UCMSCs reverse H2O2-induced TEC senescence
Cell proliferation activity was detected by the Ki67 cellular immunofluorescence method. Compared with the control group, the cell proliferation activity of the model group was significantly decreased, indicating that H2O2 inhibited the proliferation of TECs (p<0.01). The coculture of UCMSCs significantly increased the proliferation activity of TECs (p<0.01) (Fig. 1a). The SASP effect of UCMSCs on H2O2-treated TECs was detected. As shown in the figure, the levels of the proinflammatory factors IL-6 (Fig. 1b) and IL-8 (Fig. 1c) in the model group were higher than those in the control group and were increased after coculture with UCMSCs. The expression level of VEGF (Figure 1d) in the model group decreased, and the expression level increased after coculture with UCMSCs. The above results indicated that the SASP of senescent cells significantly changed after coculture with UCMSCs.
Figure 1: UCMSCs reverse H2O2-induced TEC senescence. (a) Effect of UCMSCs on H2O2-induced TEC cell proliferation viability (n = 3, n is the number of cells analyzed, ****P<0.0001 compared with the control group, ****P<0.0001 compared with the model group). (b-d) Statistical analysis of SASP secretion levels of senescent TECs in the presence of UCMSCs (n = 3, n is the number of cells analyzed, ***P<0.001 **P<0.01, *P<0.05).
UCMSCs attenuate H2O2-induced apoptosis in TECs
To study the effect of UCMSCs on H2O2-induced TEC apoptosis, TUNEL staining was used to detect cell apoptosis. As shown in (Fig. 2a), compared with that in the control group, the proportion of red fluorescent cells in the model group increased, indicating that after H2O2 induction, apoptosis was significantly increased. After coculture with UCMSCs, apoptosis was significantly alleviated. Western blotting was used to detect the expression of the apoptosis-related proteins Bax and caspase-3. As shown in (Fig. 2b), compared with the control treatment, H2O2 induced a significant increase in the expression of Bax and caspase-3. After coculture with UCMSCs, the expression levels of Bax and caspase-3 were significantly reduced. This indicated that UCMSC coculture had an obvious protective effect against H2O2-induced apoptosis in TECs.
Figure 2: Protective effect of UCMSCs against H2O2-induced TEC apoptosis. (a) The effect of UCMSCs on H2O2-induced apoptosis was detected by TUNEL staining (n = 3, n is the number of cells analyzed; ***P< 0.001 vs. the control group, ***P<0.001 vs. the model group). (b) western blot analysis of the apoptosis-related proteins Bax and caspase-3 (n = 3, n is the number of cells analyzed; ****P<0.0001, ***P<0.001, ** P<0.01).
Functional enrichment analysis of differentially expressed mRNAs
We first focused on changes in the transcript levels of coding genes using p<0.05 and ∣log2FC∣>1.2. The volcano plot shows that 2772 differential mRNAs (1187 downregulated and 1585 upregulated) were detected between the model group and the control group. In the model group, 2260 differential mRNAs (1090 downregulated and 1170 upregulated) were detected between the groups before and after coculture (Fig. 3a and b). Using the unsupervised clustering method, the expression profiles of the top 20 up- and downregulated differentially expressed mRNAs were obtained (Fig. 3c and d). Furthermore, by comparing the gene expression of the three groups, we determined that 156 mRNAs were downregulated in the model group compared to the control group, and UCMSC coculture reversed these H2O2-induced mRNA changes, resulting in expression levels similar to those observed in the control group. Compared with the control group, the model group exhibited upregulation of 116 mRNAs, and these changes were also reversed after UCMSC treatment. Collectively, these results suggest that H2O2 induced transcriptomic alterations in TECs, which were largely reversed by UCMSC treatment (Fig. 3e).
Figure 3: Differential expression analysis of mRNAs. (a) Volcano plot of the differential mRNA expression profiles of the control group and model group. (b) Volcano plot of the differential mRNA expression profiles of the model group and coculture group. Unsupervised cluster analysis showed (c) the expression profiles of the top 20 up- and downregulated mRNAs between the control and model groups and (d) the expression profiles of the model and coculture groups. (e) Heatmap showing that 272 mRNAs showed altered expression when TECs were treated with H2O2; treatment with UCMSCs reversed these changes.
GO and KEGG analyses of these genes were performed to study the functions of UCMSC-targeted mRNAs, as shown in (Fig.3f). The most enriched biological processes (BPs) in the GO terms were growth, regulation of epithelial cell proliferation, and cell aging. The most enriched cellular component (CC) terms were focal adhesion, lysosome, mitochondrial membrane, etc. TThe most enriched molecular function (MF) terms were transcription factor binding, RNA polymerase II-specific DNA-binding transcription factor binding, growth factor binding, etc. The top enriched KEGG pathways are shown in (Fig.3g). The MAPK signaling pathway, cAMP signaling pathway, VEGF signaling pathway, PI3K-Akt signaling pathway, apoptosis, etc., may be related to the reversal of TEC senescence by UCMSCs.
