidative medicine and cellular longevity JID - 101479826 RN - 0 (Membrane Proteins) RN - 0 (Sfrp2 protein, rat) RN - 127497-59-0 (Tissue Inhibitor of Metalloproteinase-2) RN - 4Y8F71G49Q (Malondialdehyde) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) SB - IM MH - Animals MH - Apoptosis/physiology MH - Cell Proliferation/physiology MH - Exosomes/*metabolism MH - Human Umbilical Vein Endothelial Cells MH - Humans MH - Malondialdehyde/metabolism MH - Membrane Proteins/*metabolism MH - Mesenchymal Stem Cells/*cytology/*metabolism MH - Myocardial Infarction/*therapy MH - Oxidative Stress/physiology MH - Proto-Oncogene Proteins c-akt/*metabolism MH - Rats MH - Tissue Inhibitor of Metalloproteinase-2/*metabolism MH - Umbilical Cord/*cytology PMC - PMC6512021 EDAT- 2019/06/12 06:00 MHDA- 2019/12/18 06:00 PMCR- 2019/04/28 CRDT- 2019/06/12 06:00 PHST- 2019/01/08 00:00 [received] PHST- 2019/03/11 00:00 [accepted] PHST- 2019/06/12 06:00 [entrez] PHST- 2019/06/12 06:00 [pubmed] PHST- 2019/12/18 06:00 [medline] PHST- 2019/04/28 00:00 [pmc-release] AID - 10.1155/2019/1958941 [doi] PST - epublish SO - Oxid Med Cell Longev. 2019 Apr 28;2019:1958941. doi: 10.1155/2019/1958941. eCollection 2019.