Inhibition of macrophage polarization and pyroptosis in collagen-induced arthritis through MSC-exo and ginsenoside Rh2

Abstract Background Rheumatoid arthritis (RA) is a chronic autoimmune disease characterized by joint inflammation, tissue damage, and fibrosis, significantly affecting the quality of life. While there are currently some effective treatments available, they often come with side effects. There is an u...

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Main Authors: Zhongsheng Zhou, Shuhui Wu, Yang Li, Pu Shao, Jinlan Jiang
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Arthritis Research & Therapy
Subjects:
Online Access:https://doi.org/10.1186/s13075-025-03473-3
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author Zhongsheng Zhou
Shuhui Wu
Yang Li
Pu Shao
Jinlan Jiang
author_facet Zhongsheng Zhou
Shuhui Wu
Yang Li
Pu Shao
Jinlan Jiang
author_sort Zhongsheng Zhou
collection DOAJ
description Abstract Background Rheumatoid arthritis (RA) is a chronic autoimmune disease characterized by joint inflammation, tissue damage, and fibrosis, significantly affecting the quality of life. While there are currently some effective treatments available, they often come with side effects. There is an urgent need to find new treatments that can further improve therapeutic outcomes and reduce side effects. Methods Our study investigates the role of Mesenchymal Stem Cell exosomes (MSC-exo) combined with Ginsenoside Rh2 (Rh2) in the treatment of RA. We specifically focus on how this combined strategy influences macrophage polarization and pyroptosis. This research utilized a collagen-induced rat arthritis model. Results The study findings reveal that the combination of MSC-exo combined with Rh2 can inhibit the polarization of M1 macrophages, increase the proportion of M2-like macrophages, and suppress M1-like macrophage pyroptosis via the NLRP3/Caspase11/GSDMD-N pathway. In the rat arthritis model, the combination of MSC-exo and Rh2 showed synergistic therapeutic effects. Conclusion This research contributes to a deeper understanding of RA’s pathogenesis and presents new potential targeted therapeutic interventions. The combined application of MSC-exo and Rh2 offers promising insights for future innovative strategies in RA treatment, paving the way for more effective management of this autoimmune disease.
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spelling doaj-art-f7282e9e98df414ca230baa1f93100662025-01-12T12:34:03ZengBMCArthritis Research & Therapy1478-63622025-01-0127112210.1186/s13075-025-03473-3Inhibition of macrophage polarization and pyroptosis in collagen-induced arthritis through MSC-exo and ginsenoside Rh2Zhongsheng Zhou0Shuhui Wu1Yang Li2Pu Shao3Jinlan Jiang4Scientific Research Center, China-Japan Union Hospital of Jilin UniversityScientific Research Center, China-Japan Union Hospital of Jilin UniversityScientific Research Center, China-Japan Union Hospital of Jilin UniversityDepartment of Orthopedics, China-Japan Union Hospital of Jilin UniversityScientific Research Center, China-Japan Union Hospital of Jilin UniversityAbstract Background Rheumatoid arthritis (RA) is a chronic autoimmune disease characterized by joint inflammation, tissue damage, and fibrosis, significantly affecting the quality of life. While there are currently some effective treatments available, they often come with side effects. There is an urgent need to find new treatments that can further improve therapeutic outcomes and reduce side effects. Methods Our study investigates the role of Mesenchymal Stem Cell exosomes (MSC-exo) combined with Ginsenoside Rh2 (Rh2) in the treatment of RA. We specifically focus on how this combined strategy influences macrophage polarization and pyroptosis. This research utilized a collagen-induced rat arthritis model. Results The study findings reveal that the combination of MSC-exo combined with Rh2 can inhibit the polarization of M1 macrophages, increase the proportion of M2-like macrophages, and suppress M1-like macrophage pyroptosis via the NLRP3/Caspase11/GSDMD-N pathway. In the rat arthritis model, the combination of MSC-exo and Rh2 showed synergistic therapeutic effects. Conclusion This research contributes to a deeper understanding of RA’s pathogenesis and presents new potential targeted therapeutic interventions. The combined application of MSC-exo and Rh2 offers promising insights for future innovative strategies in RA treatment, paving the way for more effective management of this autoimmune disease.https://doi.org/10.1186/s13075-025-03473-3Collagen-induced arthritisMesenchymal stem cell exosomesM1-like macrophagesM2-like macrophagesNLRP3/Caspase11/GSDMD-N pathwayGinsenoside Rh2
spellingShingle Zhongsheng Zhou
Shuhui Wu
Yang Li
Pu Shao
Jinlan Jiang
Inhibition of macrophage polarization and pyroptosis in collagen-induced arthritis through MSC-exo and ginsenoside Rh2
Arthritis Research & Therapy
Collagen-induced arthritis
Mesenchymal stem cell exosomes
M1-like macrophages
M2-like macrophages
NLRP3/Caspase11/GSDMD-N pathway
Ginsenoside Rh2
title Inhibition of macrophage polarization and pyroptosis in collagen-induced arthritis through MSC-exo and ginsenoside Rh2
title_full Inhibition of macrophage polarization and pyroptosis in collagen-induced arthritis through MSC-exo and ginsenoside Rh2
title_fullStr Inhibition of macrophage polarization and pyroptosis in collagen-induced arthritis through MSC-exo and ginsenoside Rh2
title_full_unstemmed Inhibition of macrophage polarization and pyroptosis in collagen-induced arthritis through MSC-exo and ginsenoside Rh2
title_short Inhibition of macrophage polarization and pyroptosis in collagen-induced arthritis through MSC-exo and ginsenoside Rh2
title_sort inhibition of macrophage polarization and pyroptosis in collagen induced arthritis through msc exo and ginsenoside rh2
topic Collagen-induced arthritis
Mesenchymal stem cell exosomes
M1-like macrophages
M2-like macrophages
NLRP3/Caspase11/GSDMD-N pathway
Ginsenoside Rh2
url https://doi.org/10.1186/s13075-025-03473-3
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