Figure 3: Functional enrichment analysis of differentially expressed mRNAs (f) and GO enrichment analysis of UCMSC-altered mRNAs. The superscript numbers represent the number of genes and P values marked on the GO item, and the ordinate represents the GO item. (g) KEGG enrichment analysis of mRNAs with altered expression in the presence of UCMSCs. The superscript numbers indicate the number of genes and P value values marked on the GO item, and the ordinate is the KEGG pathway.
Functional enrichment analysis of differentially expressed lncRNAs
Using the same method (log2(FC)>1.2 and p<0.05), volcano plots were generated to compare the differential lncRNA expression profiles of the "model group vs. control group" and "UCMSC group vs. model group". (Fig.4a) shows that compared with the control group, the model group had 1120 differentially expressed lncRNAs (555 upregulated and 565 downregulated), and compared with the model group, UCMSCs had 1033 differentially expressed lncRNAs (558 upregulated and 475 downregulated) (Fig. 4b). Similar to mRNAs, the expression profiles of the top 20 up- and downregulated differentially expressed lncRNAs are shown in (Fig.4c and d). Compared with the control group, the model group exhibited 172 lncRNAs that were significantly abnormally expressed (67 were upregulated, and 105 were downregulated). After treatment with UCMSCs, these H2O2-induced lncRNA changes were reversed, resulting in expression levels similar to those in the control group. (Fig. 4e).
Figure 4: Analysis of differential expression of lncRNAs and volcano plots of the expression profiles of differentially expressed lncRNAs (a) between the control group and the model group and (b) between the model group and the UCMSC group. Unsupervised cluster analysis showed the expression profiles of the top 20 up- and downregulated lncRNAs (c) between the control and model groups and (d) between the model and coculture groups. (g) Heatmap showing 172 lncRNAs that were altered by H2O2 in TECs; treatment with UCMSCs reversed these alterations. As shown in Figure (4e),
GO analysis of UCMSC-targeted potential lncRNA target genes indicated that the most enriched GO terms included regulation of epithelial cell differentiation, morphogenesis of an epithelium, epithelial and cell differentiation (BP); focal adhesion and cell-substrate junction (CC); and growth factor activity and protein domain specific binding (MF)(Fig. 4f). As shown in (Fig. 4g), the apoptosis, cell cycle and VEGF signaling pathways were enriched in the KEGG analysis of potential lncRNA target genes.
Figure 4: Differentially expressed lncRNA functional enrichment analysis. (f) GO enrichment analysis of UCMSC-altered lncRNA target genes. The superscript numbers represent the number of genes and P values marked on the GO item, and the ordinate represents the GO item. (g) KEGG enrichment analysis of UCMSC-altered lncRNAs. The superscript numbers indicate the number of genes and P values marked on the GO item, and the ordinate is the KEGG pathway.
Functional enrichment analysis of differentially expressed miRNAs
After comparing the miRNA transcriptomes of different groups, volcano plot (Fig. 5a and b) analysis revealed 208 H2O2-responsive miRNAs (i.e., 100 upregulated and 108 downregulated in the H2O2 intervention group) and 175 UCMSC-responsive miRNAs (i.e., 102 were upregulated and 73 were downregulated after UCMSC treatment). The results of unsupervised clustering analysis revealed that the top 20 differentially expressed miRNAs were upregulated and downregulated (Fig. 5c and d). Compared with the control group, the model group exhibited downregulated expression of 12 miRNAs, and this effect was reversed after UCMSC treatment. Compared with the control treatment, the H2O2 intervention induced upregulation of 11 miRNAs, and after coculture with UCMSCs, the levels of these miRNAs were similar to those in the control group (Fig. 5e).
Figure 5: Differential expression analysis of miRNAs and volcano plots of DE miRNA expression profiles (a) between the control and model groups and (b) between the model and coculture groups. Unsupervised cluster analysis showed the expression profiles of the top 20 miRNAs that were up- and downregulated between the control and model groups. (c) and (d) The expression profiles of the model and coculture groups. (e) Heatmap showing 23 miRNAs that were altered when TECs were subjected to H2O2-induced senescence, which was reversed by UCMSCs.
In the GO analysis (Fig. 5f), the BP terms were cell differentiation, growth and apoptotic process. MFs were mainly enriched in RNA polymerase II regulatory region sequence-specific DNA binding and growth factor receptor binding. Regarding CCs, the enriched terms included chromatin, mitochondrial outer membrane, and lysosome. The most enriched KEGG pathways are shown in (Fig. 5g). Major genes were enriched in the following pathways: FoxO signaling pathway, EGFR tyrosine kinase inhibitor resistance, MAPK signaling pathway, Jak-STAT signaling pathway, etc. These results suggest that miRNA-regulated target mRNAs may participate in the protective function of UCMSCs through these pathways. The PI3K-AKT signaling pathway has also been found to be closely related to this process.
