PMID- 35639473 OWN - NLM STAT- MEDLINE DCOM- 20220623 LR - 20230808 IS - 2379-3708 (Electronic) IS - 2379-3708 (Linking) VI - 7 IP - 12 DP - 2022 Jun 22 TI - Bioactive extracellular vesicles from a subset of endothelial progenitor cells rescue retinal ischemia and neurodegeneration. LID - 10.1172/jci.insight.155928 [doi] LID - e155928 AB - Disruption of the neurovascular unit (NVU) underlies the pathophysiology of various CNS diseases. One strategy to repair NVU dysfunction uses stem/progenitor cells to provide trophic support to the NVU's functionally coupled and interdependent vasculature and surrounding CNS parenchyma. A subset of endothelial progenitor cells, endothelial colony-forming cells (ECFCs) with high expression of the CD44 hyaluronan receptor (CD44hi), provides such neurovasculotrophic support via a paracrine mechanism. Here, we report that bioactive extracellular vesicles from CD44hi ECFCs (EVshi) are paracrine mediators, recapitulating the effects of intact cell therapy in murine models of ischemic/neurodegenerative retinopathy; vesicles from ECFCs with low expression levels of CD44 (EVslo) were ineffective. Small RNA sequencing comparing the microRNA cargo from EVshi and EVslo identified candidate microRNAs that contribute to these effects. EVshi may be used to repair NVU dysfunction through multiple mechanisms to stabilize hypoxic vasculature, promote vascular growth, and support neural cells. FAU - Marra, Kyle V AU - Marra KV AD - Department of Molecular Medicine, The Scripps Research Institute, La Jolla, California, USA. AD - Department of Bioengineering, University of California, San Diego, La Jolla, California, USA. FAU - Aguilar, Edith AU - Aguilar E AD - Department of Molecular Medicine, The Scripps Research Institute, La Jolla, California, USA. FAU - Guoqin, Wei AU - Guoqin W AD - Department of Molecular Medicine, The Scripps Research Institute, La Jolla, California, USA. FAU - Usui-Ouchi, Ayumi AU - Usui-Ouchi A AD - Department of Molecular Medicine, The Scripps Research Institute, La Jolla, California, USA. FAU - Ideguchi, Yochiro AU - Ideguchi Y AD - Department of Molecular Medicine, The Scripps Research Institute, La Jolla, California, USA. FAU - Sakimoto, Susumu AU - Sakimoto S AD - Department of Ophthalmology, Osaka University Graduate School of Medicine, Osaka, Japan. FAU - Friedlander, Martin AU - Friedlander M AD - Department of Molecular Medicine, The Scripps Research Institute, La Jolla, California, USA. AD - Lowy Medical Research Institute, La Jolla, California, USA. LA - eng GR - F30 EY029141/EY/NEI NIH HHS/United States GR - S10 OD023555/OD/NIH HHS/United States GR - T32 GM007198/GM/NIGMS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20220622 PL - United States TA - JCI Insight JT - JCI insight JID - 101676073 RN - 0 (MicroRNAs) SB - IM MH - Animals MH - *Endothelial Progenitor Cells/metabolism MH - *Extracellular Vesicles/metabolism MH - Ischemia/metabolism MH - Mice MH - *MicroRNAs/genetics/metabolism MH - Neovascularization, Physiologic/physiology MH - *Retinal Diseases/metabolism/therapy PMC - PMC9309054 OTO - NOTNLM OT - Adult stem cells OT - Neurodegeneration OT - Ophthalmology OT - Retinopathy OT - Vascular Biology COIS- Conflict of interest: The authors have declared that no conflict of interest exists. EDAT- 2022/06/01 06:00 MHDA- 2022/06/24 06:00 PMCR- 2022/06/22 CRDT- 2022/05/31 15:58 PHST- 2021/10/18 00:00 [received] PHST- 2022/05/13 00:00 [accepted] PHST- 2022/06/01 06:00 [pubmed] PHST- 2022/06/24 06:00 [medline] PHST- 2022/05/31 15:58 [entrez] PHST- 2022/06/22 00:00 [pmc-release] AID - 155928 [pii] AID - 10.1172/jci.insight.155928 [doi] PST - epublish SO - JCI Insight. 2022 Jun 22;7(12):e155928. doi: 10.1172/jci.insight.155928.