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Research Article | Open Access

Lipopolysaccharide-induced active telocyte exosomes alleviate lipopolysaccharide-induced vascular barrier disruption and acute lung injury via the activation of the miRNA-146a-5p/caspase-3 signaling pathway in endothelial cells

Xiaoqin Huang1,‡, Haoran Zhang2,‡ , Yuhong Luo1,‡, Xin Yi1, Zengding Zhou1, Feng Guo3( ), Lei Yi1( )
Department of Burn, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, 197 Second Ruijin Road, Huangpu District, Shanghai, 200025, China
Department of Orthopedics, The Second Affiliated Hospital of Harbin Medical University, 246 Xuefu Road, Nangang District, Harbin, 150001, Heilongjiang, China
Department of Plastic Surgery, Shanghai Jiaotong University Affiliated Sixth People’s Hospital, 600 Yishan Road, Xuhui District, Shanghai, 200235, China

‡Xiaoqin Huang, Haoran Zhang and Yuhong Luo contributed equally to this work.

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Highlights

• Telocytes surround the pulmonary microvascular endothelial cells and play a very important protective role under sepsis condition.

• LPS promotes telocytes to synthesize and secrete active exosomes containing a large number of active molecules, which inhibits the LPS-induced pulmonary microvascular endothelial cells injury.

• MiRNA-146a-5p, which is a key active factor in the LPS-induced active exosomes in telocytes, alleviates LPS-induced endothelial cell apoptosis by inhibiting the caspase-3 signaling pathway.

Abstract

Background

Lipopolysaccharide (LPS)-induced apoptosis of lung microvascular endothelial cells (ECs) is the main reason of lung edema and acute lung injury (ALI) in septic conditions. Telocytes (TCs) are a distinct type of interstitial cells found around the lung microvasculature, which may protect ECs through the release of shed vesicles. However, whether TCs protect against LPS-induced EC apoptosis and ALI has not been determined.

Methods

The protective effects of TCs on ECs were assessed in vitro using transwell assays and flow cytometry, and in vivo using an LPS-induced mouse ALI model. RNA sequencing was used to identify miRNA-146a-5p as a key component of TC-derived exosomes. The functions of miRNA-146a-5p were further evaluated by western blotting, flow cytometry, and transendothelial electrical resistance measurements.

Results

We demonstrated that LPS stimulation induced the secretion of active exosomes from TCs, which inhibited LPS-mediated apoptosis of ECs and reduced ALI in mice. Moreover, miRNA-146a-5p was identified as the main bioactive molecule in TC-derived exosomes, capable of inhibiting LPS-induced caspase-3 activation and apoptosis in ECs.

Conclusions

Our results indicate that TCs effectively prevent LPS-induced EC apoptosis and ALI through the release of exosomes, with subsequent activation of the miRNA-146a-5p/caspase-3 signaling pathway in ECs.

References

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Burns & Trauma
Article number: tkae074

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Cite this article:
Huang X, Zhang H, Luo Y, et al. Lipopolysaccharide-induced active telocyte exosomes alleviate lipopolysaccharide-induced vascular barrier disruption and acute lung injury via the activation of the miRNA-146a-5p/caspase-3 signaling pathway in endothelial cells. Burns & Trauma, 2025, 13(1): tkae074. https://doi.org/10.1093/burnst/tkae074

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Received: 18 May 2024
Revised: 21 October 2024
Published: 10 October 2026
© The Author(s) 2025. Published by Oxford University Press.

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.