PMID- 33510944 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210130 IS - 2162-2531 (Print) IS - 2162-2531 (Electronic) IS - 2162-2531 (Linking) VI - 23 DP - 2021 Mar 5 TI - Exosomal miR-365a-5p derived from HUC-MSCs regulates osteogenesis in GIONFH through the Hippo signaling pathway. PG - 565-576 LID - 10.1016/j.omtn.2020.12.006 [doi] AB - The pathogenesis of glucocorticoid (GC)-induced osteonecrosis of the femoral head (GIONFH) is still disputed, and abnormal bone metabolism caused by GCs may be an important factor. In vitro, Cell Counting Kit-8 (CCK-8) and 5-ethynyl-2'-deoxyuridine (EdU) staining were used to evaluate cellular proliferation, and western blotting was used to investigate osteogenesis. In vivo, we used micro-computed tomography (micro-CT), H&E staining, Masson staining, and immunohistochemistry (IHC) analysis to evaluate the impact of exosomes. In addition, the mechanism by which exosomes regulate osteogenesis through the miR-365a-5p/Hippo signaling pathway was investigated using RNA sequencing (RNA-seq), luciferase reporter assays, fluorescence in situ hybridization (FISH), and western blotting. The results of western blotting verified that the relevant genes in osteogenesis, including BMP2, Sp7, and Runx2, were upregulated. RNA-seq and qPCR of the exosome and Dex-treated exosome groups showed that miR-365a-5p was upregulated in the exosome group. Furthermore, we verified that miR-365a-5p promoted osteogenesis by targeting SAV1. Additional in vivo experiments revealed that exosomes prevented GIONFH in a rat model, as shown by micro-CT scanning and histological and IHC analysis. We concluded that exosomal miR-365a-5p was effective in promoting osteogenesis and preventing the development of GIONFH via activation of the Hippo signaling pathway in rats. CI - (c) 2020 The Author(s). FAU - Kuang, Ming-Jie AU - Kuang MJ AD - Department of Orthopedics, The Provincial Hospital Affiliated to Shandong University, Shandong 250014, China. FAU - Zhang, Kai-Hui AU - Zhang KH AD - Department of Orthopedics, Tianjin Hospital, Tianjin 300211, China. FAU - Qiu, Jie AU - Qiu J AD - Department of Orthopedics, The Provincial Hospital Affiliated to Shandong University, Shandong 250014, China. FAU - Wang, An-Bang AU - Wang AB AD - Department of Orthopedics, The Provincial Hospital Affiliated to Shandong University, Shandong 250014, China. FAU - Che, Wen-Wen AU - Che WW AD - Department of Orthopedics, The Provincial Hospital Affiliated to Shandong University, Shandong 250014, China. FAU - Li, Xiao-Ming AU - Li XM AD - Department of Orthopedics, Traditional Chinese Medicine-Western Medicine Hospital of Cangzhou City, Hebei Province 061000, China. FAU - Shi, Dong-Li AU - Shi DL AD - Department of Orthopedics, The Provincial Hospital Affiliated to Shandong University, Shandong 250014, China. FAU - Wang, Da-Chuan AU - Wang DC AD - Department of Orthopedics, The Provincial Hospital Affiliated to Shandong University, Shandong 250014, China. LA - eng PT - Journal Article DEP - 20201210 PL - United States TA - Mol Ther Nucleic Acids JT - Molecular therapy. Nucleic acids JID - 101581621 PMC - PMC7810916 OTO - NOTNLM OT - GIONFH OT - HUC-MSCs OT - Hippo signaling pathway OT - exosomes OT - osteogenesis COIS- The authors declare no competing interests. EDAT- 2021/01/30 06:00 MHDA- 2021/01/30 06:01 PMCR- 2020/12/10 CRDT- 2021/01/29 05:56 PHST- 2020/02/11 00:00 [received] PHST- 2020/12/02 00:00 [accepted] PHST- 2021/01/29 05:56 [entrez] PHST- 2021/01/30 06:00 [pubmed] PHST- 2021/01/30 06:01 [medline] PHST- 2020/12/10 00:00 [pmc-release] AID - S2162-2531(20)30387-5 [pii] AID - 10.1016/j.omtn.2020.12.006 [doi] PST - epublish SO - Mol Ther Nucleic Acids. 2020 Dec 10;23:565-576. doi: 10.1016/j.omtn.2020.12.006. eCollection 2021 Mar 5.