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Isomangiferin promotes the migration and osteogenic differentiation of rat bone marrow mesenchymal stem cells

  • Bingjun Gao EMAIL logo , Xin Cheng , Yarong Wu and Boyi Jiang
Published/Copyright: July 20, 2024

Abstract

Delayed or failed bone healing is a significant clinical challenge worldwide. Bone marrow mesenchymal stem cells (BMSCs) offer a promising approach for improving fracture healing. Isomangiferin, a xanthone C-glucoside, is known for its pharmacological activities, but its role in fracture healing remains unclear. In this study, we investigated the effects of isomangiferin on BMSCs under oxidative stress conditions induced by hydrogen peroxide (H2O2). Our results showed that isomangiferin promotes osteogenic differentiation and migration of H2O2-treated BMSCs, reduces apoptosis and reactive oxygen species production, and activates the AMP-activated protein kinase/acetyl-CoA carboxylase (AMPK/ACC) pathway. These findings suggest that isomangiferin may be a potential therapeutic agent for enhancing bone healing by modulating BMSC function.

1 Introduction

Delayed or failed bone healing is a significant clinical challenge worldwide, with approximately 5–10% of fractures resulting in delayed or non-union [1]. Bone marrow mesenchymal stem cells (BMSCs) have been reported to offer a promising method for accelerating fracture healing. Recent studies have shown encouraging results suggesting that BMSCs may promote fracture healing [2]. The ability of BMSCs to migrate to the fracture site, provide antioxidant protection, and exhibit osteogenic differentiation plays an important role in fracture healing [3]. After fracture, the migration of endogenous bone marrow mesenchymal stem cells to the fracture site is a key step in osteoblast maturation and mineralized tissue formation [3]. BMSCs migrate to the fracture site and then differentiate into osteoblasts and chondroblasts, promoting fracture healing through intramembranous ossification or intrachondral ossification [4]. Hypoxia caused by fracture and vascular injury triggers the expression of BMP-2 in BMSC, which initiates fracture healing [1]. To ameliorate the symptoms of bone healing failure, new and more effective treatments still need to be developed.

Traditional Chinese medicine has been widely used in clinical treatment of bone diseases in China for thousands of years. The natural product has a long history of use in traditional Chinese medicine to treat joint pain, hematochezia, hot flushes, and night sweats [5]. Isomangiferin, a xanthone C-glucoside, is one of the main components of the Cyclopia plant, a member of the Fabaceae family, known for its various pharmacological activities [6]. Isomangiferin provides protection against kidney injury in diabetic mouse models by inhibiting High Mobility Group Box 1 (HMGB1)/NOD-like Receptor Family Pyrin Domain Containing 3 (NLRP3)/NF-κB signaling [6]. In addition, isomangiferin exerts anti-breast cancer effect through functional inhibition of Vascular Endothelial Growth Factor Receptor 2 (VEGFR-2) [7]. Isomangiferin may be an effective treatment strategy for breast cancer by targeting VEGFR-2 [7]. The antiviral effects of isomangiferin may be due to their ability to inhibit intracellular viral replication [8]. However, the role and mechanism of isomangiferin in fracture healing are still unclear and need further study.

This study aimed to explore the effects of Isomangiferin on the bone healing in vitro. The results indicated that isomangiferin promotes BMSC motility and osteogenic differentiation through AMP-activated protein kinase/acetyl-CoA carboxylase (AMPK/ACC) pathway.

2 Materials and methods

2.1 Cell culture and treatment

Mouse BMSC line was bought from iCell Bioscience Inc (China) and maintained in Dulbecco's modified eagle medium (DMEM) with 10% Fetal bovine serum (FBS) at 37°C with 5% CO2. Cells were stimulated with 100 μM H2O2 (bought from Sigma) for 24 h. BMSCs were seeded at a density of 1 × 104 cells per well in a 96-well plate. BMSCs were stimulated with isomangiferin (bought from Sigma) at the concentrations of 0, 2.5, 5, and 10 μM for 24 h. After 24 h of treatment with 100 µM H2O2, BMSCs were washed with PBS to remove residual H2O2, followed by treatment with isomangiferin. To evaluate whether the osteogenic differentiation induced by isomangiferin is reversible, BMSCs were washed with PBS after isomangiferin treatment and cultured for an additional 7 days before assessing osteogenic markers.

