Extracellular vesicles (EVs) released from pathogenic protozoans play crucial roles in host–parasite communication and disease pathogenesis. Naegleria fowleri is a free-living protozoan causing primary amoebic meningoencephalitis, a fatal disease in the central nervous system. This study aims to explore the roles of N. fowleri-derived EVs (Nf-EVs) in host–pathogen interactions using the THP-1 cell line as a model. The Nf-EVs were isolated from the N. fowleri trophozoite culture supernatant using sequential centrifugation and characterized by nanoparticle tracking analysis and transmission electron microscopy. The functional roles of Nf-EVs in the apoptosis and immune response induction of THP-1 monocytes and macrophages were examined by flow cytometry, quantitative PCR, and ELISA. Results showed that Nf-EVs displayed vesicles with bilayer membrane structure approximately 130–170 nm in diameter. The Nf-EVs can be internalized by macrophages and induce macrophage responses by induction of the expression of costimulatory molecules CD80, CD86, HLA-DR, and CD169 and the production of cytokine IL-8. However, Nf-EVs did not affect the apoptosis of macrophages. These findings illustrate the potential role of Nf-EVs in mediating the host immune cell activation and disease pathogenesis.

In infectious diseases, extracellular vesicles (EVs) released from a pathogen or pathogen-infected cells can transfer pathogen-derived biomolecules, especially proteins, to target cells and consequently regulate these target cells. For example, malaria is an important tropical infectious disease caused by Plasmodium spp. Previous studies have identified the roles of Plasmodium falciparum-infected red blood cell-derived EVs (Pf-EVs) in the pathogenesis, activation, and modulation of host immune responses. This study investigated the proteomic profiles of Pf-EVs isolated from four P. falciparum strains. We also compared the proteomes of EVs from (i) different EV types (microvesicles and exosomes) and (ii) different parasite growth stages (early- and late-stage). The proteomic analyses revealed that the human proteins carried in the Pf-EVs were specific to the type of Pf-EVs. By contrast, most of the P. falciparum proteins carried in Pf-EVs were common across all types of Pf-EVs. As the proteomics results revealed that Pf-EVs contained invasion-associated proteins, the effect of Pf-EVs on parasite invasion was also investigated. Surprisingly, the attenuation of parasite invasion efficiency was found with the addition of Pf-MVs. Moreover, this effect was markedly increased in culture-adapted isolates compared with laboratory reference strains. Our evidence supports the concept that Pf-EVs play a role in quorum sensing, which leads to parasite growth-density regulation.

Background/Objectives: Enhancing endothelial nitric oxide (NO) bioavailability through natural products may provide a promising strategy for the prevention and management of hypertension. This study investigated the phytochemical composition of ethanolic lotus (Nelumbo nucifera) seed extract (LSE), its vasorelaxant mechanisms, effects on endothelial NO production, and antihypertensive activity. Methods: LSE was characterized via LC-ESI-QTOF-MS using accurate mass data and fragmentation patterns. Vasorelaxant effects were evaluated in isolated rat aortas, and the underlying mechanisms were explored using pharmacological inhibitors. NO production was assessed in human endothelial EA.hy926 cells. Hypotensive activity was examined in normotensive rats following intravenous administration of LSE (10, 30, and 100 mg/kg). Molecular docking was performed to analyze interactions between LSE bioactive compounds and endothelial nitric oxide synthase (eNOS). Results: LC-ESI-QTOF-MS analysis identified 114 compounds, including primary and secondary metabolites. LSE induced vasorelaxation in endothelium-intact aortas, which was reduced by endothelium removal (p < 0.001) and by L-NAME (p < 0.001). LSE also inhibited receptor-operated, Ca²⁺ channel-mediated vasoconstriction (p < 0.05). In vivo, LSE decreased blood pressure in a dose-dependent manner. In EA.hy926 cells, LSE (750 and 1000 µg/mL) increased NO production, an effect attenuated by L-NAME. Molecular docking showed that LSE alkaloids, including nelumborine, nelumboferine, neferine, and isoliensinine had strong affinities for binding with eNOS at the tetrahydrobiopterin (BH4) binding site. Nelumborine exhibited the highest affinity, suggesting its potential as an eNOS modulator. Conclusions: LSE promotes vasorelaxation through the stimulation of endothelium-derived NO release and Ca²⁺ influx inhibition, contributing to blood pressure reduction. These findings support LSE as a potential natural antihypertensive supplement.