PMID- 31002144 OWN - NLM STAT- MEDLINE DCOM- 20200908 LR - 20200908 IS - 2284-0729 (Electronic) IS - 1128-3602 (Linking) VI - 23 IP - 7 DP - 2019 Apr TI - Influences of hucMSC-exosomes on VEGF and BMP-2 expression in SNFH rats. PG - 2935-2943 LID - 17573 [pii] LID - 10.26355/eurrev_201904_17573 [doi] AB - OBJECTIVE: To investigate the influences of human umbilical cord mesenchymal stem cell-derived exosomes (hucMSC-exosome) on steroid-induced necrosis of the femoral head (SNFH) and the expressions of vascular endothelial growth factor (VEGF) and bone morphogenetic protein-2 (BMP-2) in rats. PATIENTS AND METHODS: A total of 20 male Sprague-Dawley rats were randomly divided into SNFH group and SNFH + hucMSC-exosome group using a random number table. Prednisolone acetate (24.5 mg/kg) was injected twice a week to establish the rat model of SNFH, and hucMSC-exosome in a certain dose was additionally injected into the marrow cavity in SNFH + hucMSC-exosome group. After 3 weeks, the influences of hucMSC-exosome on the pathological changes and apoptosis of the femoral head in SNFH rats were detected via hematoxylin-eosin (H&E) staining and terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling (TUNEL) staining. In addition, the expressions of cluster of differentiation 31 (CD31), VEGF, and BMP-2 in bone tissues in both groups were detected via immunohistochemical staining, and the messenger ribonucleic acid (mRNA) and protein expression levels of VEGF and BMP-2 in necrotic bone tissues in both groups were detected via Reverse Transcription-Polymerase Chain Reaction (RT-PCR) and Western blotting. RESULTS: The results of H&E staining revealed that the fibrous callus formation was good, the new trabecular structure was more obvious, the number of vacuum cleft declined, and there were fewer enlarged adipocytes in SNFH + hucMSC-exosome group compared with SNFH group. The results of TUNEL staining showed that the number of apoptotic cells in femoral head tissues was smaller in SNFH + hucMSC-exosome group (p<0.05). According to the results of immunohistochemistry, hucMSC-exosome could increase the expression of vascular endothelial marker CD31 in SNFH rats (p<0.05). Besides, the results of RT-PCR, immunostaining and Western blotting manifested that both the mRNA and protein levels of BMP-2 and VEGF in femoral head tissues were significantly increased in SNFH + hucMSC-exosome group (p<0.05). CONCLUSIONS: HucMSC-exosome can improve SNFH in rats, whose mechanism may be related to the up-regulation of VEGF and BMP-2 by exosomes. FAU - Li, R AU - Li R AD - Department of Orthopaedics, The General Hospital of Jinan Military, Jinan, China. 1940783143@qq.com. FAU - Chen, C AU - Chen C FAU - Zheng, R-Q AU - Zheng RQ FAU - Zou, L AU - Zou L FAU - Hao, G-L AU - Hao GL FAU - Zhang, G-C AU - Zhang GC LA - eng PT - Journal Article PL - Italy TA - Eur Rev Med Pharmacol Sci JT - European review for medical and pharmacological sciences JID - 9717360 RN - 0 (Bmp2 protein, rat) RN - 0 (Bone Morphogenetic Protein 2) RN - 0 (Vascular Endothelial Growth Factor A) RN - 0 (vascular endothelial growth factor A, rat) SB - IM MH - Animals MH - Bone Morphogenetic Protein 2/*biosynthesis/genetics MH - Exosomes/*metabolism MH - Femur Head Necrosis/genetics/*metabolism/pathology MH - Humans MH - Male MH - Mesenchymal Stem Cells/*metabolism MH - Rats MH - Rats, Sprague-Dawley MH - Umbilical Cord/cytology/*metabolism MH - Vascular Endothelial Growth Factor A/*biosynthesis/genetics EDAT- 2019/04/20 06:00 MHDA- 2020/09/09 06:00 CRDT- 2019/04/20 06:00 PHST- 2019/04/20 06:00 [entrez] PHST- 2019/04/20 06:00 [pubmed] PHST- 2020/09/09 06:00 [medline] AID - 17573 [pii] AID - 10.26355/eurrev_201904_17573 [doi] PST - ppublish SO - Eur Rev Med Pharmacol Sci. 2019 Apr;23(7):2935-2943. doi: 10.26355/eurrev_201904_17573.