Evidence map›Paper›PMID 39217379›Full record

ArticleJournal of nanobiotechnology2024

Macrophage-derived extracellular vesicles represent a promising endogenous iron-chelating therapy for iron overload and cardiac injury in myocardial infarction.

Dong Guo, Xue Yang, Rui Yu, Jing Geng, Xiaoliang Zhang, Ying Wang, Qi Liang, Siying Pu, Tingwei Peng, Mingchuan Liu and 4 more

Abstract read
In one paragraph

Article in Journal of nanobiotechnology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Dong Guo *Department of Cardiology, Tangdu Hospital, Airforce Medical University, Xi'an, 710032, China.
Xue Yang *Department of Cardiology, Tangdu Hospital, Airforce Medical University, Xi'an, 710032, China.
Rui Yu *Department of Cardiology, Tangdu Hospital, Airforce Medical University, Xi'an, 710032, China.
Jing GengDepartment of Cardiology, Tangdu Hospital, Airforce Medical University, Xi'an, 710032, China.
Xiaoliang ZhangDepartment of Cardiology, Tangdu Hospital, Airforce Medical University, Xi'an, 710032, China.
Ying WangDepartment of Cardiology, Tangdu Hospital, Airforce Medical University, Xi'an, 710032, China.
Qi LiangDepartment of Cardiology, Tangdu Hospital, Airforce Medical University, Xi'an, 710032, China.
Siying PuDepartment of Cardiology, Tangdu Hospital, Airforce Medical University, Xi'an, 710032, China.
Tingwei PengDepartment of Cardiology, Tangdu Hospital, Airforce Medical University, Xi'an, 710032, China.
Mingchuan LiuDepartment of Cardiology, Tangdu Hospital, Airforce Medical University, Xi'an, 710032, China.
Feng FuDepartment of Physiology and Pathophysiology, Airforce Medical University, Xi'an, 710032, China.
Zhelong LiDepartment of Ultrasound Diagnostics, Tangdu Hospital, Airforce Medical University, Xi'an, 710032, China.
Lang HuDepartment of Cardiology, Tangdu Hospital, Airforce Medical University, Xi'an, 710032, China. medhulang@163.com.
Yan LiDepartment of Cardiology, Tangdu Hospital, Airforce Medical University, Xi'an, 710032, China. profleeyan@163.com.

Funding

National Natural Science Foundation of China no.82070385 and no. 82200404
6 · The paper itself

Abstract

backgroundCardiac iron overload and ferroptosis greatly contribute to the poor prognosis of myocardial infarction (MI). Iron chelator is one of the most promising strategies for scavenging excessive iron and alleviating cardiac dysfunction post MI. However, various side effects of existing chemical iron chelators restrict their clinical application, which calls for a more viable and safer approach to protect against iron injury in ischemic hearts.

resultsIn this study, we isolated macrophage-derived extracellular vesicles (EVs) and identified macrophage-derived EVs as a novel endogenous biological chelator for iron. The administration of macrophage-derived EVs effectively reduced iron overload in hypoxia-treated cardiomyocytes and hearts post MI. Moreover, the oxidative stress and ferroptosis induced by excessive iron were considerably suppressed by application of macrophage-derived EVs. Mechanistically, transferrin receptor (TfR), which was inherited from macrophage to the surface of EVs, endowed EVs with the ability to bind to transferrin and remove excess protein-bound iron. EVs with TfR deficiency exhibited a loss of function in preventing MI-induced iron overload and protecting the heart from MI injury. Furthermore, the iron-chelating EVs were ultimately captured and processed by macrophages in the liver.

conclusionsThese results highlight the potential of macrophage-derived EVs as a powerful endogenous candidate for iron chelation therapy, offering a novel and promising therapeutic approach to protect against iron overload-induced injury in MI and other cardiovascular diseases.

Indexed as

Extracellular VesiclesIron Chelating AgentsIron OverloadMacrophagesMice, Inbred C57BLMyocardial InfarctionReceptors, TransferrinAnimalsFerroptosisHumansIronMaleMiceMyocytes, CardiacOxidative StressTransferrinIronIron Chelating AgentsReceptors, TransferrinTransferrinExtracellular vesiclesIron chelating therapyIron overloadMacrophagesMyocardial infarctionTransferrin receptor

Identifiers

PMID39217379
PMCPMC11365162

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.