PMID- 37976598 OWN - NLM STAT- MEDLINE DCOM- 20231121 LR - 20231121 IS - 1878-1705 (Electronic) IS - 1567-5769 (Linking) VI - 125 IP - Pt B DP - 2023 Dec TI - Diabetic and nondiabetic BMSC-derived exosomes affect bone regeneration via regulating miR-17-5p/SMAD7 axis. PG - 111190 LID - S1567-5769(23)01517-5 [pii] LID - 10.1016/j.intimp.2023.111190 [doi] AB - Diabetic bone disease (DBD) is a complication of diabetes mellitus (DM) and is characterized by impaired osteocyte function and delayed bone remodeling due to high blood glucose levels and sustained release of inflammatory factors. Recent studies show that the regulation of osteoblasts (OBs) by bone marrow stromal cells (BMSCs) is an important mechanism in alleviating DBD and that exosomes are recognized as the key medium. Mesenchymal stem cell-derived exosome (MSC-Exos) therapy is a promising approach to facilitate tissue repair. However, the influence of exosomes from diabetic conditioned BMSCs on OBs and bone regeneration, as well as the underlying mechanism, are still elusive. Here, we used high-glucose medium to mimic diabetic conditions and normal-glucose medium as control to mimic nondiabetic conditions in vitro and found that microRNA-17 (miR-17) was downregulated in diabetic-conditioned BMSC-derived exosomes (HG-Exos), HG-Exo-co-cultured osteoblasts, and the skull of rats with type 2 diabetes mellitus (T2DM). Further experiment concluded that nondiabetic conditioned BMSC-Exos (NG-Exos) promoted the osteogenesis of OBs and bone regeneration of rats with T2DM via upregulation of miR-17. Compare with NG-Exos, HG-Exos impeded osteogenesis of OBs in vitro and bone regeneration of rats in vivo by downregulation of miR-17. Moreover, miR-17 promoted bone regeneration by targeting SMAD7, which was further proved to have a negative effect on osteogenesis. Taken together, nondiabetic BMSC-derived exosomes greatly foster bone regeneration, whereas diabetic BMSC-derived exosomes undermine the promotion effect of MSC-Exos by regulating the miR-17/SMAD7 axis. These findings provide support for the miR-17-5p/SMAD7 axis as a promising therapeutic target to treat DBD. CI - Copyright (c) 2023 Elsevier B.V. All rights reserved. FAU - Li, Zechuan AU - Li Z AD - Department of Implantology, School and Hospital of Stomatology, Cheeloo College of Medicine, Shandong University & Shandong Key Laboratory of Oral Tissue Regeneration & Shandong Engineering Research Center of Dental Materials and Oral Tissue Regeneration & Shandong Provincial Clinical Research Center for Oral Diseases, No. 44-1 Wenhua Road West, 250012 Jinan, Shandong, China. FAU - Zhang, Bing AU - Zhang B AD - Department of Health Care, School and Hospital of Stomatology, Cheeloo College of Medicine, Shandong University & Shandong Key Laboratory of Oral Tissue Regeneration & Shandong Engineering Research Center of Dental Materials and Oral Tissue Regeneration & Shandong Provincial Clinical Research Center for Oral Diseases, No. 44-1 Wenhua Road West, 250012 Jinan, Shandong, China. FAU - Shang, Jiaming AU - Shang J AD - Department of Prosthodontics, School and Hospital of Stomatology, Cheeloo College of Medicine, Shandong University & Shandong Key Laboratory of Oral Tissue Regeneration & Shandong Engineering Research Center of Dental Materials and Oral Tissue Regeneration & Shandong Provincial Clinical Research Center for Oral Diseases, No. 44-1 Wenhua Road West, 250012 Jinan, Shandong, China. FAU - Wang, Yanan AU - Wang Y AD - Department of Implantology, School and Hospital of Stomatology, Cheeloo College of Medicine, Shandong University & Shandong Key Laboratory