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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Stem Cells. Jul 26, 2026; 18(7): 118557
Published online Jul 26, 2026. doi: 10.4252/wjsc.118557
miR-140-3p in exosomes derived from bone-marrow mesenchymal stem cells inhibits pyrotoisosis by targeting PTEN under high-glucose condition
Yue Wu, Wen-Hui Yin, Hong-Jing Wang, Hui Cai
Yue Wu, Hui Cai, The First Clinical Medical School, Lanzhou University, Lanzhou 730000, Gansu Province, China
Yue Wu, Department of Burn, Gansu Provincial Hospital, Lanzhou 730000, Gansu Province, China
Wen-Hui Yin, Department of Medicine, Gansu University of Chinese Medicine, Lanzhou 730000, Gansu Province, China
Hong-Jing Wang, Department of Education, Gansu Provincial Hospital, Lanzhou 730000, Gansu Province, China
Hui Cai, NHC Key Laboratory of Diagnosis and Therapy of Gastrointestinal Tumor/Key Laboratory of Molecular Diagnostics and Precision Medicine for Surgical Oncology, Gansu Provincial Hospital, Lanzhou 730000, Gansu Province, China
Hui Cai, Gansu Isotope Laboratory, Institute of Modern Physics, Chinese Academy of Sciences, Lanzhou 730000, Gansu Province, China
Author contributions: Wu Y initiated the study, organized and edited this paper after compiling it to refine it; Wu Y, Yin WH, and Wang HJ planning the experiments and carrying out postoperative observation together as well as filling in relevant forms; Cai H initiated the study supervision, financial support and manuscript review; and all authors read and approved our work hereafter.
AI contribution statement: No AI tools were used in the writing or preparation of this manuscript. All content, analysis, and writing were performed solely by the authors.
Supported by the Natural Science Foundation of Gansu Province, No. 22JR5RA692; Lanzhou Youth Scientific and Technological Talent Innovation Project, No. 2024-QN-38; Backbone and Young Talent Project for Provincial Health Commission, No. GSWSQN2025-20; National Natural Science Foundation of China, No. 82360498; Gansu Joint Scientific Research Fund Major Project, No. 23JRRA1537; the Central-Guided Local Science and Technology Development Found, No. 25ZYJA003; Alpha Isotope Mass Production Technology and Targeted Radiopharmaceuticals Research, No. GSTWS250108; and Gansu Provincial Clinical Medical Research Center for Burn and Wound Repair, No. 21JR7RA674.
Institutional review board statement: This study did not involve any patients and animals.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: All data generated or analyzed during this study are included in this published article.
Corresponding author: Hui Cai, The First Clinical Medical School, Lanzhou University, No. 222 Tianshui South Road, Chengguan District, Lanzhou 730000, Gansu Province, China. caialongteams@163.com
Received: February 3, 2026
Revised: March 18, 2026
Accepted: May 27, 2026
Published online: July 26, 2026
Processing time: 169 Days and 4.2 Hours
Abstract
BACKGROUND

Diabetes has continuously affected some people for a long time, and among them there are many cases of foot ulcers which appear due to insufficient fibroblast activity. Bone-marrow mesenchymal stem cell (BMSC) secreted exosomes (BMSCs-Exos), although showing good clinical application prospects; however, the function of microRNAs (miRNAs) in exosome is not well understood yet.

AIM

To explore the function of miR-140-3p in BMSC-Exo treatment for high-glucose-induced damage to rat skin fibroblasts (RSFs), as well as its related cell pathways.

METHODS

Exosome materials originated from rat BMSCs and were obtained by precipitating them. Based on the structure, dimensions and external markers (CD9, CD63, CD81), etc., of these cells using transmission electron microscope, nanoparticle tracking analysis and western blotting technologies respectively. Tagging the exosomes with PKH26 to track their internalisation into RSF cells. Using high-throughput miRNA sequencing combined with bioinformatics analysis of samples from BMSCs-Exo cells in normal or hyperglycaemic conditions to find deregulated miRNAs associated with the pyroptotic pathway. After transfecting mimic or inhibitor RNAi-miR-140-3p into rat BMSCs, exosomes were isolated from cell cultures, and their concentrations of miR-140-3p were determined by real-time quantitative polymerase chain reaction (qRT-PCR). The RSFs were divided into three groups: Group Hy-miR-inhibitor-NC-Exo; the Hy-miR-140-3p-inhibitor-Exo group and the Hy-miR-140-3p-inhibitor-Exo-AYC group. Determine whether the cells have increased proliferation or migrated through the CCK-8 assay and the cell-wound-closure experiment, respectively. Determine the levels of pyroptotic-related molecules (NLRP3, interleukin-18, interleukin-1β, caspase-1, and gasdermine-D-N-terminal) using western blotting technology. miR-140-3p’s functional association with its target gene phosphatase and tensin homolog (PTEN) has been verified by qRT-PCR, western blotting and dual-luciferase reporter assay. To examine the interaction of the miR-140-3p/PTEN regulatory loop with fibroblast pyroptosis via western blot. The statistical verification of all results used SPSS 21.0; group differences were compared with a one-way ANOVA.

RESULTS

BMSCs-Exo was successfully isolated and characterised. These vesicles are about 50 nm to 250 nm in diameter, oval or spherical in shape; they strongly express the three surfaces antigens of CD9, CD63 and CD81. PKH26 labelling confirmed that BMSCs-Exo had been absorbed into the RSF cells. miRNA-seq data showed that miR-140-3p was significantly up-regulated in BMSCs-Exo under hyperglycaemia, and it was closely related to the pyroptosis signal transduction pathway. According to qRT-PCR results, compared with the negative control group (1.04 ± 0.03), the level of miR-140-3p in the miR-140-3p mimics group increased by more than 2.5 times; the level in the miR-140-3p inhibitor group decreased by about 46% compared with that in the negative control group (1.07 ± 0.02). Comprehensive comparison showed that there was a statistically significant difference at all levels (F = 1062.839, P < 0.001). Cellular experiments showed that compared with those in the Hy-miR-inhibitor-NC-Exo group, there was a significant decrease in proliferation and migration abilities, as well as an obvious increase in expression levels of pyroptotic protein genes in the Hy-miR-140-3p-inhibitor-Exo group. After adding the pyroptosis pathway inhibitor AYC, the above parameters improved greatly. qRT-PCR, western blotting, and dual-luciferase reporters have demonstrated that PTEN is a specific target of miR-140-3p; it has been effectively repressed by this reduction in PTEN levels. Afterwards’ examination found that PTEN overexpressed promoted fibroblasts to perform pyroptosis; meanwhile, miR-140-3p mimic reversed it.

CONCLUSION

BMSCs-Exo delivered miR-140-3p to target PTEN in cells, suppress NLRP3-mediated pyroptosis, improve fibroblast function damaged by high-glucose conditions, and serve as a new therapeutic strategy for treating diabetics with wounds.

Keywords: Bone marrow mesenchymal stem cell-derived exosomes; Rat fibroblasts; MicroRNA; Phosphatase and tensin homolog; Pyroptosis

Core Tip: Specifically, extracellular vesicles derived from bone marrow mesenchymal stem cells contain miR-140-3p that inhibits pyroptosis in rat dermal fibroblasts caused by hyperglycaemic stimulation through direct inhibition of phosphatase and tensin homolog. By blocking the NLRP3/caspase-1/gasdermine-D-N-terminal-dependent pyroptosis pathway to promote fibroblast proliferation and migration. The miR-140-3p/phosphatase and tensin homolog axis has provided an attractive strategy to treat diabetic foot ulcers.

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