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Table 1 Follicular fluid exosome proteins involved in menopause-related cell signaling and inflammation

From: Menopause mysteries: the exosome-inflammation connection

Cellular function/pathway

Exosomal/Endosomal protein

Source

Mechanism of function

References

 

TSAP6 (tumor suppressor associated pathway 6)

Endosome

Facilitates exosome secretion in response to DNA damage and

oxidative stress.

[124, 125]

p53 pathway

Chmp4C (Charged multivesicular body protein 4C)

Endosome

Component of the ESCRT-3 complex. Aids MVB formation.

[124]

 

Caveolin-1

Mammalian cell

Caveolin-mediated

endocytosis of cell-signaling mediators like TGF-β, Notch, IGF, EGFR proteins.

[124]

Wnt signaling

Membrane tetraspanins CD9 and CD82

Exosome

Exosomal export of cellular β-catenin, downregulating Wntβ-catenin signaling

[56]

 

TGF-β ligands

Exosome

Ferried by exosomes. Stimulate exosome secretion.

[139]

 

Clathrin, SNARE proteins

Mammalian cell

Clathrin-mediated endocytosis of TGF-β containing exosomes.

[76]

 

Caveolin

Mammalian cell

Caveolin mediated endocytosis of TGF-β exosomes.

[76]

TGF-β signaling

Heparan sulphate glycoproteins (membrane)

Exosome

Endosomal uptake of inactive TGF-β-LAP complex

[78]

 

fibrinogens - fibronectins, fibrillins

Follicular fluid exosomes from

PCOS affected females.

Cellular deposition of exosomal TGF-β-LAP complex. Promote fibrogenesis in the ovary.

[34]

 

thrombospondins

kallikreins

integrins

Follicular fluid exosomes from PCOS-afflicted females.

Activation of TGF-β, by cleaving LAP. Promote hyperfibrotic and pro-inflammatory conditions in the ovary.

[34]

 

connexin-43 (gap junction protein)

Granulosa cells

Form gap junctions between granulosa cells, and facilitate

intercellular exosomal exchange.

Upregulated by FSH and TGF-1.

Downregulated by BMP-15 and GDF-9.

[63, 80]

Notch signaling

Notch ligands (Delta - DLLs, Serrate - Jagged

1 and 2, Lag)

Notch receptors [1, 2]

Mammalian exosomes

Ferried by exosomes for sustained intercellular signaling.

[91, 92]

 

Numb (Endosomal inhibitor of Notch)

Endosome

Promotes the trafficking of Notch ligands into late endosomes and lysosomes. Downregulated in ovarian cancers.

[140, 141]

PI3K/Akt signaling

COL6A1, HSP90AA1, HSP90AB1, HSP90B1,

IGHM, ITGA2, ITGA6, ITGAV, ITGB1, ITGB3,

RAC1, VTN, YWHAQ

Bovine follicular fluid exosomes

Proteins associated with

exosome uptake. Upregulate PI3K/Akt signaling.

[37]

 

Connexin-43 (gap junction protein)

Granulosa cells

Upregulated by Akt phosphorylation.

[96]

Insulin signaling

DENND1A.V2

Porcine follicular fluid exosomes

Guanine nucleotide exchange factor for Rab35. Facilitates clathrin-mediated endocytosis.

Elevated in PCOS.

[19]

NLRP inflammasome

cascade

NLRP protein complex or inflammasome

Ovary

Highly expressed in aged females. Stimulates the secretion of pro-inflammatory follicular fluid exosomes.

[142]

  

Follicular fluid

exosomes.

Carried and secreted by ovarian exosomes in response to decreased estrogen

secretion.

[15]

Oxidative stress

Sirtuins (1 and 2)

Ovary

Antioxidant. Downregulated with age. Negatively correlated with exosome biogenesis – in vitro knockdown of SIRT-1 and 2 promotes exosome secretion.

[129, 131]

Inflammation

S100A9, S100A8

Follicular fluid exosomes

Pro-inflammatory, anti-steroidogenic FF exosomal proteins. Upregulated with age.

[32, 133, 134]

 

peroredoxin (PRDX6, antioxidant enzyme)

C reactive protein (CRP)

d‐DOPA‐chrome decarboxylase (DDT)

retinal dehydrogenase 1 (ALDH1A1)

angiotensinogen

TNF-α, kininogen‐1 (KNG1), S1009a

Follicular fluid exosomes

Pro-inflammatory exosomal proteins, activated in response to oxidative stress.

Increased many-fold in FF exosomes of PCOS-affected individuals.

[32]

Heat shock response

HSP-70

Exosomes

Activated against heat stress by nitric oxide (NO) signaling. Associated with vasomotor symptoms in menopause.

Anti-inflammatory.

Downregulated with age.

[130]