PMID- 31959744 OWN - NLM STAT- MEDLINE DCOM- 20210114 LR - 20210119 IS - 2041-4889 (Electronic) VI - 11 IP - 1 DP - 2020 Jan 20 TI - P53 and Parkin co-regulate mitophagy in bone marrow mesenchymal stem cells to promote the repair of early steroid-induced osteonecrosis of the femoral head. PG - 42 LID - 10.1038/s41419-020-2238-1 [doi] LID - 42 AB - Survival and stemness of bone marrow mesenchymal stem cells (BMSCs) in osteonecrotic areas are especially important in the treatment of early steroid-induced osteonecrosis of the femoral head (ONFH). We had previously used BMSCs to repair early steroid-induced ONFH, but the transplanted BMSCs underwent a great deal of stress-induced apoptosis and aging in the oxidative-stress (OS) microenvironment of the femoral-head necrotic area, which limited their efficacy. Our subsequent studies have shown that under OS, massive accumulation of damaged mitochondria in cells is an important factor leading to stress-induced apoptosis and senescence of BMSCs. The main reason for this accumulation is that OS leads to upregulation of protein 53 (P53), which inhibits mitochondrial translocation of Parkin and activation of Parkin's E3 ubiquitin ligase, which decreases the level of mitophagy and leads to failure of cells to effectively remove damaged mitochondria. However, P53 downregulation can effectively reverse this process. Therefore, we upregulated Parkin and downregulated P53 in BMSCs. We found that this significantly enhanced mitophagy in BMSCs, decreased the accumulation of damaged mitochondria in cells, effectively resisted stress-induced BMSCs apoptosis and senescence, and improved the effect of BMSCs transplantation on early steroid-induced ONFH. FAU - Zhang, Fei AU - Zhang F AD - Department of Orthopedics, The Affliated Hospital of Guizhou Medical University, Guiyang, Guizhou, 550004, China. AD - Guizhou Medical University, Guiyang, Guizhou, 550004, China. FAU - Peng, Wuxun AU - Peng W AD - Department of Orthopedics, The Affliated Hospital of Guizhou Medical University, Guiyang, Guizhou, 550004, China. 903463644@qq.com. AD - Guizhou Medical University, Guiyang, Guizhou, 550004, China. 903463644@qq.com. FAU - Zhang, Jian AU - Zhang J AD - Department of Orthopedics, The Affliated Hospital of Guizhou Medical University, Guiyang, Guizhou, 550004, China. AD - Guizhou Medical University, Guiyang, Guizhou, 550004, China. FAU - Dong, Wentao AU - Dong W AD - Department of Orthopedics, The Affliated Hospital of Guizhou Medical University, Guiyang, Guizhou, 550004, China. AD - Guizhou Medical University, Guiyang, Guizhou, 550004, China. FAU - Wu, Jianhua AU - Wu J AD - Department of Orthopedics, The Affliated Hospital of Guizhou Medical University, Guiyang, Guizhou, 550004, China. AD - Guizhou Medical University, Guiyang, Guizhou, 550004, China. FAU - Wang, Tao AU - Wang T AD - Guizhou Medical University, Guiyang, Guizhou, 550004, China. FAU - Xie, Zhihong AU - Xie Z AD - Guizhou Medical University, Guiyang, Guizhou, 550004, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20200120 PL - England TA - Cell Death Dis JT - Cell death & disease JID - 101524092 RN - 0 (Steroids) RN - 0 (Tumor Suppressor Protein p53) RN - EC 2.3.2.27 (Ubiquitin-Protein Ligases) RN - EC 2.3.2.27 (parkin protein) SB - IM MH - Animals MH - Apoptosis MH - Cellular Senescence/genetics MH - Disease Models, Animal MH - Femur Head Necrosis/chemically induced/genetics/*metabolism/*pathology MH - Gene Expression Regulation MH - Male MH - Mesenchymal Stem Cell Transplantation MH - Mesenchymal Stem Cells/*metabolism/ultrastructure MH - Mitochondria/pathology/ultrastructure MH - *Mitophagy/genetics MH - Models, Biological MH - Osteogenesis MH - Oxidative Stress/genetics MH - Rabbits MH - Steroids/*adverse effects MH - Tumor Suppressor Protein p53/genetics/*metabolism MH - Ubiquitin-Protein Ligases/genetics/*metabolism MH - *Wound Healing PMC - PMC6971291 COIS- The authors declare that they have no conflict of interest. EDAT- 2020/01/22 06:00 MHDA- 2021/01/15 06:00 PMCR- 2020/01/20 CRDT- 2020/01/22 06:00 PHST- 2019/08/19 00:00 [received] PHST- 2019/12/20 00:00 [accepted] PHST- 2019/12/20 00:00 [revised] PHST- 2020/01/22 06:00 [entrez] PHST- 2020/01/22 06:00 [pubmed] PHST- 2021/01/15 06:00 [medline] PHST- 2020/01/20 00:00 [pmc-release] AID - 10.1038/s41419-020-2238-1 [pii] AID - 2238 [pii] AID - 10.1038/s41419-020-2238-1 [doi] PST - epublish SO - Cell Death Dis. 2020 Jan 20;11(1):42. doi: 10.1038/s41419-020-2238-1.