The cellular prion protein, PrP
C, and the infectious form of the prion protein, PrP
Sc, have been previously isolated in association with exosomes, with PrP
Sc containing exosomes capable of efficiently transmitting infection in both cellular and animal bioassays (
4,
5,
34). This has lead to exosomes being proposed as a mechanism of prion dissemination in an infected host (
4,
5) and to play a functional role in the spread of neurological disease (
6). Exosomes also contain nucleic acid, mRNA and miRNA, which can be functional when transferred between cells (
7,
8). Circulating exosomes have also been isolated from serum to profile miRNA for diagnosis of diseases such as cancer (
14,
15,
23). Indeed, the existence of a circulating miRNA signature for detecting ovarian cancer from exosomes has been demonstrated. This miRNA signature significantly correlated with primary tumour miRNA expression in women with cancer compared to women with benign disease and was not identified in normal controls (
14). Glioblastoma can also be diagnosed by a specific miRNA found to be over-expressed in tumours, and elevated in serum exosomes from patients compared to controls (
15). A similarity between miRNA signatures in circulating exosomal miRNA and originating tumour cells was also found in lung adenocarcinoma, with a significant difference in exosomal miRNA levels between cancer patients and controls (
23).
In this study, we determined that exosomes released from prion-infected neuronal cells contain a specific miRNA signature that may be utilized for diagnosis of disease and/or the presence of prion infection. This signature comprises significant up-regulated miRNAs let-7 b, let-7i, miR-128 a, miR-21, miR-222, miR-29 b, miR-342-3 p and miR-424 with down-regulated miR-146 a in exosomes released from prion-infected neuronal cells. These particular miRNAs are deregulated in a variety of cancers, and miRNAs let-7i, miR-128 a, miR-146 a, miR-29 b and miR-424 have been associated with neurological disorders in the miR2Disease database (
35). miRNAs let-7i and miR-29 b are down-regulated in sporadic Alzheimer’s disease (AD) brains (
36), while miR-424 is up-regulated in AD white matter regions (
37). Furthermore, miR-128 a is differentially deregulated depending upon the disorder, with up-regulation in AD (
36,
38) and down-regulation in Huntington’s disease (
39). miR-146 a has been identified to be up-regulated in AD brains and both murine and human forms of prion disease (
17,
40–42) and is suggested as a general mechanism of innate immune response and antiviral immunity (
41). While these observations are in contrast to our study, increased miR-146 a expression during prion infection is localized to activated microglia cells (
40).
Importantly, the deregulated exosomal miRNAs identified in this study correlate with previously reported miRNA changes associated with terminally infected mouse and primate models of prion disease (
17,
18). Specifically, let-7 b, miR-128 a and miR-342-3 p are significantly up-regulated in terminally prion-infected mouse brains (
17), while miR-128 a and miR-342-3 p are significantly up-regulated in brain tissue from primate models infected with BSE prion strains (
18). In addition, our results also agree with the reported increase in miR-342-3 p in human brain samples from Type 1 and Type 2 sporadic CJD (
18), suggesting that common pathways may be regulated in prion-infected neuronal cells, animal models infected with prion disease and idiopathic forms of prion disease.
Indeed several studies suggest that miRNA present in exosomes can be functionally transferred to recipient cells and activate or repress cellular pathways (
7,
43–45). Viral miRNAs secreted from infected cells through exosomes have shown to be internalized in recipient cells and functionally repress viral target genes (
43). While more recently it was demonstrated that macrophages regulate the invasiveness of breast cancer through exosome-mediated delivery of miRNA into cells promoting metastasis (
45). This raises the possibility that transfer of exosomal miRNA from prion-infected cells to uninfected cells may target genes and modulate pathways involved in prion protein propagation and spread of infection. let-7 b, let-7i, miR-128 a, miR-21, miR-222, miR-29 b, miR-342-3 p and miR-424 collectively can target 5916 predicted mRNAs, with 385 experimental validated genes (
Supplementary Table S7). Pathway analysis identified several genes that have known interactions with the prion protein including BACE1, SP1, p53, AGO1 and AGO2 (
Supplementary Figure S3). miR-29b has been shown to increase the expression of p53 protein (
46), while p53 can bind to and increase SP1 promoter binding activity (
47). Furthermore, SP1 and p53 transcription factors have both been identified to regulate the expression of the
PRNP gene (
48,
49). Since PrP
C is explicitly required for prion protein infection (
50), deliver of miRNAs in exosomes derived from prion-infected neuronal cells may activate
PRNP gene expression, therefore stimulating production of PrP
C in recipient cells for conversion to PrP
Sc and subsequent propagation of infection in the host cell. This supports the mechanism of circulating exosomes in the spread of infection in the host organism. Furthermore, our cellular miRNAs up-regulated during prion infection let-7i, miR-21 and miR-23 b can also increase p53 expression (
51), suggesting that activation of
PRNP gene regulation via p53 expression may be involved in propagation of prion infection. This is supported by observations that p53 knockout mouse cerebellum cells are resistant or have reduced susceptibility to prion infection (
52).
