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Regenerative Medicine

Platelet-derived exosomes induce cell proliferation and wound healing in human endometrial cells

    Colleen M Miller

    Division of Reproductive Endocrinology & Infertility, Mayo Clinic, Rochester, MN 55905, USA

    ,
    Elizabeth Ann L Enninga

    Division of Immunology & Obstetrics & Gynecology, Mayo Clinic, Rochester, MN 55905, USA

    ,
    Skylar A Rizzo

    Department of Molecular Pharmacology & Experimental Therapeutics, Mayo Clinic, Rochester, MN 55905, USA

    Van Cleve Cardiac Regenerative Medicine Program, Center for Regenerative Medicine, Mayo Clinic, Rochester, MN 55905, USA

    Mayo Clinic Medical Scientist Training Program, Mayo Clinic, Rochester, MN 55905, USA

    ,
    Jordan Phillipps

    Washington University School of Medicine, St. Louis, MO 63110, USA

    ,
    Hugo Guerrero-Cazares

    Department of Neurosurgery, Mayo Clinic, Jacksonville, FL 32224, USA

    ,
    Christopher C Destephano

    Department of Gynecologic Surgery, Mayo Clinic, Jacksonville, FL 32224, USA

    ,
    Timothy E Peterson

    Van Cleve Cardiac Regenerative Medicine Program, Center for Regenerative Medicine, Mayo Clinic, Rochester, MN 55905, USA

    ,
    Paul G Stalboerger

    Department of Molecular Pharmacology & Experimental Therapeutics, Mayo Clinic, Rochester, MN 55905, USA

    ,
    Atta Behfar

    Department of Molecular Pharmacology & Experimental Therapeutics, Mayo Clinic, Rochester, MN 55905, USA

    Van Cleve Cardiac Regenerative Medicine Program, Center for Regenerative Medicine, Mayo Clinic, Rochester, MN 55905, USA

    &
    Zaraq Khan

    *Author for correspondence: Tel.: +1 507 284 4520;

    E-mail Address: khan.zaraq@mayo.edu

    Division of Reproductive Endocrinology & Infertility, Mayo Clinic, Rochester, MN 55905, USA

    Published Online:https://doi.org/10.2217/rme-2022-0095

    Aim: To investigate the regenerative effects of a platelet-derived purified exosome product (PEP) on human endometrial cells. Materials & methods: Endometrial adenocarcinoma cells (HEC-1A), endometrial stromal cells (T HESC) and menstrual blood-derived stem cells (MenSC) were assessed for exosome absorption and subsequent changes in cell proliferation and wound healing properties over 48 h. Results: Cell proliferation increased in PEP treated T HESC (p < 0.0001) and MenSC (p < 0.001) after 6 h and in HEC-1A (p < 0.01) after 12 h. PEP improved wound healing after 6 h in HEC-1A (p < 0.01) and MenSC (p < 0.0001) and in T HESC between 24 and 36 h (p < 0.05). Conclusion: PEP was absorbed by three different endometrial cell types. PEP treatment increased cell proliferation and wound healing capacity.

    Plain language summary

    The uterus has a remarkable ability to heal itself. Every month the inside lining of the uterus grows in preparation for pregnancy and sheds if no pregnancy occurs. Unfortunately, this cycle of growth, shedding and repair can be injured and lead to menstrual changes, pain or even infertility. In this study, we looked how special cell messengers – called exosomes – could help uterine cells. Exosomes are special messengers that contain substances to help the body heal and regenerate injured cells and tissues. We obtained exosomes created from human transfusion-grade platelets. We studied the exosomes’ effects in three different cell types that all are important inside the uterine lining. Specifically, we studied the ability of the exosomes to help cells proliferate and migrate into a wound. In this study, exosomes were recognized by the human endometrial cells and were absorbed. Once they were inside the cells, they increased cell proliferation as well as the ability of the cells to heal a scratch wound. Furthermore, the more exosomes we presented to the cells, the more the cells were able to proliferate and move into a wound for healing. These findings lay the groundwork for future studies in animal models of uterine injury.

    Papers of special note have been highlighted as: • of interest; •• of considerable interest

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