of Oral Tissue Regeneration & Shandong Engineering Research Center of Dental Materials and Oral Tissue Regeneration & Shandong Provincial Clinical Research Center for Oral Diseases, No. 44-1 Wenhua Road West, 250012 Jinan, Shandong, China. FAU - Jia, Linglu AU - Jia L AD - Department of Prosthodontics, School and Hospital of Stomatology, Cheeloo College of Medicine, Shandong University & Shandong Key Laboratory of Oral Tissue Regeneration & Shandong Engineering Research Center of Dental Materials and Oral Tissue Regeneration & Shandong Provincial Clinical Research Center for Oral Diseases, No. 44-1 Wenhua Road West, 250012 Jinan, Shandong, China. FAU - She, Xiao AU - She X AD - Department of Implantology, School and Hospital of Stomatology, Cheeloo College of Medicine, Shandong University & Shandong Key Laboratory of Oral Tissue Regeneration & Shandong Engineering Research Center of Dental Materials and Oral Tissue Regeneration & Shandong Provincial Clinical Research Center for Oral Diseases, No. 44-1 Wenhua Road West, 250012 Jinan, Shandong, China. FAU - Xu, Xin AU - Xu X AD - Department of Implantology, School and Hospital of Stomatology, Cheeloo College of Medicine, Shandong University & Shandong Key Laboratory of Oral Tissue Regeneration & Shandong Engineering Research Center of Dental Materials and Oral Tissue Regeneration & Shandong Provincial Clinical Research Center for Oral Diseases, No. 44-1 Wenhua Road West, 250012 Jinan, Shandong, China. FAU - Zhang, Dongjiao AU - Zhang D AD - Department of Implantology, School and Hospital of Stomatology, Cheeloo College of Medicine, Shandong University & Shandong Key Laboratory of Oral Tissue Regeneration & Shandong Engineering Research Center of Dental Materials and Oral Tissue Regeneration & Shandong Provincial Clinical Research Center for Oral Diseases, No. 44-1 Wenhua Road West, 250012 Jinan, Shandong, China. FAU - Guo, Jing AU - Guo J AD - Engineering Laboratory for Biomaterials and Tissue Regeneration, Ningbo Stomatology Hospital, No. 435 Xinxing Road, Ningbo 315042, Zhejiang, China; Savaid Stomatology School of Hangzhou Medical College, No. 1 Pinghai Road, Hangzhou 310051, Zhejiang, China. FAU - Zhang, Fan AU - Zhang F AD - Department of Orthodontics, School and Hospital of Stomatology, Cheeloo College of Medicine, Shandong University & Shandong Key Laboratory of Oral Tissue Regeneration & Shandong Engineering Research Center of Dental Materials and Oral Tissue Regeneration & Shandong Provincial Clinical Research Center for Oral Diseases, No. 44-1 Wenhua Road West, 250012 Jinan, Shandong, China. Electronic address: zhfan@sdu.edu.cn. LA - eng PT - Journal Article DEP - 20231115 PL - Netherlands TA - Int Immunopharmacol JT - International immunopharmacology JID - 100965259 RN - IY9XDZ35W2 (Glucose) RN - 0 (MicroRNAs) RN - 0 (MIRN17 microRNA, rat) SB - IM MH - Animals MH - Rats MH - *Diabetes Mellitus, Type 2 MH - *Exosomes MH - Bone Regeneration/genetics MH - Glucose MH - *MicroRNAs/genetics OTO - NOTNLM OT - Diabetes mellitus OT - Diabetic bone disease OT - Exosomes OT - Osteogenesis OT - SMAD7 OT - microRNA COIS- Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2023/11/18 11:42 MHDA- 2023/11/21 06:41 CRDT- 2023/11/17 18:01 PHST- 2023/07/29 00:00 [received] PHST- 2023/11/03 00:00 [revised] PHST- 2023/11/03 00:00 [accepted] PHST- 2023/11/21 06:41 [medline] PHST- 2023/11/18 11:42 [pubmed] PHST- 2023/11/17 18:01 [entrez] AID - S1567-5769(23)01517-5 [pii] AID - 10.1016/j.intimp.2023.111190 [doi] PST - ppublish SO - Int Immunopharmacol. 2023 Dec;125(Pt B):111190. doi: 10.1016/j.intimp.2023.111190. Epub 2023 Nov 15.