1. Exosomal PD-L1 induces osteogenic differentiation and promotes fracture healing by acting as an immunosuppressant
- Author
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Guodong Liu, Kaiyong Cai, Qian Feng, Yun Sun, Weilin Meng, Ze Lin, Lili Chen, Chenchen Yan, Hang Xue, Liangcong Hu, Bobin Mi, Adriana C. Panayi, Lang Chen, Yiqiang Hu, Chuanchuan Lin, Faqi Cao, Yuan Xiong, Xudong Xie, Wu Zhou, and Guohui Liu
- Subjects
PD-L1 ,QH301-705.5 ,Callus formation ,T cell ,Biomedical Engineering ,Fracture healing ,Inflammation ,Bone healing ,Biomaterials ,Immune system ,medicine ,Biology (General) ,Materials of engineering and construction. Mechanics of materials ,Chemistry ,Mesenchymal stem cell ,Bone fracture ,medicine.disease ,Cell biology ,Exosome ,Hydrogel ,medicine.anatomical_structure ,TA401-492 ,Human umbilical vein endothelial cell ,Immunotherapy ,medicine.symptom ,Biotechnology - Abstract
A moderate inflammatory response at the early stages of fracture healing is necessary for callus formation. Over-active and continuous inflammation, however, impairs fracture healing and leads to excessive tissue damage. Adequate fracture healing could be promoted through suppression of local over-active immune cells in the fracture site. In the present study, we achieved an enriched concentration of PD-L1 from exosomes (Exos) of a genetically engineered Human Umbilical Vein Endothelial Cell (HUVECs), and demonstrated that exosomes overexpressing PD-L1 specifically bind to PD-1 on the T cell surface, suppressing the activation of T cells. Furthermore, exosomal PD-L1 induced Mesenchymal Stem Cells (MSCs) towards osteogenic differentiation when pre-cultured with T cells. Moreover, embedding of Exos into an injectable hydrogel allowed Exos delivery to the surrounding microenvironment in a time-released manner. Additionally, exosomal PD-L1, embedded in a hydrogel, markedly promoted callus formation and fracture healing in a murine model at the early over-active inflammation phase. Importantly, our results suggested that activation of T cells in the peripheral lymphatic tissues was inhibited after local administration of PD-L1-enriched Exos to the fracture sites, while T cells in distant immune organs such as the spleen were not affected. In summary, this study provides the first example of using PD-L1-enriched Exos for bone fracture repair, and highlights the potential of Hydrogel@Exos systems for bone fracture therapy through immune inhibitory effects.
- Published
- 2022
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