Department of Orthopedic Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine and Key Laboratory of Musculoskeletal System Degeneration and Regeneration Translational Research of Zhejiang, Hangzhou 310016, China.
State Key Laboratory of New Ceramics and Fine Processing, Key Laboratory of Advanced Materials of Ministry of Education, School of Materials Science and Engineering, Tsinghua University, Beijing 100084, China.
Sci Adv. 2022 Apr;8(13):eabk0011. doi: 10.1126/sciadv.abk0011. Epub 2022 Mar 30.
Osteoarthritis (OA) is a common joint disease characterized by progressive loss of cartilage and reduction in lubricating synovial fluid, which lacks effective treatments currently. Here, we propose a hydrogel-based miRNA delivery strategy to rejuvenate impaired cartilage by creating a regenerative microenvironment to mitigate chondrocyte senescence that mainly contributes to cartilage breakdown during OA development. An aging-related miRNA, miR-29b-5p, was first found to be markedly down-regulated in OA cartilage, and their up-regulation suppressed the expression of matrix metalloproteinases and senescence-associated genes () via ten-eleven-translocation enzyme 1 (TET1). An injectable bioactive self-assembling peptide nanofiber hydrogel was applied to deliver agomir-29b-5p, which was functionalized by conjugating a stem cell-homing peptide SKPPGTSS for endogenous synovial stem cell recruitment simultaneously. Sustained miR-29b-5p delivery and recruitment of synovial stem cells and their subsequent differentiation into chondrocytes led to successful cartilage repair and chondrocyte rejuvenation. This strategy enables miRNA-based therapeutic modality to become a viable alternative for surgery in OA treatment.
骨关节炎(OA)是一种常见的关节疾病,其特征是软骨逐渐丧失和润滑性滑液减少,目前缺乏有效的治疗方法。在这里,我们提出了一种基于水凝胶的 miRNA 递释策略,通过创造一个再生微环境来减轻软骨细胞衰老,从而减轻 OA 发展过程中软骨破坏的主要原因,从而使受损的软骨恢复活力。首先发现,OA 软骨中衰老相关的 miRNA miR-29b-5p 明显下调,其上调通过 ten-eleven-translocation 酶 1(TET1)抑制基质金属蛋白酶和衰老相关基因的表达。一种可注射的生物活性自组装肽纳米纤维水凝胶被用于递送 agomir-29b-5p,该水凝胶通过缀合干细胞归巢肽 SKPPGTSS 进行功能化,以同时招募内源性滑液干细胞。持续的 miR-29b-5p 递释以及滑膜干细胞的募集和随后向软骨细胞的分化导致了成功的软骨修复和软骨细胞年轻化。这种策略使基于 miRNA 的治疗模式成为 OA 治疗中手术的可行替代方案。
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