1. Human corneal stromal stem cells express anti-fibrotic microRNA-29a and 381-5p – A robust cell selection tool for stem cell therapy of corneal scarring.
- Author
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Yam, Gary Hin-Fai, Yang, Tianbing, Geary, Moira L, Santra, Mithun, Funderburgh, Martha, Rubin, Elizabeth, Du, Yiqin, Sahel, Jose A, Jhanji, Vishal, and Funderburgh, James L
- Abstract
A schematic overview of this study showing corneal stromal stem cell (CSSC) isolation from anterior limbal stromal tissue, ex vivo cell culture, extraction of extracellular vesicles (EV) to identify the expression of miR-29a and 381-5p by Nanostring assay. The anti-inflammatory and anti-fibrotic effects were determined by in vitro and in vivo assays. Screening of miR-29a expression in CSSC-EV distinguished CSSC with good anti-scarring quality for cell-based therapy of corneal scarring after injury. [Display omitted] • Corneal stromal stem cell (CSSC) therapy rectifies corneal scarring, a cause of global blindness. • Cell potency and quality control are needed to assure cell product safety for patient use. • Transcriptomic assay found microRNAs enriched in extracellular vesicles (EV) of healing CSSC. • EV express miR-29a/381 to reduce inflammation and fibrosis, indicating anti-scarring potency. • High miR-29a levels in EV distinguished CSSC with good anti-scarring quality for clinical use. Corneal blindness due to scarring is treated with corneal transplantation. However, a global problem is the donor material shortage. Preclinical and clinical studies have shown that cell-based therapy using corneal stromal stem cells (CSSCs) suppresses corneal scarring, potentially mediated by specific microRNAs transported in extracellular vesicles (EVs). However, not every CSSC batch from donors achieves similar anti-scarring effects. To examine miRNA profiles in EVs from human CSSCs showing "healing" versus "non-healing" effects on corneal scarring and to design a tool to select CSSCs with strong healing potency for clinical applications. Small RNAs from CSSC-EVs were extracted for Nanostring nCounter Human miRNA v3 assay. MicroRNAs expressed > 20 folds in "healing" EVs (P < 0.05) were subject to enriched gene ontology (GO) term analysis. MiRNA groups with predictive regulation on inflammatory and fibrotic signalling were studied by mimic transfection to (1) mouse macrophages (RAW264.7) for M1 phenotype assay; (2) human corneal keratocytes for cytokine-induced fibrosis, and (3) human CSSCs for corneal scar prevention in vivo. The expression of miR-29a was screened in additional CSSC batches and the anti-scarring effect of cells was validated in mouse corneal wounds. Twenty-one miRNAs were significantly expressed in "healing" CSSC-EVs and 9 miRNA groups were predicted to associate with inflammatory and fibrotic responses, and tissue regeneration (P <10
−6 ). Overexpression of miR-29a and 381-5p significantly prevented M1 phenotype transition in RAW264.7 cells after lipopolysaccharide treatment, suppressed transforming growth factor β1-induced fibrosis marker expression in keratocytes, and reduced scarring after corneal injury. High miR-29a expression in EV fractions distinguished human CSSCs with strong healing potency, which inhibited corneal scarring in vivo. We characterized the anti-inflammatory and fibrotic roles of miR-29a and 381-5p in CSSCs, contributing to scar prevention. MiR-29a expression in EVs distinguished CSSCs with anti-scarring quality, identifying good quality cells for a scarless corneal healing. [ABSTRACT FROM AUTHOR]- Published
- 2023
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