PMID- 37594573 OWN - NLM STAT- MEDLINE DCOM- 20230821 LR - 20230911 IS - 1420-9071 (Electronic) IS - 1420-682X (Linking) VI - 80 IP - 9 DP - 2023 Aug 18 TI - Exosomes from TNF-alpha preconditioned human umbilical cord mesenchymal stromal cells inhibit the autophagy of acinar cells of severe acute pancreatitis via shuttling bioactive metabolites. PG - 257 LID - 10.1007/s00018-023-04861-1 [doi] AB - Severe acute pancreatitis (SAP) is a common critical disease of the digestive system, with high mortality and a lack of effective prevention and treatment measures. Despite mesenchymal stromal cell transplantation having the potential to treat SAP, its clinical application prospect is limited, and the mechanism is unclear. Here, we reveal the therapeutic role of exosomes from TNF-alpha-preconditioned human umbilical cord mesenchymal stromal cells (HUCMSCs) in attenuating SAP and show that it is partly dependent on exosomal metabolites. Bioactive metabolomics analysis showed that 48 metabolites be significantly differentially expressed between the two groups (Exo-Ctrl group versus Exo-TNF-alpha group). Then, the further functional experiments indicated that 3,4-dihydroxyphenylglycol could be a key molecule mediating the therapeutic effect of TNF-alpha-preconditioned HUCMSCs. The animal experiments showed that 3,4-dihydroxyphenylglycol reduced inflammation and oxidative stress in the pancreatic tissue and inhibited acinar cell autophagy in a rat model of SAP. Mechanistically, we revealed that 3,4-dihydroxyphenylglycol activated the mTOR pathway to inhibit acinar cell autophagy and alleviate SAP. In summary, our study demonstrated that exosomes from TNF-alpha-preconditioned HUMSCs inhibit the autophagy of acinar cells of SAP by shuttling 3,4-dihydroxyphenylglycol and inhibiting the mTOR pathway. This study revealed the vital role and therapeutic potential of metabolite-derived exosomes in SAP, providing a new promising method to prevent and therapy SAP. CI - (c) 2023. The Author(s), under exclusive licence to Springer Nature Switzerland AG. FAU - Ma, Zhilong AU - Ma Z AD - Department of Pancreatic Surgery, Fudan University Shanghai Cancer Center, No. 270 Dong'An Road, Shanghai, 200032, China. AD - Department of General Surgery, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, 200072, China. AD - Hongqiao International Institute of Medicine, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200050, China. FAU - Xie, Wangcheng AU - Xie W AD - Department of General Surgery, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, 200072, China. FAU - Luo, Tingyi AU - Luo T AD - Department of General Surgery, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, 200072, China. FAU - Hu, Zhengyu AU - Hu Z AD - Department of General Surgery, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, 200072, China. FAU - Hua, Jie AU - Hua J AD - Department of Pancreatic Surgery, Fudan University Shanghai Cancer Center, No. 270 Dong'An Road, Shanghai, 200032, China. FAU - Zhou, Jia AU - Zhou J AD - Department of General Surgery, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, 200072, China. AD - Hongqiao International Institute of Medicine, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200050, China. FAU - Yang, Tingsong AU - Yang T AD - Department of General Surgery, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, 200072, China. FAU - Wang, Wei AU - Wang W AD - Department of Pancreatic Surgery, Fudan University Shanghai Cancer Center, No. 270 Dong'An Road, Shanghai, 200032, China. FAU - Song, Zhenshun AU - Song Z AD - Department of General Surgery, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, 200072, China. FAU - Yu, Xianjun AU - Yu X AD - Department of Pancreatic Surgery, Fudan University Shanghai Cancer Center, No. 270 Dong'An Road, Shanghai, 200032, China. FAU - Xu, Jin AU - Xu J AD - Department of Pancreatic Surgery, Fudan University Shanghai Cancer Center, No. 270 Dong'An Road, Shanghai, 200032, China. xujin@fudanpci.org. FAU - Shi, Si AU - Shi S AUID- ORCID: 0000-0002-6652-0629 AD - Department of Pancreatic Surgery, Fudan University Shanghai Cancer Center, No. 270 Dong'An Road, Shanghai, 200032, China. shisi@fudanpci.org. LA - eng GR - 82200717/National Natural Science Foundation of China/ GR - 81670582/National Natural Science Foundation of China/ PT - Journal Article DEP - 20230818 PL - Switzerland TA - Cell Mol Life Sci JT - Cellular and molecular life sciences : CMLS JID - 9705402 RN - 0 (Tumor Necrosis Factor-alpha) RN - UEH9K539KJ (3,4-dihydroxyphenylglycol) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Humans MH - Animals MH - Rats MH - *Pancreatitis/therapy MH - Acinar Cells MH - Tumor Necrosis Factor-alpha MH - Acute Disease MH - *Exosomes MH - *Mesenchymal Stem Cells MH - Autophagy MH - TOR Serine-Threonine Kinases MH - Umbilical Cord OTO - NOTNLM OT - 3,4-Dihydroxyphenylglycol OT - Autophagy OT - Exosome OT - Mesenchymal stromal cell OT - Severe acute pancreatitis EDAT- 2023/08/18 12:42 MHDA- 2023/08/21 06:42 CRDT- 2023/08/18 11:07 PHST- 2023/01/01 00:00 [received] PHST- 2023/07/04 00:00 [accepted] PHST- 2023/05/16 00:00 [revised] PHST- 2023/08/21 06:42 [medline] PHST- 2023/08/18 12:42 [pubmed] PHST- 2023/08/18 11:07 [entrez] AID - 10.1007/s00018-023-04861-1 [pii] AID - 10.1007/s00018-023-04861-1 [doi] PST - epublish SO - Cell Mol Life Sci. 2023 Aug 18;80(9):257. doi: 10.1007/s00018-023-04861-1.