Figure 5: Functional enrichment analysis of differentially expressed miRNAs. (f) GO enrichment analysis of target genes of miRNAs altered by UCMSCs. The superscript numbers represent the number of genes and P values marked on the GO item, and the ordinate represents the GO item. (g) KEGG enrichment analysis of UCMSC-altered lncRNAs. The superscript numbers indicate the number of genes and P values marked on the GO item, and the ordinate is the KEGG pathway.
RT–qPCR verification of related genes
We performed RT–qPCR analysis to validate the results of RNA-seq. Among the differentially expressed mRNAs most strongly associated with the reversal of TEC senescence by UCMSCs, we selected 5 mRNAs enriched in the PI3K-AKT signaling pathway for real-time qPCR: VEGFA, EPHA2, BDNF, MYC, and PIK3R1. In addition, abnormally regulated noncoding RNAs were selected for real-time qPCR analysis, with 5 miRNAs (novel-m0297-5p, hsa-miR-10399-3p, hsa-miR-365b-5p, hsa-miR-3074-3p, hsa-miR-3691-5p) and 3 lncRNAs (ENST00000476682, ENST00000536119, MSTRG.2060.1). As shown in Figure (6), the expression levels detected by RT–qPCR were consistent with the results of RNA-Seq. Therefore, all of these lncRNAs, miRNAs and mRNAs were identified as targets closely related to UCMSC therapy and included in subsequent analyses.
Figure 6: RT–qPCR-validated differential expression of ncRNAs and mRNAs. The data show that the expression levels of lncRNAs (ENST00000476682, ENST00000536119, MSTRG.2060.1), microRNAs (novel-m0297-5p, hsa-miR-10399-3p, hsa-miR-365b-5p, hsa-miR-3074-3p, hsa- miR-3691-5p), and mRNAs (VEGFA, EPHA2, BDNF, MYC, PIK3R1) and the RT–qPCR results were consistent with the RNA sequencing results.
UCMSCs activate the PI3K-AKT pathway in H2O2-injured TECs to regulate the TEC cell cycle
Combined with the results of KEGG analysis, we speculated that the PI3K-AKT pathway may be the key pathway by which UCMSCs reverse TEC senescence. As shown in (Fig. 7a), compared with those in the model group, the levels of the PI3K and AKT proteins in the UCMSC group increased, suggesting that PI3K and AKT protein levels were elevated under the action of UCMSCs. At the same time, we detected the expression of p27 (Fig. 7b), CDK2 (Fig. 7c) and CCNE (Fig. 7D), the key nodes that regulate the cell cycle downstream of PI3K. The expression of p27 decreased and the expression of CDK2 and CCNE increased after coculture. This result indicates that UCMSCs may induce senescent TECs to enter the proliferation and replication phase by activating the PI3K-AKT signaling pathway.
Figure 7: UCMSCs activate the PI3K-AKT pathway in senescent TECs. (a) The expression of PI3K-AKT signaling pathway proteins was detected by western blotting, and GAPDH was used as a control. (b-d) Immunofluorescence detection of the expression of p27, CDK2 and CCNE at key sites of cell cycle regulation downstream of the PI3K signaling pathway.
A comprehensive network analysis of lncRNA-associated ceRNAs
In this study, Miranda (v3.3a) and TargetScan (Version: 7.0) software was used to perform target gene prediction, and the intersection of the target gene prediction results obtained with the two software programs was used as the result of miRNA target gene prediction. Based on the identified differentially expressed RNAs between the control and model groups, a lncRNA-related ceRNA network (containing 19 mRNAs, 33 lncRNAs, and 6 miRNAs) associated with H2O2-induced TEC senescence was constructed (Fig. 8). Furthermore, treatment with UCMSCs affected the expression of 14 lncRNAs, which subsequently regulated 11 mRNAs by competitively binding to 3 miRNAs (miR-93-x, miR-181-x, and novel-0297-5p). The arrows inside the lncRNA-miRNA–mRNA network represent the changes in RNA levels after coculture with UCMSCs. Overall, evidence from our bioinformatics analysis suggests that lncRNAs contain miRNA-responsive elements and play key regulatory roles.
Figure 8: LncRNA-miRNA–mRNA interaction network. Circles represent mRNAs, squares represent lncRNAs, and triangles represent miRNAs. Red and green represent up- and downregulation in the model group, respectively. Arrows indicate UCMSC-altered RNAs, and downward arrows indicate downregulation.