2.2 Cell viability

BMSC viability was detected by adding a cell counting kit-8 (CCK-8) solution. After treatment with H2O2 or isomangiferin, a CCK-8 agent was added to cells following washing with PBS. The OD450 value in each well was measured.

2.3 Transwell assays

200 µL of the cell suspension was added to the upper chamber of a Transwell insert (BD, 8 µm pore size). The lower chamber was filled with 600 µL of DMEM containing 10% FBS as a chemoattractant. Isomangiferin was added to the upper chamber and incubated to evaluate its effects on BMSC migration. After incubation, cells were fixed with 4% paraformaldehyde for 30 min and stained with crystal violet for 30 min.

2.4 Enzyme-linked immunosorbent assay (ELISA)

After indicated stimulations, cell supernatants were subjected to ELISA to determine the level of reactive oxygen species (ROS) (ab287839; Abcam) and ALP (ab285274; Abcam) following the manufacturer’s guidelines. For the determination of cytokines, refer to the methodology described in other works [9].

2.5 Alizarin Red staining

Alizarin Red staining was performed to assess mineralization. BMSCs were fixed with 4% formalin, permeabilized with PBS containing 0.1% Triton X-100, and incubated for 10 min with Alizarin Red staining solution (Beyotime, Beijing, China). The presence of bright red-orange staining indicates the deposition of calcium, a hallmark of mineralized extracellular matrix produced by osteoblasts. The stained samples were analyzed using an LSM710 microscope (Carl Zeiss, Germany). Images were captured and quantified using ImageJ to evaluate the degree of mineralization.

2.6 Cell apoptosis

For the detection of apoptotic cell number, Annexin V/Propyl iodide (PI) apoptosis detection was conducted following the manufacturer’s protocol (Sigma Aldrich, USA). 100 µL of the cell suspension was transferred to a flow cytometry tube, and 5 µL of Annexin V-FITC and 5 µL of PI were added. The cells were gently vortexed and incubated for 15 min at room temperature in the dark. After incubation, 400 µL of 1× binding buffer was added to each tube, and the samples were analyzed by flow cytometry within 1 h. A total of 10,000 cells per sample were analyzed using a BD LSRFortessa™ X-20 flow cytometer (BD, USA). The percentage of apoptotic cells was determined by analyzing the Annexin V-FITC and PI fluorescence signals, with early apoptotic cells being Annexin V positive and PI negative, and late apoptotic or necrotic cells being Annexin V positive and PI positive [9].

2.7 Immunoblot assay

Proteins were separated by 10% Sodium dodecyl sulfate polyacrylamide gel electrophoresis and transferred onto PVDF membranes, followed by blocking with 5% BSA in TBST buffer. Subsequently, membranes were conjugated with primary antibodies targeting Bcl-2-associated X protein (Bax) (Abcam, ab32503; 1:1,000), B-cell lymphoma 2 (Bcl-2) (Abcam, ab182858; 1:1,000), Cleaved caspase-3 (Abcam, ab32042; 1:1,000), Matrix Metalloproteinase 2 (MMP-2) (Abcam, ab92536; 1:1,000), MMP-9 (Abcam, ab76003; 1:1,000), Runx2 (Abcam, ab192256; 1:1,000), Bone Morphogenetic Protein 2 (BMP2) (Abcam, ab284387; 1:1,000), ACC (Invitrogen, MA5-15025; 1:1,000), p-ACC (Ser79, Invitrogen, PA5-17725; 1:500), MAPK (Abcam, ab2047; 1:1,000), p-MAPK (Abcam, ab133448; 1:500), and GAPDH (Abcam, ab8245, 1:3,000) for 1 h. Subsequently, the membranes were incubated with specific secondary antibodies for 1 h and the blots were analyzed with an ECL kit. The methodology for this analysis was adapted from a previous study [10].

