Department of Endocrinology and Metabolism, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China (mainland).
Department of Endocrinology and Metabolism, The Third People's Hospital of Chenzhou, Chenzhou, Hunan, China (mainland).
Med Sci Monit. 2017 Nov 14;23:5410-5419. doi: 10.12659/msm.906603.
BACKGROUND Compared with normal postmenopausal women, estrogen deficiency and hyperglycemia in postmenopausal women with type 2 diabetes (T2DM) lead to more severe bone property degradation. Liraglutide, a glucagon-like peptide-1 (GLP-1) receptor agonist, has been reported to improve bone condition among people with T2DM but the precise mechanisms remain unclear. Exosomes work as mediators in cell-to-cell communication, delivering functional miRNAs between cells. We aimed to explore the role of exosomes in T2DM-related bone metabolic disorders and the bone protective mechanisms of liraglutide. MATERIAL AND METHODS We made comparative analyses of bone marrow-derived exosomal miRNAs from ovariectomized (OVX) control rats, OVX + T2DM rats, and OVX + T2DM + liraglutide-treated rats. miRNA profiles were generated using high-throughput sequencing. Target gene prediction and pathway analysis were performed to investigate the signal pathway alterations. Three miRNAs were randomly chosen to validate their absolute expression levels by real-time quantitative PCR. RESULTS Bone marrow-derived exosomal miRNAs were different with respect to miRNA numbers, species, and expression levels. miRNA spectra varied under T2DM condition and after liraglutide treatment. By bioinformatics analysis, we found T2DM and liraglutide administration lead to significant changes in exosomal miRNAs which targeted to insulin secretion and insulin-signaling pathway. Wnt signaling pathway alteration was the critical point regarding bone metabolism. CONCLUSIONS Our findings show the selective packaging of functional miRNA cargoes into exosomes due to T2DM and liraglutide treatment. Bone marrow exosome-mediated Wnt signaling pathway alteration may play a part in the bone protective effect of liraglutide.
背景:与正常绝经后女性相比, 2 型糖尿病(T2DM)绝经后女性的雌激素缺乏和高血糖导致更严重的骨骼特性退化。胰高血糖素样肽-1(GLP-1)受体激动剂利拉鲁肽已被报道可改善 T2DM 患者的骨骼状况,但确切机制尚不清楚。外泌体作为细胞间通讯的介质,在细胞间传递功能性 miRNA。我们旨在探讨外泌体在 T2DM 相关骨代谢紊乱中的作用以及利拉鲁肽的骨保护机制。
材料和方法:我们对去卵巢(OVX)对照大鼠、OVX+T2DM 大鼠和 OVX+T2DM+利拉鲁肽治疗大鼠的骨髓来源外泌体 miRNA 进行了比较分析。使用高通量测序生成 miRNA 图谱。进行靶基因预测和通路分析,以研究信号通路的改变。随机选择三种 miRNA 通过实时定量 PCR 验证其绝对表达水平。
结果:骨髓来源的外泌体 miRNA 在 miRNA 数量、种类和表达水平方面存在差异。在 T2DM 条件下和利拉鲁肽治疗后,miRNA 谱发生变化。通过生物信息学分析,我们发现 T2DM 和利拉鲁肽给药导致外泌体 miRNA 靶向胰岛素分泌和胰岛素信号通路的显著变化。Wnt 信号通路的改变是骨代谢的关键。
结论:我们的研究结果表明,由于 T2DM 和利拉鲁肽治疗,功能性 miRNA 货物选择性包装到外泌体中。骨髓外泌体介导的 Wnt 信号通路改变可能在利拉鲁肽的骨保护作用中发挥作用。
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