Islet transplantation is a therapeutic option for the treatment of type I diabetes. However, pancreata from multiple donors are still needed to guarantee a sufficient islet mass to obtain insulin independence, since a substantial number of transplanted islets fails to engraft into liver or suffers for poor vascular engraftment or for the immune attack. The molecular events involved in the revascularization of transplanted islets are far to be fully elucidated. Microvesicles (MVs) are small particles that play a key role in inter-cellular communication through the transfer of proteins and RNAs. MVs are enriched for microRNAs (miRNAs), small non coding RNAs able to modulate protein transduction. The aims of this study were: 1) isolation and characterization of MVs from purified human islets; 2) evaluation of the pro-angiogenic effect of MVs on human islet-derived endothelial cells (hIECs). MVs were isolated by ultracentrifugation from conditioned culture medium of purified human islets with high parameters of purity, viability and function (insulin stimulation index) to avoid the contamination of exocrine tissue or apoptotic cells. MVs were characterized by Nanosight, FACS, western blot, bioanalyzer, RT-PCR for specific islet-associated genes and miRNAs. We evaluated on isolated hIECs MV-induced: a) transfer of insulin mRNA and protein; b) proliferation (BrdU); c) resistance to apoptosis (TUNEL); d) angiogenesis on Matrigel; e) migration; f) transcriptional profile (mRNA) and g) protein profile of several pro-angiogenic and anti-apoptotic genes. Islet-derived MVs had a mean size of 155±73 nm and expressed different membrane molecules (integrins, CD44, ICAM 1, L-selectin, HLA I). MVs also expressed insulin, c-peptide, AKT, p-AKT, AGO 2 and CD63 proteins, shuttled several mRNAs, among which some involved in insulin secretion and signal transduction (insulin receptor, IRS2, AKT2, PDX1) and several miRNAs, including the beta-cell specific miR-7 and miR-375 and the pro-angiogenic miR-126, miR-296 and miR-130a. MVs were internalized into hIECs inducing an insulin mRNA expression and an early (3 hr) and late (12 hr) insulin protein expression. Moreover, MVs induced cell proliferation, resistance to apoptosis, migration and enhanced angiogenesis in hIECs by the up-regulation of pro-angiogenic, proliferative and anti-apoptotic genes and by the concomitant down-regulation of anti-angiogenic genes. At mRNA level, pro-angiogenic genes up-regulated by MVs were: Angiopoietin 1, CXCL1 FGFR3, VEGFR1, HAND, Jagged 1, Leptin, Midkine, Neurophillin 2 and Tie-2; instead down-regulated anti-angiogenic genes were: BAI1, endostatin, tumstatin, CXCL10, Notch 4, Thrombospondin 1 and Tissue inhibitor of metalloproteinases 1 and 2. Moreover, MVs induced up-regulation of VEGFR1, VEGFR2, VEGF A, Angiopoietin 1, p-AKT, p-ERK, p-eNOS, Bcl-2 at protein level. All these effects were significantly decreased by pre-treatment of MVs with 1U/ml RNase, suggesting a key role of RNA transfer from MVs to target hIECs. In this study, we demonstrated that human islets release biologically active MVs able to shuttle specific proteins, mRNAs and miRNAs into target cells. MVs exert a pro-angiogenic effect on hIECs, suggesting a putative role for islet-derived MVs in beta cell-endothelium cross-talk and in the enhancement of neoangiogenesis processes following islet transplantation.
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