PMID- 32887613 OWN - NLM STAT- MEDLINE DCOM- 20210909 LR - 20210909 IS - 1478-811X (Electronic) IS - 1478-811X (Linking) VI - 18 IP - 1 DP - 2020 Sep 4 TI - Alpha-1 antitrypsin deficient individuals have circulating extracellular vesicles with profibrogenic cargo. PG - 140 LID - 10.1186/s12964-020-00648-0 [doi] LID - 140 AB - BACKGROUND: Alpha-1 antitrypsin deficiency (AATD)-mediated liver disease is a toxic "gain-of-function" inflammation in the liver associated with intracellular retention of mutant alpha-1 antitrypsin. The clinical presentation of the disease includes fibrosis, cirrhosis and liver failure. However, the pathogenic mechanism of AATD-mediated liver disease is not well understood. Here, we investigated the role of plasma extracellular vesicles (EVs) in progression of AATD-mediated liver disease. METHODS: EVs were isolated from plasma of AATD individuals with liver disease and healthy controls. Their cytokines and miRNA content were examined by multiplex assay and small RNA sequencing. The bioactivity of EVs was assessed by qPCR, western blot analysis and immunofluorescent experiments using human hepatic stellate cells (HSCs) treated with EVs isolated from control or AATD plasma samples. RESULTS: We have found that AATD individuals have a distinct population of EVs with pathological cytokine and miRNA contents. When HSCs were cultured with AATD plasma derived-EVs, the expression of genes related to the development of fibrosis were significantly amplified compared to those treated with healthy control plasma EVs. CONCLUSION: AATD individuals have a distinct population of EVs with abnormal cytokine and miRNA contents and the capacity to activate HSCs and mediate fibrosis. Better understanding of the components which cause liver inflammation and fibrogenesis, leading to further liver injury, has the potential to lead to the development of new treatments or preventive strategies to prevent AATD-mediated liver disease. Video abstract. FAU - Khodayari, Nazli AU - Khodayari N AUID- ORCID: 0000-0002-4659-1622 AD - Division of Pulmonary, Critical Care, and Sleep Medicine, University of Florida, Gainesville, USA. Nazli.khodayari@medicine.ufl.edu. FAU - Oshins, Regina AU - Oshins R AD - Division of Pulmonary, Critical Care, and Sleep Medicine, University of Florida, Gainesville, USA. FAU - Holliday, L Shannon AU - Holliday LS AD - College of Dentistry, University of Florida, Gainesville, USA. FAU - Clark, Virginia AU - Clark V AD - Division of Gastroenterology, Hepatology, and Nutrition, University of Florida, Gainesville, USA. FAU - Xiao, Qiang AU - Xiao Q AD - MilliporeSigma, Burlington, MO, USA. FAU - Marek, George AU - Marek G AD - Division of Pulmonary, Critical Care, and Sleep Medicine, University of Florida, Gainesville, USA. FAU - Mehrad, Borna AU - Mehrad B AD - Division of Pulmonary, Critical Care, and Sleep Medicine, University of Florida, Gainesville, USA. FAU - Brantly, Mark AU - Brantly M AD - Division of Pulmonary, Critical Care, and Sleep Medicine, University of Florida, Gainesville, USA. Mark.Brantly@medicine.ufl.edu. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20200904 PL - England TA - Cell Commun Signal JT - Cell communication and signaling : CCS JID - 101170464 RN - 0 (Cytokines) RN - 0 (MicroRNAs) SB - IM MH - Adult MH - Aged MH - Cytokines/analysis MH - Extracellular Vesicles/genetics/*pathology MH - Female MH - Gene Expression Regulation MH - Humans MH - Liver/metabolism/*pathology MH - Liver Cirrhosis/blood/complications/genetics/*pathology MH - Male MH - MicroRNAs/analysis/genetics MH - Middle Aged MH - alpha 1-Antitrypsin Deficiency/blood/complications/genetics/*pathology PMC - PMC7487708 OTO - NOTNLM OT - Alpha-1 antitrypsin OT - Cytokine OT - Extracellular vesicles OT - Liver fibrosis OT - miRNA COIS- The authors declare that they have no competing interests. EDAT- 2020/09/06 06:00 MHDA- 2021/09/10 06:00 PMCR- 2020/09/04 CRDT- 2020/09/05 05:15 PHST- 2020/05/14 00:00 [received] PHST- 2020/08/15 00:00 [accepted] PHST- 2020/09/05 05:15 [entrez] PHST- 2020/09/06 06:00 [pubmed] PHST- 2021/09/10 06:00 [medline] PHST- 2020/09/04 00:00 [pmc-release] AID - 10.1186/s12964-020-00648-0 [pii] AID - 648 [pii] AID - 10.1186/s12964-020-00648-0 [doi] PST - epublish SO - Cell Commun Signal. 2020 Sep 4;18(1):140. doi: 10.1186/s12964-020-00648-0.