%0 Journal Article %A Xiong, Zhizhong %A Li, Xianzhe %A Xie, Minghao %A Guo, Jianping %A Yin, Shi %A Huang, Dayin %A Jin, Longyang %A Wang, Caiqin %A Zhang, Fengxiang %A Mao, Chaobin %A Chen, Huaxian %A Luo, Dandong %A Tang, Haijie %A Chen, Xijie %A Lian, Lei %T Small extracellular vesicles derived from adipose mesenchymal stem cells alleviate intestinal fibrosis by inhibiting the FAK/Akt signaling pathway via MFGE8. %J Journal of gastroenterology %V 59 %N 12 %@ 0944-1174 %C Tokyo %I Springer %M DKFZ-2024-01901 %P 1092-1106 %D 2024 %Z #EA:C070# / 2024 Dec;59(12):1092-1106 %X Intestinal fibrosis is one of the most frequent and severe complications of Crohn's disease. Accumulating studies have reported that adipose mesenchymal stem cell-derived small extracellular vesicles (AMSC-sEVs) could alleviate renal fibrosis, hepatic fibrosis, etc., while their potential for treating intestinal fibrosis remains uncertain. Therefore, this study aims to determine the therapeutic effects of AMSC-sEVs on intestinal fibrosis and identify the mechanisms underlying these effects.AMSC-sEVs were characterized using transmission electron microscopy, nanoparticle tracking analysis, and western blot. Whether AMSC-sEVs exert antifibrotic effects was investigated in two different murine models of intestinal fibrosis. Besides, AMSC-sEVs were co-cultured with primary human fibroblasts and CCD18co during transforming growth factor (TGF)-β1 stimulation. Label-free proteomics and rescue experiments were performed to identify candidate molecules in AMSC-sEVs. Transcriptome sequencing revealed changes in mRNA levels among different groups. Lastly, proteins related to relevant signaling pathways were identified by western blotting, and their expression and activation status were assessed.AMSC-sEVs positively expressed CD63 and Alix and presented a classical 'rim of a cup' and granule shape with approximately 43-100 nm diameter. AMSCs significantly alleviated intestinal fibrosis through secreted sEVs in vitro and in vivo. The milk fat globule-EGF factor 8 (MFGE8) was stably enriched in AMSC-sEVs and was an active compound contributing to the treatment of intestinal fibrosis by AMSCs. Mechanistically, AMSC-sEV-based therapies attenuated intestinal fibrosis by inhibiting the FAK/Akt signaling pathway.MFGE8-containing AMSC-sEVs attenuate intestinal fibrosis, partly through FAK/Akt pathway inhibition. %K Intestinal fibrosis (Other) %K Mesenchymal stem cells (Other) %K Milk fat globule-EGF factor 8 (Other) %K Small extracellular vesicles (Other) %F PUB:(DE-HGF)16 %9 Journal Article %$ pmid:39305336 %R 10.1007/s00535-024-02152-5 %U https://inrepo02.dkfz.de/record/293578