Hypoxia Pre-Challenged Glioma-Derived Exosomes Promote Recovery From Spinal Cord Injury by Inducing M2 Macrophage Polarization via Modulating MicroRNA-1246/TERF2IP and Let-7b/TERF2IP Signaling Pathway
Abstract Background: Hypoxic GLIOMA derived exosomes may induce M2 macrophage polarization by upregulating TERF2IP expression. Furthermore, M2 macrophage polarization was found to be associated with accelerated SCI recovery by suppressing inflammatory response. The underlying mechanism of the therapeutic role of hypoxic GLIOMA derived exosomes in SCI recovery remains to be explored.Methods: Electron microscopy and Western blot were used to characterize U251 derived exosomes. Quantitative real-time PCR was performed to measure the mRNA expression of target genes, and Western blot and IHC were used to evaluate the protein expression of target genes. ELISA was performed to examine the levels of cytokines. Luciferase assay was carried out to explore the inhibitory role of miR-1246/let-7b in the expression of TERF2IP. TUNEL was performed to evaluate the apoptosis of spinal cord cells in SCI rats. Results: Hypoxic U251 derived exosomes significantly enhanced the expression of CD163, IL-10, IL-1RA, TGFB1, and CCL2 as well as the proportion of CD11b+/CD163+ cells while suppressing the expression of TNFa in U937 cells. Furthermore, the expression of miR-1246 and let-7b was remarkably elevated by Hypoxic U251 derived exosomes, while the expression of TERF2IP was inhibited. Luciferase assay demonstrated that miR-1246/let-7b effectively suppressed the expression of TERF2IP through binding to its 3’ UTR. In an SCI rat model, hypoxic U251 derived exosomes notably promoted the survival and functional recovery of left hindlimb by up-regulating IL-10, miR-1246, and let-7b expression while down-regulating TNFa/TERF2IP expression and attenuating apoptosis of spinal cord cells.Conclusion: The findings of this study demonstrated that glioma derived exosomes upregulated the expression of miR-1246 and let-7b to suppress the expression of TERF2IP to induce M2 macrophage polarization. The promoted M2 macrophage polarization suppressed inflammatory response to accelerate the recovery from SCI.