The present study describes the proteome of porcine PBMC after stimulation with milk EVs, demonstrating that milk EVs co-incubation enriches biological processes (BP) involved in phagocytosis, endocytosis, and, more generally, inflammatory response, and immune reaction. These findings support, at the proteomics level, our recent findings that EVs have an immunomodulatory activity on porcine monocytes 14.
Global biological processes enriched by the DP selected by sPLS-DA
The sPLS-DA model selected the most discriminant proteins (DP), allowing an evident clustering of the samples between the EVs-treated PBMC and the control groups 20. Consistently with the immunomodulatory activity on PBMC previously observed, the GO enrichment analysis revealed that EVs activate BP-like actin cytoskeleton organization and cellular supramolecular fiber organization, intracellular transport, positive organelle organization regulation, vesicle-mediated transport, all of them involved in chemotaxis-related processes and both BP associated with chemotaxis, phagocytosis, and cell communication 21–25.
Biological processes enriched by DP with the highest abundance in the EVs-treated PBMC toward changes in phagocytosis and inflammatory response
Separate GO enrichment analyses were performed using the DP with the highest abundance in each group to elucidate further the differences between the two groups. The 54 DP with the highest abundance in the porcine milk EVs group enriched BP in the immune system process, including phagocytosis, positive regulation of tumor necrosis factor production response to diacyl bacterial lipopeptide, and nitric oxide-mediated signal transduction.
Phagocytosis plays an essential role in the uptake of EVs by monocytes and macrophages 26,27. Several proteins involved in phagocytosis were found as highly abundant in the EVs -treated PBMC, namely glycoprotein IIIb (CD36), milk fat globule-EGF factor 8 (MFGE8 – lactadherin), extracellular signal-regulated kinase 1/2 (ERK1/2), and apolipoprotein E (APOE).
CD36 is one of the proteins involved in almost all enriched BP. CD36 is a PBMC membrane glycoprotein that participates in the identification and phagocytosis of apoptotic cells, ROS production, and macrophage modulation 28–30. The fact that CD36 is related to phagocytosis and endocytosis, the main mechanisms of EV internalization, explains the uptake of porcine milk EVs by porcine monocytes, previously demonstrated by our team 14.
The milk fat globule-EGF factor 8 (MFGE8 – lactadherin) is a phosphatidylserine-binding glycoprotein secreted and expressed by macrophages that promotes the engulfment of apoptotic cells and vesicles 31,32. It is also one of the immune components found in milk, specifically in milk fat globules, and highly enriched in milk EVs 33,34. MFGE8 may also play a role in the intestinal immune system of newborns [35] and is involved in EV phagocytosis by macrophages and monocytes 36. The extracellular signal-regulated kinase 1/2 (ERK1/2) cascade signaling pathway regulates several stimulated cellular processes, including, among others, migration, apoptosis, and stress response 37. A previous study showed that EVs activated the ERK1/2 cascade and that its activity is necessary for efficient EV uptake via lipid raft-mediated endocytosis 38. It was previously found that EVs and their miRNA cargo can modulate the ERK1/2 signaling pathway to induce immunomodulatory effects such as reducing macrophage migration 39. Finally, APOE - a major protein component of very-low and high-density lipoproteins mainly expressed by monocytes/macrophages- has been shown to exert anti-inflammatory roles, including reducing the migration of some cells 40,41. Our results are consistent with previous reports, demonstrating that EVs released by anti-inflammatory (M2) macrophages increase the levels of APOE in the cancer cells and modulate their migratory capacity through the transfer of functional APOE 42. The presence of APOE in porcine colostrum and milk EVs has already been reported 43. The function of APOE in modulating the migration of different cell types seems to be mediated in a MAPK/ERK1/2, explaining why this DP was also found annotated in the ERK1/2 cascade BP 44.
Some significant DP are also involved in modulating inflammatory response, like TLR2. Our results agree with previous studies in different models. For example, EVs isolated from systemic lupus erythematosus patients enhanced the production of TNF-α and other proinflammatory cytokines via the TLR-related pathways 45.
Another crucial immune response process is the production of nitric oxide (NO) and its mediated signaling transduction. Both NO-mediated signaling transduction and cGMP-mediated signaling were enriched after treatment with milk EVs. One is the inducible nitric oxide synthase (iNOS), which produces NO 46. These results are consistent with previous studies on other cellular models, where EVs derived from hypoxic cardiomyocytes promoted NO production in endothelial cells 47. Moreover, the release of EVs from senescent macrophages containing iNOS has been reported; bovine milk EVs containing miR-155-5p – an essential regulator of eNOS and NO – increased eNOS in endothelial cells. This suggests that EV cargo might also play an important role in modulating NO production 48,49.
Further proteins such as Clusterin (CLU) and SAM and SH3 domain-containing 3 protein (SASH3) were annotated in several previously described immune-related processes. CLU, also known as apolipoprotein J, is a ubiquitously expressed glycoprotein and a known extracellular chaperone that has been shown to exert immunomodulatory and anti-inflammatory effects such as modulation of antimicrobial responses, facilitation of apoptotic cell clearance and suppression of kidney macrophage infiltration 50,51. CLU can be found in both milk and milk EVs and is one of the proteins implied to modulate the immune response of the offspring 52. SASH3 is an adaptor protein involved in signal transduction 53. These results suggest that EVs can modulate different aspects of innate and adaptive immunity, confirming their pleiotropic functions.