2.8 Statistics

Statistical analysis was performed using GraphPad Prism 5.0 software. Data were represented as mean ± SD. One-way ANOVA for multiple groups was used to determine statistical significance. A p-value of <0.05 was considered statistically significant. All experiments were repeated three times independently.

3 Results

3.1 Isomangiferin contributes to the osteogenic differentiation of H2O2-stimulated BMSCs

To detect the effects of isomangiferin on bone healing, particularly the effects on BMSCs, a failed bone healing cell model was constructed using H2O2 to treat BMSCs. The molecular formula of isomangiferin is shown in Figure 1a. CCK-8 assays indicated that H2O2 significantly decreased the growth of BMSCs (Figure 1b), whereas isomangiferin promoted the growth of H2O2-stimulated BMSCs, with the increased OD450 value (Figure 1b). Consistently, the ALP activity was detected by the kit, which reflected the osteogenic differentiation capacity. The data indicated that H2O2 significantly decreased ALP activity, whereas isomangiferin increased the ALP activity of H2O2-stimulated BMSCs, suggesting the promotion of osteogenic differentiation (Figure 1c). Similarly, Alizarin red staining exhibited that H2O2 significantly blocked osteogenic differentiation (Figure 1d). However, isomangiferin promoted theosteogenic differentiation of H2O2-stimulated BMSCs (Figure 1d). Immunoblot assays further indicated that H2O2 significantly decreased the expression of osteogenic differentiation marker Runt-related Transcription Factor 2 (Runx2) and BMP2, whereas isomangiferin promoted the expression of these factors (Figure 1e). Collectively, isomangiferin contributes to the osteogenic differentiation of H2O2-stimulated BMSCs.

Figure 1 
                  Isomangiferin contributes to the osteogenic differentiation of H2O2-stimulated BMSCs. (a) Molecular formula of isomangiferin. (b) CCK-8 assays showed the effects of isomangiferin (2.5, 5, 10 μM) on H2O2-stimulated BMSCs for 24 h. The OD450 value was measured. (c) ALP activity detection showed the ALP activity in BMSCs upon the treatment of isomangiferin (2.5, 5, 10 μM) and 100 μM H2O2 for 24 h. (d) Alizarin Red staining showed the osteogenic differentiation degree of BMSCs upon the treatment of isomangiferin (2.5, 5, 10 μM) and 100 μM H2O2 for 24 h. (e) Immunoblot showed the expression of Runx2 and BMP2 in BMSCs upon the treatment of isomangiferin (2.5, 5, 10 μM) and 100 μM H2O2 for 24 h. **p < 0.01, H2O2 vs control, ##
                     p < 0.01, 
                        
                           
                           
                              
                                 
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                      isomangiferin, vs H2O2. IS, isomangiferin.
Figure 1

Isomangiferin contributes to the osteogenic differentiation of H2O2-stimulated BMSCs. (a) Molecular formula of isomangiferin. (b) CCK-8 assays showed the effects of isomangiferin (2.5, 5, 10 μM) on H2O2-stimulated BMSCs for 24 h. The OD450 value was measured. (c) ALP activity detection showed the ALP activity in BMSCs upon the treatment of isomangiferin (2.5, 5, 10 μM) and 100 μM H2O2 for 24 h. (d) Alizarin Red staining showed the osteogenic differentiation degree of BMSCs upon the treatment of isomangiferin (2.5, 5, 10 μM) and 100 μM H2O2 for 24 h. (e) Immunoblot showed the expression of Runx2 and BMP2 in BMSCs upon the treatment of isomangiferin (2.5, 5, 10 μM) and 100 μM H2O2 for 24 h. **p < 0.01, H2O2 vs control, ## p < 0.01, H 2 O 2 + isomangiferin, vs H2O2. IS, isomangiferin.

