PMID- 37812019 OWN - NLM STAT- MEDLINE DCOM- 20231102 LR - 20240118 IS - 1563-5260 (Electronic) IS - 0167-7063 (Linking) VI - 37 IP - 3 DP - 2023 Sep TI - Neural stem cell-derived exosomal FTO protects neuron from microglial inflammatory injury by inhibiting microglia NRF2 mRNA m6A modification. PG - 103-114 LID - 10.1080/01677063.2023.2259995 [doi] AB - Ischemic stroke (IS) can cause neuronal cell loss and function defects. Exosomes derived from neural stem cells (NSC-Exos) improve neural plasticity and promote neural function repair following IS. However, the potential mechanism remains unclear. In this study, NSC-Exos were characterized and co-cultured with microglia. We found that NSC-Exos increased NRF2 expression in oxygen-glucose deprivation/reoxygenation and LPS-induced microglia and converted microglia from M1 pro-inflammatory phenotype to M2 anti-inflammatory phenotype. NSC-Exos reduced m6A methylation modification of nuclear factor erythroid 2-related factor 2 (NRF2) mRNA via obesity-associated gene (FTO). Furthermore, NSC-Exos reduced the damage to neurons caused by microglia's inflammatory response. Finally, the changes in microglia polarization and neuron damage caused by FTO knockdown in NSE-Exos were attenuated by NRF2 overexpression in microglia. These findings revealed that NSC-Exos promotes NRF2 expression and M2 polarization of microglial via transferring FTO, thereby resulting in neuroprotective effects. FAU - Li, Zhiyong AU - Li Z AD - Medical Quality Management Department, The First Affiliated Hospital of Hainan Medical College, Haikou, Hainan, China. FAU - Chen, Zhenggang AU - Chen Z AD - Neurosurgery Department, The First Affiliated Hospital of Hainan Medical College, Haikou, Hainan, China. FAU - Peng, Jun AU - Peng J AD - Neurosurgery Department, Haikou Affiliated Hospital of Central South University Xiangya School of Medicine, Haikou, Hainan, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20231016 PL - England TA - J Neurogenet JT - Journal of neurogenetics JID - 8406473 RN - 0 (NF-E2-Related Factor 2) RN - EC 1.14.11.33 (FTO protein, human) RN - EC 1.14.11.33 (Alpha-Ketoglutarate-Dependent Dioxygenase FTO) SB - IM MH - Humans MH - Microglia/metabolism MH - NF-E2-Related Factor 2/genetics/metabolism/pharmacology MH - *Brain Ischemia/metabolism MH - Neurons/metabolism MH - *Neural Stem Cells MH - Alpha-Ketoglutarate-Dependent Dioxygenase FTO/metabolism OTO - NOTNLM OT - FTO OT - NRF2 OT - NSC-Exos OT - m6A EDAT- 2023/10/09 12:43 MHDA- 2023/11/02 12:45 CRDT- 2023/10/09 09:23 PHST- 2023/11/02 12:45 [medline] PHST- 2023/10/09 12:43 [pubmed] PHST- 2023/10/09 09:23 [entrez] AID - 10.1080/01677063.2023.2259995 [doi] PST - ppublish SO - J Neurogenet. 2023 Sep;37(3):103-114. doi: 10.1080/01677063.2023.2259995. Epub 2023 Oct 16.