In the secretion and regulation of body fluids BP, proteins such as \(\:\beta\:\)-caseins and \(\:\kappa\:\)-casein (CSN2 and CSN3) were found. Caseins are the most abundant proteins in milk, and, besides many other functions 54, they enhance EV uptake, altering the gene expression in blood cells 55.
Overall, these results provide a molecular background to previously reported in vitro activity of EV on porcine PBMC 14. In vitro studies demonstrated that EVs induce changes in porcine monocyte chemotaxis, phagocytosis, and ROS production. These findings confirmed that BP involved in the same immune-related activities are enriched. Therefore, we can hypothesize that EVs can function as potential nanocarriers of immunomodulatory molecules that participate in immunity transmission from the mother to the offspring, helping modulate the newborn immune system.
Biological processes enriched by DP with the highest abundance in the control group
In contrast to what was observed in the milk EVs group, the 142 DP with a higher abundance in the control group were annotated mainly by very general BP, such as different metabolic processes, cellular organization, translation, and vesicle-mediated transport.
Other processes related to cell death and immune-related processes, such as regulation of anoikis, a subtype of apoptosis caused when cells lose their adhesive capability 56, and interleukin-27-mediated signaling pathway. Interleukin-27 (IL-27) is a cytokine produced by monocytes, macrophages, and DC, with both pro- and anti-inflammatory and other immunoregulatory functions, and is also involved in cell proliferation, differentiation, and expression of cytokines 57.
Altogether, these results highlight that after porcine milk EVs treatment, a functional switch from very general BP to others mostly related to immune response and EVs uptake processes occurred.
DP with greater changes in abundance in the PBMC incubated with milk EVs
To identify key DP that presented more significant changes in their raw abundances after porcine milk EVs treatment, their logFC was calculated. The protein with the highest amount after treatment with milk EVs was β-casein (CSN2), one of the most abundant proteins in milk. Besides nourishing the offspring by being a significant source of amino acids, caseins also have immunomodulatory effects, being broken down into immunomodulatory peptides 58,59. Alpha-s1-casein (CSN1S1) and Alpha-s2-casein (CSN1S2) were also found but in lesser abundance than CSN2. After proteomics analyses, CSN2 and CSN1S1 were detected in bovine milk EVs 43,60. Interestingly, CSN1S1 was shown to be expressed outside the mammary gland and to be expressed by immune cells such as monocytes and T cells 61. Moreover, this protein has been shown to exert immunomodulatory effects on monocytes, such as inducing the expression of IL-1β and the in vitro differentiation towards a macrophage-like phenotype 61,62.
Finally, the butyrophilin subfamily 1 member A1 (BTN1A1), Na(+)-dependent phosphate cotransporter 2B protein (SLC34A2), and MFGE8 proteins also presented greater changes in their abundance in the PBMC-treated group. BTN1A1 is a member of the immunoglobulin superfamily first discovered in milk and is mainly associated with milk fat globules. Immunomodulatory roles of this protein have also been reported, primarily inhibitory effects on CD4 + T cell proliferation and T cell expression of cytokines associated with T cell activation 63[96]. The SLC34A2 is a multi-pass membrane protein that has been involved in the activation of the complement alternative pathway (C3 and C4b) 64,65, while MFGE8 function has been previously described 31,33,35.
On the contrary, lower abundances in the fatty acid-binding protein 4 (FABP4) and galectin-3 (LGALS3) were found. FABP4 is a protein that plays a crucial role in fatty acid transportation and functions as a transmitter linking fatty acid metabolism to inflammation. LGALS3 is a carbohydrate-binding protein highly expressed in monocytes and macrophages and a potent regulator of cell migration and phagocytosis, among other immune and inflammation-related processes 66,67.
In conclusion, the results of this study demonstrate for the first time that porcine milk EVs can modulate porcine PBMC proteome in vitro. The GO enrichment analysis revealed that the DP with higher abundance in the porcine milk EVs group mainly were related to innate immune-related processes. Our results also suggest that porcine milk EVs might exert pleiotropic immunomodulatory functions on PBMC by increasing the abundance of proteins with both immune-enhancing and dampening properties. Therefore, these results confirm the suppressive and enhancing effects of porcine milk EVs on porcine monocytes, observed in our previous in vitro study, where a decrease in the cells' phagocytosis and chemotaxis and an increase in their oxidative burst was detected. Moreover, detecting caseins and other milk proteins with known immunomodulatory properties exemplifies how EVs could fulfill their functions in intercellular communication by transferring their cargo to target cells. By providing a molecular background of porcine milk EVs’ immunomodulatory activity, we can better understand their potential role in the sow-to-piglet transmission of regulatory molecules and immunomodulation. Finally, additional molecular pathway enrichment, protein-protein interaction analyses, and integration of proteomics data with other OMIC technologies should be performed to have a holistic view of the impact of porcine milk EVs on porcine immunity.