PMID- 34381025 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210831 IS - 2058-7716 (Print) IS - 2058-7716 (Electronic) IS - 2058-7716 (Linking) VI - 7 IP - 1 DP - 2021 Aug 11 TI - Human umbilical cord mesenchymal stem cells-derived extracellular vesicles facilitate the repair of spinal cord injury via the miR-29b-3p/PTEN/Akt/mTOR axis. PG - 212 LID - 10.1038/s41420-021-00572-3 [doi] LID - 212 AB - Spinal cord injury (SCI) is a salient traumatic disease that often leads to permanent disability, and motor and sensory impairments. Human umbilical cord mesenchymal stem cells (HucMSCs) have a wide application prospect in the treatment of SCI. This study explored the repair effect of HucMSCs-derived extracellular vesicles (HucMSCs-EVs) on SCI. HucMSCs and HucMSCs-EVs were cultured and identified. The rat model of SCI was established, and SCI rats were treated with HucMSCs-EVs. The motor function of SCI rats and morphology of spinal cord tissues were evaluated. Levels of NeuN, GFAP, and NF200 in spinal cord tissues were detected and cell apoptosis was measured. SCI rats were treated with EVs extracted from miR-29b-3p inhibitor-transfected HucMSCs. The downstream gene and pathway of miR-29b-3p were examined. HucMSCs-EVs-treated rats showed obvious motor function recovery and reduced necrosis, nuclear pyknosis, and cavity. HucMSCs-EVs alleviated spinal cord neuronal injury. miR-29b-3p was poorly expressed in SCI tissues, but highly expressed in EVs and SCI rats treated with EVs. miR-29b-3p targeted PTEN. Inhibition of miR-29b-3p or overexpression of PTEN reversed the repair effect of EVs on SCI. EVs activated the AKT/mTOR pathway via the miR-29b-3p/PTEN. In conclusion, HucMSCs-EVs reduced pathological changes, improved motor function, and promoted nerve function repair in SCI rats via the miR-29b-3p/PTEN/Akt/mTOR axis. CI - (c) 2021. The Author(s). FAU - Xiao, Xiao AU - Xiao X AD - Department of Spine Surgery, The Xiangya Hospital of Central-South University, Changsha, China. FAU - Li, Weiwei AU - Li W AD - Department of Spine Surgery, The Xiangya Hospital of Central-South University, Changsha, China. FAU - Rong, Dingchao AU - Rong D AD - Department of Spine Surgery, The Xiangya Hospital of Central-South University, Changsha, China. FAU - Xu, Zhenchao AU - Xu Z AD - Department of Spine Surgery, The Xiangya Hospital of Central-South University, Changsha, China. FAU - Zhang, Zhen AU - Zhang Z AD - Department of Spine Surgery, The Xiangya Hospital of Central-South University, Changsha, China. FAU - Ye, Hongru AU - Ye H AD - Department of Spine Surgery, The Xiangya Hospital of Central-South University, Changsha, China. FAU - Xie, Liqiong AU - Xie L AD - Department of Spine Surgery, The Xiangya Hospital of Central-South University, Changsha, China. FAU - Wu, Yunqi AU - Wu Y AD - Hunan Engineering Laboratory of Advanced Artificial Osteo-materials, Changsha, China. FAU - Zhang, Yilu AU - Zhang Y AD - Hunan Engineering Laboratory of Advanced Artificial Osteo-materials, Changsha, China. FAU - Wang, Xiyang AU - Wang X AD - Department of Spine Surgery, The Xiangya Hospital of Central-South University, Changsha, China. 188102123@csu.edu.cn. AD - Hunan Engineering Laboratory of Advanced Artificial Osteo-materials, Changsha, China. 188102123@csu.edu.cn. LA - eng PT - Journal Article DEP - 20210811 PL - United States TA - Cell Death Discov JT - Cell death discovery JID - 101665035 PMC - PMC8357833 COIS- The authors declare no competing interests. EDAT- 2021/08/13 06:00 MHDA- 2021/08/13 06:01 PMCR- 2021/08/11 CRDT- 2021/08/12 05:49 PHST- 2020/12/29 00:00 [received] PHST- 2021/07/07 00:00 [accepted] PHST- 2021/06/15 00:00 [revised] PHST- 2021/08/12 05:49 [entrez] PHST- 2021/08/13 06:00 [pubmed] PHST- 2021/08/13 06:01 [medline] PHST- 2021/08/11 00:00 [pmc-release] AID - 10.1038/s41420-021-00572-3 [pii] AID - 572 [pii] AID - 10.1038/s41420-021-00572-3 [doi] PST - epublish SO - Cell Death Discov. 2021 Aug 11;7(1):212. doi: 10.1038/s41420-021-00572-3.