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MicroRNAs in serum-derived neuronal exosomes as biomarkers of

                                      acute severe stress response

            Minkyoung Sung¹ , Soo-Eun Sung¹ , Kyung-Ku Kang¹, Joo-Hee Choi¹, Si-Joon Lee¹, Kil-Soo Kim¹, Min-Soo Seo¹ *
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                        Laboratory animal center, Daegu Gyeongbuk Medical Innovation Foundation, Daegu, Korea
                                                         Abstract
     Stress is the physical and psychological tension that individual feels when faced with a situation that is difficult to adapt. Previous studies have shown that stress alters the
     expression of stress hormones and then causes brain neuroinflammation. We further analyzed the miRNAs in serum derived neuronal exosome to confirm that miRNAs
     with different expression levels after exposure to acute stress can be used as stress biomarkers. First, each stress protocol was treated to make stress animal models
     according to different stress severity. Next, we analyzed stress hormones such as corticosterone, cortisol and neuron-associated inflammation marker such as BDNF, COX2,
     GFAP and TNF-α according to stress severity and time. Because control and severe group were showed significant differences among them, neuronal exosomes were
     isolated from serum of control and severe group. Following exosomes isolation, NGS was performed to measure exosomal miRNA of severe group against exosomal miRNA
     of control group. As a result, 13 upregulated miRNAs and 11 downregulated miRNAs were analyzed. Many studies have shown that several miRNAs among 24 miRNAs
     regulate neuron and depression-associated factors. Thus, these miRNAs in serum derived neuronal exosomes may be used as biomarkers of stress response.
                         Introduction                           A                          B         CD9        CD63
                                                                                                     98.96%    78.36%
     Stress is defined as tension that an individual accepts when placed in an
     environment that is difficult to adapt to or threatened to maintain homeostasis.
     Glucocorticoid hormones such as cortisol, corticosterone have used as biomarkers
     of psychological stress, but the previous studies indicated that the stress response
     of HPA axis is influenced by many factors. So many studies are underway to find   C  D    Size distribution by intensity
     biomarkers that can objectively judge stress. Stress is known to affect the brain   tEV
     and alter gene expression of neuroinflammatory markers in the hippocampus,   CD9
     which is particularly sensitive to stress. Also, exosomes and exosomal miRNAs   CD81
     have studied as diagnostic biomarkers of many diseases. Based on these data, this   TSG101
     study aims to identify neuronal exosomal miRNAs that have potential as stress
     biomarkers by confirming miRNAs whose expression levels change with stress.  Figure 3. Characterization of total exosomes isolated from serum. (A) TEM image
                                                                showing exosome morphology and size. (B) FACS data confirming  expression of
                    Materials and Methods                       exosome markers. (C) Western blot analysis for confirm of exosome markers. (D)
                                                                DLS analysis of exosomes to confirm size distribution.
      Severe stress was induced by                                               Figure 4. Characterization of neuronal exosomes
      electronic foot shock.
      Exosomes were isolated from                                                isolated from serum. Western blot image shows
                                                                                  enrichment of neuronal exosome-associated marker.
      serum using Exo-Quick solution.
      Neuronal exosomes were isolated
      by referring to Mustapic, Maja, et
      al.
      Analysis of microRNAs was performed by next-generation sequencing (NGS).
                                                                Figure 5. Heatmap of
                            Results                             differential miRNA
                                                                expression from
                                                                neuronal exosomes by
                                                                acute severe stress. 13
                                                                up-regulated miRNAs and
                                                                11 down-regulated
                                                                miRNAs were analyzed in
                                                                the stress group
                                                                compared to the control
                                                                group.
     Figure 1. HPA axis is influenced by acute severe stress. Acute severe stress led to
     change of glucocorticoid hormones expression patterns.
                                                                                     Conclusion

                                                                 Electronic foot shock-induced stress and affected the hypothalamic-pituitary-
                                                                 adrenal axis (HPA axis).
                                                                 The stress caused by electronic foot shock induced neuroinflammation in the
                                                                 hippocampus.
                                                                 As a result of performing NGS, 13 up-regulated exosomal miRNAs and 11 down-
                                                                 regulated exosomal miRNAs were analyzed in the stress group compared to
                                                                 control. It is considered the specific miRNAs of neuronal exosomes whose
                                                                 expression difference was confirmed under acute severe stress may be used as
                                                                 a stress-related biomarkers.
                                                                                 Acknowledgement

                                                                 We would like to thank Laboratory Animal Resources Bank (LAREB) for
                                                                 distributing brain paraffin blocks and frozen serums.

                                                                                     References

                                                                M. Mustapic, E. Eitan, J.K. Werner, Jr., S.T. Berkowitz, M.P. Lazaropoulos, J. Tran,
     Figure 2. Acute severe stress led to change of neuroinflammation marker   E.J. Goetzl, D. Kapogiannis, Plasma Extracellular Vesicles Enriched for Neuronal
     expression patterns in hippocampus. Except for BDNF, the expression of other   Origin: A Potential Window into Brain Pathologic Processes, Frontiers in
     markers (COX-2, GFAP, TNF-α) was increased.                 neuroscience 11 (2017) 278.
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