PMID- 36967852 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230328 IS - 1734-9338 (Print) IS - 1897-4295 (Electronic) IS - 1734-9338 (Linking) VI - 18 IP - 4 DP - 2022 Dec TI - Extracellular vesicles derived from human umbilical cord mesenchymal stem cells stimulate angiogenesis in myocardial infarction via the microRNA-423-5p/EFNA3 axis. PG - 373-391 LID - 10.5114/aic.2023.124797 [doi] AB - INTRODUCTION: Myocardial infarction (MI) is a severe disease that has an association with angiogenesis dysfunction. AIM: This study explores the mechanism of extracellular vesicles (EVs) derived from human umbilical cord mesenchymal stem cells (hucMSCs) affecting angiogenesis in MI via the microRNA (miR)-423-5p/EFNA3 axis. MATERIAL AND METHODS: HucMSC-derived EVs (hucMSC-EVs) were isolated, extracted, and identified. EVs and human umbilical vein endothelial cells (HUVECs) were co-cultured. Migration capacity and angiogenesis ability of HUVECs were measured, and VEGF levels in cell supernatants were tested by ELISA. In-vivo rat MI models were established, and hucMSC-EVs were injected into the MI rat heart-infarcted area. Cardiac function, capillary density, and the degree of myocardial fibrosis were observed. RESULTS: HUVEC migration and angiogenesis were promoted by hucMSC-EVs, and more significantly enhanced by hucMSC-EVs containing miR-423-5p. Furthermore, miR-423-5p inhibited EFNA3 expression and EFNA3 overexpression reversed the promoting effects of EVs on HUVEC migration and angiogenesis. miR-423-5p expression was elevated and EFNA3 expression was reduced in myocardial tissues of MI rats after EV treatment. Both EVs and EVs containing miR-423-5p could improve cardiac function, reduce the area of fibrosis, and promote angiogenesis, improving cardiac repair. CONCLUSIONS: EVs promote in vivo angiogenesis in MI rats via the miR-423-5p/EFNA3 axis, thus improving cardiac repair. CI - Copyright: (c) 2023 Termedia Sp. z o. o. FAU - Gao, Tianlin AU - Gao T AD - Department of Cardiovascular Medicine, Ankang Central Hospital, Ankang City, China. FAU - Fan, Heng AU - Fan H AD - Department of Cardiovascular Medicine, Ankang Central Hospital, Ankang City, China. FAU - Wang, Jiawen AU - Wang J AD - Department of Cardiovascular Medicine, Ankang Central Hospital, Ankang City, China. FAU - Wang, Rui AU - Wang R AD - Department of Cardiovascular Medicine, Ankang Central Hospital, Ankang City, China. LA - eng PT - Journal Article DEP - 20230202 PL - Poland TA - Postepy Kardiol Interwencyjnej JT - Postepy w kardiologii interwencyjnej = Advances in interventional cardiology JID - 101272671 PMC - PMC10031659 OTO - NOTNLM OT - EFNA3 OT - angiogenesis OT - extracellular vesicles OT - human umbilical cord mesenchymal stem cells OT - microRNA-423-5p OT - myocardial infarction COIS- The authors declare no conflict of interest. EDAT- 2023/03/28 06:00 MHDA- 2023/03/28 06:01 PMCR- 2022/12/01 CRDT- 2023/03/27 03:17 PHST- 2022/10/22 00:00 [received] PHST- 2022/12/09 00:00 [accepted] PHST- 2023/03/27 03:17 [entrez] PHST- 2023/03/28 06:00 [pubmed] PHST- 2023/03/28 06:01 [medline] PHST- 2022/12/01 00:00 [pmc-release] AID - 50088 [pii] AID - 10.5114/aic.2023.124797 [doi] PST - ppublish SO - Postepy Kardiol Interwencyjnej. 2022 Dec;18(4):373-391. doi: 10.5114/aic.2023.124797. Epub 2023 Feb 2.