TY - JOUR TI - Mesenchymal stromal (stem) cell therapy modulates miR-193b-5p expression to attenuate sepsis-induced acute lung injury AU - dos Santos, Claudia C. AU - Amatullah, Hajera AU - Vaswani, Chirag M. and AU - Maron-Gutierrez, Tatiana AU - Kim, Michael AU - Mei, Shirley H. J. and AU - Szaszi, Katalin AU - Monteiro, Ana Paula T. AU - Varkouhi, Amir K. and AU - Herreroz, Raquel AU - Angel Lorente, Jose AU - Tsoporis, James N. and AU - Gupta, Sahil AU - Ektesabi, Amin AU - Kavantzas, Nikolaos AU - Salpeas, AU - Vasileios AU - Marshall, John C. AU - Rocco, Patricia R. M. AU - Marsden, AU - Philip A. AU - Weiss, Daniel J. AU - Stewart, Duncan J. AU - Hu, Pingzhao AU - and Liles, W. Conrad JO - European Respiratory Journal PY - 2022 VL - 59 TODO - 1 SP - null PB - EUROPEAN RESPIRATORY SOC JOURNALS LTD SN - 0903-1936, 1399-3003 TODO - 10.1183/13993003.04216-2020 TODO - null TODO - Although mesenchymal stromal (stem) cell (MSC) administration attenuates sepsis-induced lung injury in pre-clinical models, the mechanism(s) of action and host immune system contributions to its therapeutic effects remain elusive. We show that treatment with MSCs decreased expression of host-derived microRNA (miR)-193b-5p and increased expression of its target gene, the tight junctional protein occludin (Ocln), in lungs from septic mice. Mutating the Ocln 3' untranslated region miR-193b-5p binding sequence impaired binding to Ocln mRNA. Inhibition of miR-193b-5p in human primary pulmonary microvascular endothelial cells prevents tumour necrosis factor (TNF)-induced decrease in Ocln gene and protein expression and loss of barrier function. MSC-conditioned media mitigated TNF-induced miR-193b-5p upregulation and Ocln downregulation in vitro When administered in vivo, MSC-conditioned media recapitulated the effects of MSC administration on pulmonary miR-193b-5p and Ocln expression. MiR-193b-deficient mice were resistant to pulmonary inflammation and injury induced by lipopolysaccharide (LPS) instillation. Silencing of Ocln in miR-193b-deficient mice partially recovered the susceptibility to LPS-induced lung injury. In vivo inhibition of miR-193b-5p protected mice from endotoxin-induced lung injury. Finally, the clinical significance of these results was supported by the finding of increased miR-193b-5p expression levels in lung autopsy samples from acute respiratory distress syndrome patients who died with diffuse alveolar damage. ER -