3.2 Isomangiferin promotes the migration of H2O2-stimulated BMSCs

Subsequently, the effects of isomangiferin on the migration of H2O2-stimulated BMSCs were detected. Transwell assays showed that H2O2 decreased the migrated cell numbers of BMSCs (Figure 2a). However, isomangiferin reversed the suppression of cell migration in BMSCs caused by H2O2 treatment (Figure 2a). Similarly, immunoblot assays confirmed that H2O2 treatment decreased the expression of MMP-2 and MMP-2, two migration markers (Figure 2b), whereas isomangiferin treatment increased the expression of these markers in H2O2-stimulated BMSCs, suggesting the promoting of migration (Figure 2b). Therefore, isomangiferin promotes the migration of H2O2-stimulated BMSCs.

Figure 2 
                  Isomangiferin promotes the migration of H2O2-stimulated BMSCs. (a) Transwell assays showed the invasion levels of BMSCs upon the treatment of isomangiferin (2.5, 5, 10 μM) and 100 μM H2O2 for 24 h. (b) Quantification of panel (a). The migration cell numbers per field were quantified. (c) Immunoblot showed the expression of MMP-2 and MMP-9 in BMSCs upon the treatment of isomangiferin (2.5, 5, 10 μM) and 100 μM H2O2 for 24 h. **p < 0.01, H2O2 vs control, ##
                     p < 0.01, 
                        
                           
                           
                              
                                 
                                    H
                                 
                                 
                                    2
                                 
                              
                              
                                 
                                    O
                                 
                                 
                                    2
                                 
                                 
                                    +
                                 
                              
                           
                           {\text{H}}_{\text{2}}{\text{O}}_{2}^{+}
                        
                      isomangiferin, vs H2O2. IS, isomangiferin.
Figure 2

Isomangiferin promotes the migration of H2O2-stimulated BMSCs. (a) Transwell assays showed the invasion levels of BMSCs upon the treatment of isomangiferin (2.5, 5, 10 μM) and 100 μM H2O2 for 24 h. (b) Quantification of panel (a). The migration cell numbers per field were quantified. (c) Immunoblot showed the expression of MMP-2 and MMP-9 in BMSCs upon the treatment of isomangiferin (2.5, 5, 10 μM) and 100 μM H2O2 for 24 h. **p < 0.01, H2O2 vs control, ## p < 0.01, H 2 O 2 + isomangiferin, vs H2O2. IS, isomangiferin.

3.3 Isomangiferin further restrains the apoptosis and ROS production in H2O2-stimulated BMSCs

Next, the effects of isomangiferin on the apoptosis and ROS production of BMSCs were investigated. It was noticed that H2O2 treatment significantly increased ROS production in BMSCs, whereas isomangiferin treatment decreased ROS production in H2O2-stimulated BMSCs (Figure 3a). Flow cytometry analysis indicated that H2O2 stimulated the apoptosis of BMSCs with an increased percentage of apoptosis cells (Figure 3b and c). However, isomangiferin treatment restrained the apoptosis of H2O2-stimulated BMSCs (Figure 3b and c). Consistently, Immunoblot assays showed that H2O2 contributed to the expression of apoptosis markers, including BAX and cleaved caspase-3, and decreased Bcl-2 expression, whereas isomangiferin reversed the expression of these factors caused by H2O2 treatment in BMSCs (Figure 3d). Therefore, isomangiferin further restrains the apoptosis and ROS production in H2O2-stimulated BMSCs.

Figure 3 
                  Isomangiferin further restrains the apoptosis and ROS production in H2O2-stimulated BMSCs. (a) ROS levels in BMSCs upon the treatment of isomangiferin (2.5, 5, 10 μM) and 100 μM H2O2 for 24 h. (b) Flow cytometric assays showed the apoptosis degree of BMSCs upon the treatment of isomangiferin (2.5, 5, 10 μM) and 100 μM H2O2 for 24 h. (c) Quantification of panel (b). The percentage of apoptosis cells was quantified. (d) Immunoblot showed the expression of BAX, Bcl-2, and cleaved caspase-3 in BMSCs upon the treatment of isomangiferin (2.5, 5, 10 μM) and 100 μM H2O2 for 24 h. **p < 0.01, H2O2 vs control, #
                     p < 0.05, ##
                     p < 0.01, 
                        
                           
                           
