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M2 microglia-derived exosomes inhibit p38 MAPK signaling pathways and GPX4-mediated neuronal ferroptosis in neuropathic pain [EXO_miRNAseq]


ABSTRACT: This study aimed to investigate the regulatory mechanism of M2 microglial exosomes (M2-exosomes) on neuronal ferroptosis during the progression of neuropathic pain (NP). IL-4 was used to induce M2 polarization of resting BV2 microglia. Subsequently, M2-exosomes were extracted from M2-polarized microglia and then sequenced. We further performed high-throughput sequencing for BV2 microglia and N2a neuronal cells that were cocultured with M2-exosomes. The effects of M2-exosomes on microglia and neuronal cells were detected by qRT-PCR, western blot, immunofluorescence, and flow cytometry in vitro. For the in vivo experiments, NP model mice were constructed using the chronic constriction sciatic nerve injury (CCI) method and injected intrathecally with M2-exosomes. Pain behavior and neuronal ferroptosis in the NP model mice were then assessed. The in vitro experiments indicated that M2-exosomes inhibited BV2 microglial inflammation response. The sequencing results for N2a neuronal cells treated with M2-exosomes showed that ferroptosis and the MAPK signaling pathway were significantly enriched. We further demonstrated that M2-exosomes reversed erastin-induced neuronal ferroptosis and inhibited activation of the p38 MAPK pathway in neuronal cells. Specifically, M2-exosomes increased expression of the ferroptosis antagonist factor GPX4 and decreased lipid peroxidation and mitochondrial ferrous levels in neuronal cells. The in vivo experiments using the CCI model showed that M2-exosomes increased GPX4 expression in spinal cord neuronal cells, inhibited the increase in ferrous content, and alleviated hyperalgesia. Our findings suggest that M2-exosomes activate the GPX4 antioxidant factor and inhibit p38 MAPK signaling pathways in neuronal ferroptosis, thereby improving pain hypersensitivity in NP.

ORGANISM(S): Mus musculus

PROVIDER: GSE306183 | GEO | 2026/08/21

REPOSITORIES: GEO

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