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长链非编码RNA CRNDE通过调节成骨细胞的细胞活力和凋亡来改善骨折。

LncRNA CRNDE ameliorates bone fracture by regulating cell viability and apoptosis of osteoblasts.

作者信息

Li Yuanfeng, Ye Shiqi, Han Zhen, Wei Chengjian, Huang Yingxuan

机构信息

Department of orthopedics and traumatology, First Affiliated Hospital, Heilongjiang University of Chinese Medicine, Harbin, 150040, Heilongjiang, China.

School of Medicine and Population Health, The University of Sheffield, Sheffield, S10 2TN, UK.

出版信息

J Orthop Surg Res. 2025 May 27;20(1):521. doi: 10.1186/s13018-025-05943-5.

Abstract

BACKGROUND

Delayed healing is a common postoperative complication among fractured patients, imposing an additional financial burden. This research examined the clinical relationship between CRNDE and delayed fracture healing (DFH) and the potential regulatory mechanisms underlying fracture improvement.

METHODS

qRT-PCR was utilized to assess the expression of CRNDE and miR-29a-3p in serum and cellular samples, and to evaluate the expression of genes associated with osteogenic differentiation. The diagnostic and predictive significance of serum CRNDE was analyzed using ROC analysis and logistic regression. Additionally, an hFOB 1.19 osteogenic differentiation model was established. The CCK-8 assay and flow cytometry techniques were used to investigate the effects of silencing CRNDE, as well as the concurrent inhibition of both CRNDE and miR-29a-3p, on the proliferation and apoptosis of hFOB 1.19 cells.

RESULTS

CRNDE was down-regulated, while miR-29a-3p was up-regulated in DFH patients. The serum CRNDE could effectively identify DFH patients and predict the DFH occurrence. In the hFOB 1.19 osteogenic differentiation model, silencing CRNDE led to a significant decrease in the expression of osteogenic differentiation markers, a reduction in the proliferation activity of hFOB 1.19 cells, and an increase in apoptosis. There was a negative regulatory interaction between CRNDE and miR-29a-3p. Concurrently inhibiting the expression of both CRNDE and miR-29a-3p could effectively restore the functional activity of hFOB 1.19 cells.

CONCLUSION

Serum CRNDE holds potential as a biomarker for the diagnosis and prediction of DFH. The sponging effect of CRNDE on miR-29a-3p could ameliorate fracture healing.

摘要

背景

延迟愈合是骨折患者常见的术后并发症,会带来额外的经济负担。本研究探讨了CRNDE与骨折延迟愈合(DFH)之间的临床关系以及骨折改善的潜在调控机制。

方法

采用qRT-PCR评估血清和细胞样本中CRNDE和miR-29a-3p的表达,并评估与成骨分化相关基因的表达。使用ROC分析和逻辑回归分析血清CRNDE的诊断和预测意义。此外,建立了hFOB 1.19成骨分化模型。采用CCK-8法和流式细胞术研究沉默CRNDE以及同时抑制CRNDE和miR-29a-3p对hFOB 1.19细胞增殖和凋亡的影响。

结果

DFH患者中CRNDE表达下调,而miR-29a-3p表达上调。血清CRNDE可有效识别DFH患者并预测DFH的发生。在hFOB 1.19成骨分化模型中,沉默CRNDE导致成骨分化标志物表达显著降低,hFOB 1.19细胞增殖活性降低,凋亡增加。CRNDE与miR-29a-3p之间存在负向调节相互作用。同时抑制CRNDE和miR-29a-3p的表达可有效恢复hFOB 1.19细胞的功能活性。

结论

血清CRNDE有望作为DFH诊断和预测的生物标志物。CRNDE对miR-29a-3p的海绵效应可改善骨折愈合。

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