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. 2023 Apr 13;14:2094. doi: 10.1038/s41467-023-37832-y

Fig. 10. Summary of the mechanism underlying the stimulatory effect of CS-EPC-EVs on the recruitment of EPCs and angiogenesis of HUVECs.

Fig. 10

Silicate ions promote the expression of nSMase2, hnRNPA2B1 and miR-126a-3p in EPCs. The increased nSMase2 results in an increase in ceramide secretion in cells, thereby enhancing the production of extracellular vesicles. The higher hnRNPA2B1 and nSMase2 levels selectively enhanced the sorting of miR-126a-3p into multivesicular bodies (MVBs, sites of extracellular vesicle biogenesis). In addition, the high expression of miR-126a-3p promotes the expression of related angiogenic factors in EPCs, resulting in the increased content of related angiogenic factors in extracellular vesicles. After the highly bioactive extracellular vesicles with high contents of miR-126a-3p and angiogenic factors were transferred to recipient HUVECs, highly expressed miR-126a-3p could inhibit RGS16 and activate the SDF-1/CXCR4 axis and its downstream Phosphatidylinositol 3-kinase (PI3K)/AKT/eNOS axis of HUVECs, thereby mediating angiogenesis. Furthermore, a high content of angiogenic factors (such as VEGF) in extracellular vesicles contributes to the enhanced angiogenesis of HUVECs. This Figure was created with BioRender.com.