Departments of Orthopedics, The Second Affiliated Hospital of Nanchang University, Nanchang City, Jiangxi Province, China.
Department of Obstetrics & Gynecology, The First Affiliated Hospital of Nanchang University, Nanchang City, Jiangxi Province, China.
Endocrinology. 2022 Oct 11;163(11). doi: 10.1210/endocr/bqac138.
Idiopathic short stature (ISS), a disorder of unknown cause, accounts for approximately 80% of the clinical diagnoses of children with short stature. Exosomal circular RNA in plasma has been implicated in various disease processes. However, the role of exosome-derived circRNA in ISS has not been elucidated yet.
Plasma exosomes of ISS and normal children were cocultured with human chondrocytes. Microarray analysis and RT-PCR identified the differential expression of circRNA in exosomes between ISS and normal children. Hsa_circ_0063476 was upregulated or downregulated in human chondrocytes. Subsequently, overexpression rats of hsa_circ_0063476 was constructed via adenoviral vector to further validate the role of hsa_circ_0063476 on longitudinal bone growth via in vivo experiment.
The plasma exosome of ISS children suppressed the expression of markers of chondrocyte hypertrophy and endochondral ossification. Subsequently, upregulation of hsa_circ_0063476 in ISS exosome was identified. In vitro experiments demonstrated that chondrocyte proliferation, cell cycle and endochondral ossification were suppressed, and apoptosis was increased following hsa_circ_0063476 overexpression in human chondrocytes. Conversely, silencing hsa_circ_0063476 in human chondrocytes can show opposite outcomes. Our study further revealed hsa_circ_0063476 overexpression in vitro can enhance chondrocyte apoptosis and inhibit the expression of markers of chondrocyte proliferation and endochondral ossification via miR-518c-3p/DDX6 axis. Additionally, the rats with hsa_circ_0063476 overexpression showed a short stature phenotype.
The authors identified a novel pathogenesis in ISS that exosome-derived hsa_circ_0063476 retards the expression of markers of endochondral ossification and impairs longitudinal bone growth via miR-518c-3p/DDX6 axis, which may provide a unique therapeutic avenue for ISS.
特发性身材矮小(ISS)是一种病因不明的疾病,约占身材矮小患儿临床诊断的 80%。血浆外泌体环状 RNA 已被证实与多种疾病过程有关。然而,外泌体来源的 circRNA 在 ISS 中的作用尚未阐明。
将 ISS 和正常儿童的血浆外泌体与人类软骨细胞共培养。微阵列分析和 RT-PCR 鉴定出 ISS 和正常儿童外泌体中 circRNA 的差异表达。Hsa_circ_0063476 在人软骨细胞中上调或下调。随后,通过腺病毒载体构建 hsa_circ_0063476 的过表达大鼠,进一步通过体内实验验证 hsa_circ_0063476 对纵向骨生长的作用。
ISS 儿童的血浆外泌体抑制了软骨细胞肥大和软骨内骨化的标志物表达。随后,鉴定出 ISS 外泌体中 hsa_circ_0063476 的上调。体外实验表明,hsa_circ_0063476 过表达可抑制人软骨细胞的增殖、细胞周期和软骨内骨化,促进细胞凋亡。相反,沉默人软骨细胞中的 hsa_circ_0063476 则可产生相反的结果。我们的研究进一步揭示,hsa_circ_0063476 过表达可通过 miR-518c-3p/DDX6 轴增强体外软骨细胞凋亡,抑制软骨细胞增殖和软骨内骨化标志物的表达。此外,hsa_circ_0063476 过表达的大鼠表现出身材矮小的表型。
作者发现了 ISS 的一种新发病机制,即外泌体源性 hsa_circ_0063476 通过 miR-518c-3p/DDX6 轴抑制软骨内骨化标志物的表达,损害纵向骨生长,这可能为 ISS 提供一个独特的治疗途径。