Therapeutic potential of ADAR1-regulated macrophage exosomes for improving myocardial damage in septic cardiomyopathy

Quick Facts

  • Publication title: Therapeutic potential of ADAR1-regulated macrophage exosomes for improving myocardial damage in septic cardiomyopathy
  • Journal: J Nanobiotechnology
  • Year: 2026
  • DOI: 10.1186/s12951-026-04368-4
  • PMID/PMCID: 41965774; PMC13200382

Research overview

Our study reveals a novel ADAR1-miR-122-XIAP axis in macrophage exosomes that protects against sepsis-induced myocardial injury, offering a potential disease modulation strategy for SICM. The molecular mechanisms that underlie SICM remain elusive, and effective therapies are limited.

Key findings

Here, we report a pivotal role for adenosine deaminases acting on RNA-1 (ADAR1) in modulating macrophage polarization and exosome-mediated intercellular communication, which ameliorates myocardial damage in SICM.

We determined that ADAR1 overexpression in macrophages promotes an anti-inflammatory M2 phenotype, reduces myocardial inflammation, and inhibits cardiomyocyte apoptosis in a murine model of sepsis.

Mechanistically, ADAR1 regulates the level of microRNA-122 (miR-122) in macrophage-derived exosomes.

Exosomal miR-122 targets X-linked inhibitor of apoptosis protein (XIAP), modulating cardiomyocyte survival.

Echo Biotech Role

Echo Biotech contributed cargo loading; the study also used or cited ExoLoad®.

Related platforms: Echosome®, Research Reagents & Tools

Related services and capabilities: Small RNA / Cargo Loading, Research Reagent / Product Supply

Related products or reagents: ExoLoad® Nucleic Acid Loading Kit

References

Original publication: Therapeutic potential of ADAR1-regulated macrophage exosomes for improving myocardial damage in septic cardiomyopathy Journal of nanobiotechnology. 2026. DOI: 10.1186/s12951-026-04368-4. PMID/PMCID: 41965774; PMC13200382.