                              
                                 
                                    H
                                 
                                 
                                    2
                                 
                              
                              
                                 
                                    O
                                 
                                 
                                    2
                                 
                                 
                                    +
                                 
                              
                           
                           {\text{H}}_{\text{2}}{\text{O}}_{2}^{+}
                        
                      isomangiferin, vs H2O2. IS, isomangiferin.
Figure 3

Isomangiferin further restrains the apoptosis and ROS production in H2O2-stimulated BMSCs. (a) ROS levels in BMSCs upon the treatment of isomangiferin (2.5, 5, 10 μM) and 100 μM H2O2 for 24 h. (b) Flow cytometric assays showed the apoptosis degree of BMSCs upon the treatment of isomangiferin (2.5, 5, 10 μM) and 100 μM H2O2 for 24 h. (c) Quantification of panel (b). The percentage of apoptosis cells was quantified. (d) Immunoblot showed the expression of BAX, Bcl-2, and cleaved caspase-3 in BMSCs upon the treatment of isomangiferin (2.5, 5, 10 μM) and 100 μM H2O2 for 24 h. **p < 0.01, H2O2 vs control, # p < 0.05, ## p < 0.01, H 2 O 2 + isomangiferin, vs H2O2. IS, isomangiferin.

3.4 Isomangiferin contributes to AMPK/ACC pathway in H2O2-stimulated BMSCs

Finally, the potential mechanism was explored. AMPK/ACC pathway was reported to affect the activity of BMSCs, such as osteogenic differentiation and migration, and therefore the Immunoblot was conducted. The results indicated that H2O2 treatment decreased the phosphorylation of AMPK and ACC in BMSCs (Figure 4). However, isomangiferin incubation increased the phosphorylation of AMPK and ACC in H2O2-stimulated BMSCs, suggesting the activation of this pathway (Figure 4). Therefore, isomangiferin contributes to the AMPK/ACC pathway in H2O2-stimulated BMSCs.

Figure 4 
                  Isomangiferin contributes to AMPK/ACC pathway in H2O2-stimulated BMSCs. Immunoblot showed the expression and phosphorylation levels of AMPK and ACC in BMSCs upon the treatment of isomangiferin (2.5, 5, 10 μM) and 100 μM H2O2 for 24 h. **p < 0.01, H2O2 vs control, ##
                     p < 0.01, 
                        
                           
                           
                              
                                 
                                    H
                                 
                                 
                                    2
                                 
                              
                              
                                 
                                    O
                                 
                                 
                                    2
                                 
                                 
                                    +
                                 
                              
                           
                           {\text{H}}_{\text{2}}{\text{O}}_{2}^{+}
                        
                      isomangiferin, vs H2O2. IS, isomangiferin.
Figure 4

Isomangiferin contributes to AMPK/ACC pathway in H2O2-stimulated BMSCs. Immunoblot showed the expression and phosphorylation levels of AMPK and ACC in BMSCs upon the treatment of isomangiferin (2.5, 5, 10 μM) and 100 μM H2O2 for 24 h. **p < 0.01, H2O2 vs control, ## p < 0.01, H 2 O 2 + isomangiferin, vs H2O2. IS, isomangiferin.

4 Discussion

Bone healing failure, also known as nonunion, is a medical condition where a fractured bone fails to heal properly [8]. This can be a serious complication after a bone fracture and can result in chronic pain, swelling, and sometimes disability. The causes of bone healing failure may vary, but common factors include poor blood supply to the bone, severe trauma, infection, or inadequate stabilization of the fracture [8]. Treatment for nonunion typically involves addressing the underlying cause. This can include surgical interventions to stabilize the bone, grafting procedures to provide new bone material, and the use of specialized devices such as bone stimulators that promote healing. The treatment of bone healing failure with traditional Chinese medicine mainly relies on traditional herbs and therapeutic methods to promote bone healing and overall health [11,12]. Commonly used herbs include Psoralea corylifolia, Rehmannia glutinosa, Cinnamomum cassia, and Achyranthes bidentata, which are believed to help strengthen bones, improve blood circulation, and fortify muscles [13,14]. Herein, our results indicated that isomangiferin promotes migration and osteogenic differentiation of BMSCs through the AMPK/ACC pathway. Therefore, isomangiferin has the potential to serve as a promising drug for bone healing failure.