Our data also show that the miRNA profile identified in prion-infected exosomes has a remarkably different profile to that of cells (A and B), with only let-7i, miR-21 and miR-146 a significantly deregulated in both prion-infected cells and exosomes. By contrast, let-7 b, miR-128 a, miR-222, miR-29 b, miR-342-3 p and miR-424 are up-regulated in exosome released from prion-infected cells, while miR-23 b is up-regulated in prion-infected neuronal cells. This is in agreement with a proposed selective mechanism for the incorporation and release of miRNA in exosomes with several studies demonstrating that exosomes contain little or no 18 S and 28 S cellular ribosomal species; not all mRNA and miRNA contained within cells can be detected in exosomes, and that some mRNA and miRNA can be directly targeted and packaged in exosomes (
7,
13,
14,
25,
53). These observations suggest that miRNA is selectively incorporated into ILVs as opposed to random events or contamination during the process of exosome isolation.
While the precise mechanism remains unknown, the MVB has been identified as a site for small RNA loading of the RNA-induced silencing complex with GW182 and AGO proteins and miRNA-repressible mRNA transcripts enriched at the MVB (
24). Moreover, it was suggested that while miRNA-repressible transcripts are enriched at the MVB, they seem selectively excluded from exosome-like vesicles during ILV formation resulting in under representation of miRNA-repressible mRNAs and enrichment of non-complementary miRNAs being detected in exosomes (
24). Comparison of the most abundant mRNA fragments (
Supplementary Figure S1B) and the most abundant exosomal miRNA, miR-29 a, (B) with its predicted targets suggests that miRNAs are not present in exosomes as a result of binding to complementary 3′-UTR’s of target genes. Furthermore, comparison of our significantly up-regulated miRNAs released in exosomes from prion-infected cells and their targets (
Supplementary Table S7) with our abundant exosomal mRNA fragments (
Supplementary Figure S1B) also suggest that miRNA:mRNA duplex pairing is an unlikely mechanism of miRNA packaging in exosomes. Remarkably, it has now been shown that PrP
C binds Argonaute proteins AGO1 and AGO2, the essential components of miRNA-induced silencing complexes (miRISCs), at the MVB and promotes formation and stability of miRISCs and miRNA-repressed mRNA transcripts (
54). Furthermore, effective repression of several miRNA targets was shown to require expression of PrP
C, directly implicating PrP
C in the miRNA biogenesis pathway. Interestingly, the binding of PrP
C to AGO was facilitated through the octapeptide repeat region of PrP
C (
54), with mutations or expansions of this region known to causes familial prion disease (
55–57).
While this hypothesis remains to be tested, these observations leave open the possibility that miRNAs are packaged into exosomes as a result of PrPC binding AGO1 and AGO2 promoting formation of miRISCs on the MVB, which functions as checkpoint for scanning mRNAs. Therefore selecting AGO-bound complementary mRNA:miRNAs that are to be repressed, while non-complementary miRNAs are packaged into ILVs along with PrPC and released with exosomes. Whether misfolding of PrPC into PrPSc during prion disease infection alters its ability to bind to Argonaute proteins, modulates the function of miRISC on the MVB and subsequent release of miRNA in exosomes during prion diseases certainly deserves investigation. Given that, we have identified significant changes in particular miRNA species released in association with exosomes from prion-infected cells, its plausible to suggest that miRNAs are selectively packaged as a direct result of PrPC and PrPSc and its influence on the miRNA biogenesis pathway.
In summary, our results strongly support the hypothesis that exosomes released from prion-infected neuronal cells have a distinct miRNA signature that may be utilized for the identification of prion infection. This signature comprises significant increases in let-7 b, let-7i, miR-128 a, miR-21, miR-222, miR-29 b, miR-342-3 p and miR-424 with decreased miR-146 a detection and agrees to some extent to previously reported miRNA changes detected in brains of terminally infected mouse and primate models of prion disease, and sporadic CJD samples (
17,
18).
Evaluation of our exosomal miRNA signature in circulating exosomes derived from clinical plasma samples from sporadic and variant forms of human prion disease and in animal models infected with different prion strains will be the subject of our further studies. Importantly, it has been shown the miRNAs deregulated in prion-infected exosomes identified in this study have also been detected in circulating exosomes isolated from human serum samples (
14), and that neither have currently been detected in disease-associated exosomes in the current literature and a search of ExoCarta database (
58), suggesting that this miRNA signature has significant and specific diagnostic potential. However, it should be noted that our study also identified other ncRNAs and mRNA fragments (
Supplementary Figure S1) that may also be deregulated in exosomes released from prion-infected neuronal cells. Furthermore, it has been identified that extracellular miRNA released from cells into plasma can associate in two populations, both dependent and independent of exosomes either bound to AGO2 (
59–61) or high-density lipoproteins (
62). Therefore, targeted exosomal purification strategies for enrichment of circulating miRNA biomarkers may be required to increase biomarker sensitivity (
14,
15,
23). This research also has potential diagnostic implications for other neurodegenerative diseases in which exosomes have been identified to play a role including Alzheimer’s disease (
63–65), amyotrophic lateral sclerosis (
66) and Parkinson’s disease (
67).