Plasminogen as a ribonucleoprotein: regulatory small RNA cargo modulates fibrinolysis and inflammation

D Danielle L. Michell (1Department of Medicine, Vanderbilt University Medical Center, Nashville, TN) C Clark Massick (1Department of Medicine, Vanderbilt University Medical Center, Nashville, TN) K Kaustubh S. Koya (1Department of Medicine, Vanderbilt University Medical Center, Nashville, TN) A Ashley B. Cavnar (1Department of Medicine, Vanderbilt University Medical Center, Nashville, TN) E Elizabeth M. Semler (2Department of Molecular Physiology and Biophysics, Vanderbilt University, Nashville, TN) C Chase Raby (1Department of Medicine, Vanderbilt University Medical Center, Nashville, TN) B Breanne H. Y. Gibson (3Department of Pharmacology, Vanderbilt University Medical Center, Nashville, TN) S Stephanie N. Moore-Lotridge (4Department of Orthopedic Surgery, Vanderbilt University Medical Center, Nashville, TN) W Wanying Zhu (Institute of Stem Cell and Neural Regeneration, School of Pharmacy, Nanjing Medical University) M Marisol Ramirez-Solano (5Department of Biostatistics, Vanderbilt University Medical Center, Nashville, TN) Q Quanhu Sheng R Ryan M. Allen (1Department of Medicine, Vanderbilt University Medical Center, Nashville, TN) M MacRae F. Linton (1Department of Medicine, Vanderbilt University Medical Center, Nashville, TN) J Jonathan G. Schoenecker (4Department of Orthopedic Surgery, Vanderbilt University Medical Center, Nashville, TN) K Kasey C. Vickers (1Department of Medicine, Vanderbilt University Medical Center, Nashville, TN)

Abstract

Abstract Cell-free RNA (cf-RNA) has emerged as a critical mediator of intercellular communication and a potential regulator of hemostasis. In this study, plasminogen (Plg), the zymogen precursor of plasmin, was demonstrated to function as a secreted ribonucleoprotein that carries regulatory, extracellular small noncoding RNAs (sRNAs). Purified human and bovine Plg, isolated via lysine-affinity chromatography, were found to transport 25- to 60-nucleotide–long sRNAs derived from both host and microbial sources. In vitro studies revealed that Plg accepted sRNA cargo from primary macrophages and bound candidate sRNAs with moderate (micromolar) affinity. Notably, Plg-sRNA complexes exhibited a distinct RNA profile compared to high-density lipoproteins, and their compositions were sensitive to hypercholesterolemic conditions. Functionally, removal of sRNA cargo from Plg via ribonuclease digestion significantly increased plasmin enzymatic activity and accelerated clot lysis, while also attenuating Plg-induced proinflammatory cytokine expression in both mouse and human macrophages. These findings reveal a dual regulatory role for sRNAs in modulating both the fibrinolytic and immunogenic properties of Plg, offering novel insights into the cross talk between cf-RNA biology and coagulation pathways. This work positions Plg-sRNA interactions as promising targets for therapeutic intervention in thrombotic and inflammatory diseases.

Article Details

Journal Blood
Volume / Issue Vol. 146, Issue 15
Published October 09, 2025
Pages 1850-1861
ISSN 0006-4971
Publisher Elsevier BV

Journal Info

Blood

Elsevier BV

ISSN: 0006-4971 Health Sciences

Authors (15)

D

Danielle L. Michell

1Department of Medicine, Vanderbilt University Medical Center, Nashville, TN

C

Clark Massick

1Department of Medicine, Vanderbilt University Medical Center, Nashville, TN

K

Kaustubh S. Koya

1Department of Medicine, Vanderbilt University Medical Center, Nashville, TN

A

Ashley B. Cavnar

1Department of Medicine, Vanderbilt University Medical Center, Nashville, TN

E

Elizabeth M. Semler

2Department of Molecular Physiology and Biophysics, Vanderbilt University, Nashville, TN

C

Chase Raby

1Department of Medicine, Vanderbilt University Medical Center, Nashville, TN

B

Breanne H. Y. Gibson

3Department of Pharmacology, Vanderbilt University Medical Center, Nashville, TN

S

Stephanie N. Moore-Lotridge

4Department of Orthopedic Surgery, Vanderbilt University Medical Center, Nashville, TN

W

Wanying Zhu

Institute of Stem Cell and Neural Regeneration, School of Pharmacy, Nanjing Medical University

M

Marisol Ramirez-Solano

5Department of Biostatistics, Vanderbilt University Medical Center, Nashville, TN

Q

Quanhu Sheng

R

Ryan M. Allen

1Department of Medicine, Vanderbilt University Medical Center, Nashville, TN

M

MacRae F. Linton

1Department of Medicine, Vanderbilt University Medical Center, Nashville, TN

J

Jonathan G. Schoenecker

4Department of Orthopedic Surgery, Vanderbilt University Medical Center, Nashville, TN

K

Kasey C. Vickers

1Department of Medicine, Vanderbilt University Medical Center, Nashville, TN