Mesenchymal stem cells protect against ferroptosis via exosome-mediated stabilization of SLC7A11 in acute liver injury
Open accessAbstract
Mesenchymal stem cells (MSCs) have attracted interest for their potential to alleviate liver injury. Here, the protective effect of MSCs on carbon tetrachloride (CCl 4)-induced acute liver injury (ALI) was investigated. In this study, we illustrated a novel mechanism that ferroptosis, a newly recognized form of regulated cell death, contributed to CCl 4-induced ALI. Subsequently, based on the in vitro and in vivo evidence that MSCs and MSC-derived exosomes (MSC-Exo) treatment achieved pathological remission and inhibited the production of lipid peroxidation, we proposed an MSC-based therapy for CCl 4-induced ALI. More intriguingly, treatment with MSCs and MSC-Exo downregulated the mRNA level of prostaglandin-endoperoxide synthase 2 (Ptgs2) and lipoxygenases (LOXs) while it restored the protein level of SLC7A11 in primary hepatocytes and mouse liver, indicating that the inhibition of ferroptosis partly accounted for the protective effect of MSCs and MSC-Exo on ALI. We further revealed that MSC-Exo-induced expression of SLC7A11 protein was accompanied by increasing of CD44 and OTUB1. The aberrant expression of ubiquitinated SLC7A11 triggered by CCl 4 could be rescued with OTUB1-mediated deubiquitination, thus strengthening SLC7A11 stability and thereby leading to the activation of system X C− to prevent CCl 4-induced hepatocyte ferroptosis. In conclusion, we showed that MSC-Exo had a protective role against ferroptosis by maintaining SLC7A11 function, thus proposing a novel therapeutic strategy for ferroptosis-induced ALI.
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MSCs or MSC-derived exosomes protected against ferroptosis in CCl4-induced acute liver injury via restoring the protein level of SLC7A11.
“Lin et al. reported that MSCs or MSC-derived exosomes (MSC-Exos) protected against ferroptosis in CCl4-induced acute liver injury via restoring the protein level of SLC7A11 [102].”
From Mechanisms, efficacy, and future perspectives of cellular-based therapies for liver fibrosis/cirrhosis: focusing on mesenchymal stromal cells (2025) · cites this paper as [102]
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References 44 · Cited by 206
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- Authors
- Lin, F., Chen, W., Zhou, J., Zhu, J., Yao, Q., Feng, B., Feng, X., Shi, X., Pan, Q., Yu, J., Li, L., & Cao, H.
- Affiliations
- First Affiliated Hospital of Wenzhou Medical University (CN)
- First Affiliated Hospital Zhejiang University (CN)
- Corresponding author
- Cao, Hongcui
- ORCID
- Venue
- Cell Death & Disease
- Published
- 2022-03-26
- Volume
- 13
- Issue
- 3
- Pages
- 271-271
- ISSN
- 2041-4889 (ISSN-L)
- PMC
- PMC8960810
- OpenAlex
- W4220817059
- Cited by
- 206
- References
- 44
- Citations by year
- 2026: 20 · 2025: 65 · 2024: 61 · 2023: 52 · 2022: 8
- FWCI
- 28.90
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Cell Death and Disease (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Natural Science Foundation of China (81971756)
- Stem Cell and Translational Research from National Key Research and Development Program of Chin
- Topics
- Health Sciences › Medicine › Genetics › Mesenchymal stem cell research
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Drug-Induced Hepatotoxicity and Protection
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Extracellular vesicles in disease
- Keywords
- mesenchymal stem cells, ferroptosis, acute liver injury, SLC7A11, exosomes, carbon tetrachloride, system xc-, OTUB1, deubiquitination, CD44, cyclooxygenase-2, lipoxygenase, lipid peroxidation, hepatoprotection, MSC-based therapy
- MeSH terms
- Ferroptosis, Animals, Liver, Hepatocytes, Mice, Exosomes, Mesenchymal Stem Cells
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