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Mesenchymal stem cell-derived extracellular vesicles ameliorate heat stroke-induced hippocampal injury and modulate VIM-AS1-associated miR-34a-5p/Per2 signaling

Overview

Authors: Lu Wang1,2, Min Wang3,4, Yuyan Liu5, Yang Bai6, Yun Li7, Yuan Cao3,4, Chengjin Wang3,4, Zhen Gao3,4, Yiqi Wu3,4, Zihui Deng8, Hongjun Kang2,4
  1. Department of Critical Care Medicine, the Fifth Medical Centre, Chinese PLA General Hospital, Beijing, China
  2. National Key Laboratory of Kidney Diseases, Beijing Key Laboratory of Kidney Disease Research, National Clinical Research Center for Kidney Diseases, Beijing, China
  3. Medical School of Chinese PLA, Beijing, China
  4. Department of Critical Care Medicine, the First Medical Centre, Chinese PLA General Hospital, Beijing, China
  5. Department of Critical Care Medicine, Beijing Armed Police Corps Hospital, Beijing, China
  6. Department of Emergency Medicine, the First Medical Centre, Chinese PLA General Hospital, Beijing, China
  7. Department of Critical Care Medicine, PLA General Hospital of Southern Theatre Command, Guangzhou, China
  8. Department of Basic Medicine, Medical School of Chinese PLA, Beijing, China
Journal: Frontiers in immunology, volume 17, article 1873819
Dates: received 6 May 2026; accepted 27 August 2026; published online 14 September 2026
Type: Research article · Language: English
License: CC BY
Identifiers: DOI · PMCID PMC13616672
Status: data only
Categories: mouse (organism), cellular / molecular (subfield)
Methods: Spectral & time-frequency, Statistics, Evoked potentials
Keywords: central nervous system, exosomes, heat stroke, mesenchymal stem cells, microglial cell
Citations: not cited yet (Europe PMC); 48 references in the paper
Research resources: BV2 mouse microglial cells RRID:CVCL_XD66

Abstract

Background: Central nervous system (CNS) injury is a major determinant of mortality and persistent disability after heat stroke. Mesenchymal stromal/stem cell-derived extracellular vesicles (MSC-EVs) are candidate cell-free immunomodulatory therapeutics, but their effects and molecular correlates in heat stroke-associated brain injury remain incompletely defined. We investigated whether MSC-EVs attenuate hippocampal inflammation and alter microglial phenotype-associated markers after heat stroke.

Methods: Human umbilical cord MSC-EVs were isolated by differential ultracentrifugation and characterized by transmission electron microscopy, nanoparticle tracking analysis, and immunoblotting for EV-enriched and non-EV markers. In a mouse heat stroke model, MSC-EVs (200 μg total protein per mouse) were administered intravenously. Neurological outcomes, hippocampal pathology, inflammatory mediators, IBA1 immunoreactivity, and phenotype-associated markers were evaluated. BV2 heat-stress and MSC co-culture experiments were used to examine VIM-AS1-associated miR-34a-5p/Per2 signaling.

Results: MSC-EV treatment improved survival and neurological scores and reduced hippocampal injury and inflammatory readouts after heat stroke. In mouse brain and BV2 models, treatment was associated with lower expression of inflammatory-associated markers and higher expression of repair-associated markers. EV RNA sequencing identified abundant VIM-AS1. VIM-AS1 gain- and loss-of-function experiments altered miR-34a-5p and Per2 expression, while miR-34a-5p directly repressed a conserved mouse Per2 3′UTR reporter. VIM-AS1 overexpression also improved inflammatory and neurological readouts in vivo.

Conclusions: MSC-EVs attenuated heat stroke-induced hippocampal injury and were associated with coordinated changes in VIM-AS1, miR-34a-5p, and Per2. These findings support MSC-EVs and VIM-AS1-associated signaling as candidates for further mechanistic investigation, while not establishing VIM-AS1 as the sole or dominant active EV cargo.

Reproduced under the paper's license (CC BY), from the paper cited above.

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Data

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Data availability statement

The data presented in the study are deposited in the Figshare repository, accession number https://doi.org/10.6084/m9.figshare.33421912.

Reproduced under the paper's license (CC BY), from the paper cited above.

Versions

The history of this record: each version stored by the harvester or made by a correction of its authors or of the maintainers of its code, and what changed in its facts. The texts of the paper (its abstract, its availability statements) are not part of it; versions that changed only those are not listed.

Version 1, 29 September 2026: the first record

Recorded: type, language, journal, volume, pages, dates, 11 authors, 5 keywords, 48 references, 1 RRID.

Cite

This paper

Wang, L., Wang, M., Liu, Y., Bai, Y., Li, Y., Cao, Y., Wang, C., Gao, Z., Wu, Y., Deng, Z., & Kang, H. (2026). Mesenchymal stem cell-derived extracellular vesicles ameliorate heat stroke-induced hippocampal injury and modulate VIM-AS1-associated miR-34a-5p/Per2 signaling. Frontiers in immunology, 17, 1873819.

BibTeX

@article{wang2026mesenchymal,
author = {Wang, Lu and Wang, Min and Liu, Yuyan and Bai, Yang and Li, Yun and Cao, Yuan and Wang, Chengjin and Gao, Zhen and Wu, Yiqi and Deng, Zihui and Kang, Hongjun},
title = {{Mesenchymal stem cell-derived extracellular vesicles ameliorate heat stroke-induced hippocampal injury and modulate VIM-AS1-associated miR-34a-5p/Per2 signaling}},
journal = {Frontiers in immunology},
year = {2026},
month = sep,
volume = {17},
pages = {1873819},
publisher = {Frontiers Media SA},
issn = {1664-3224},
pmcid = {PMC13616672}
}

RIS

TY - JOUR
AU - Wang, Lu
AU - Wang, Min
AU - Liu, Yuyan
AU - Bai, Yang
AU - Li, Yun
AU - Cao, Yuan
AU - Wang, Chengjin
AU - Gao, Zhen
AU - Wu, Yiqi
AU - Deng, Zihui
AU - Kang, Hongjun
TI - Mesenchymal stem cell-derived extracellular vesicles ameliorate heat stroke-induced hippocampal injury and modulate VIM-AS1-associated miR-34a-5p/Per2 signaling
T2 - Frontiers in immunology
J2 - Front Immunol
PY - 2026
DA - 2026/09/29
VL - 17
SP - 1873819
SN - 1664-3224
PB - Frontiers Media SA
LA - en
ER -

CSL-JSON

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