In this study, we found that isomangiferin promotes the motility and osteogenic differentiation of BMSCs through the AMPK/ACC pathway. These results are consistent with previous research that has highlighted the osteogenic potential of isomangiferin in various models. Additionally, the anti-inflammatory and antioxidant properties of isomangiferin reported in other studies complement our findings, suggesting a multifaceted role of isomangiferin in bone healing. Comparing our results with other works, it is evident that isomangiferin consistently exhibits beneficial effects across different models, further reinforcing its potential as a therapeutic agent for bone healing. However, the specific pathways and mechanisms may vary depending on the model and experimental conditions, highlighting the need for further research to fully understand the role of isomangiferin in bone health.

BMSCs play a crucial role in bone healing. These multipotent stem cells can differentiate into bone cells, cartilage cells, and more, essential for new bone tissue formation [15]. BMSCs promote bone regeneration by secreting growth factors, regulate immune responses to reduce inflammation, and support angiogenesis, which are important aspects of bone healing [16]. Consequently, BMSCs are extensively studied in regenerative medicine and tissue engineering, especially in enhancing the repair of bone fractures and defects [16]. However, their clinical application still faces several challenges, such as determining cell sources, improving culture techniques, and evaluating long-term safety and effectiveness. Herein, our results indicated that isomangiferin promotes osteogenic differentiation and migration of BMSCs, and reduces intracellular ROS formation and apoptosis. Therefore, it could affect bone healing by mediating BMSC function.

Isomangiferin, a natural flavonoid compound with a range of biological activities [7]. It is known for its potent antioxidant properties, neutralizing free radicals and reducing oxidative stress [6,7,17]. Additionally, it exerts anti-inflammatory effects by reducing the production of inflammatory mediators [6]. Isomangiferin also possesses antimicrobial and antiviral activities, inhibiting certain bacteria and viruses [6]. Preliminary studies suggest its potential in cancer treatment by inducing apoptosis and inhibiting cell proliferation of cancer cells [7]. Furthermore, it shows promise in managing diabetes by regulating blood glucose levels and improving symptoms [17]. The data in this study indicated its effects on the osteogenic differentiation, migration, and ROS production of BSMCs. However, more studies are needed to fully understand its mechanisms and validate these effects for medical applications. It is advisable to consult healthcare professionals before using any supplements or treatments based on isomangiferin.

The AMPK/ACC pathway has been reported to play a significant role in the regulation of BMSC activity, including osteogenic differentiation and migration [18]. Given the importance of this pathway in BMSC function and its potential involvement in bone healing, we were particularly interested in investigating whether isomangiferin exerts its effects on BMSCs through the modulation of the AMPK/ACC pathway. Previous studies have suggested that activation of the AMPK/ACC pathway can enhance the osteogenic potential of BMSCs and promote bone regeneration [18]. AMPK, an energy-sensing kinase, promotes the differentiation of bone precursor cells when energy levels are low, contributing to new bone formation [19]. By regulating ACC, which is crucial for fatty acid synthesis, AMPK affects cellular energy metabolism and indirectly affects bone metabolism and repair. Activation of AMPK enhances the function of osteoblasts, accelerating fracture healing [19,20]. The current study focuses on how the AMPK/ACC pathway can be manipulated to control bone healing, which holds potential significance for developing new treatments for fractures and osteoporosis [19,20]. Herein, our results suggest that isomangiferin promotes the AMPK/ACC pathway and therefore contributes to bone healing. However, the precise mechanism needs further study.

In the remodeling of bone tissue, cytokines play a crucial role as mediators and stimulators of various processes [18]. They are involved in the regulation of bone resorption and formation, acting as key signaling molecules that influence the activity of osteoclasts and osteoblasts. Additionally, cytokines are involved in the inflammatory response associated with bone remodeling, where they can stimulate necrosis and fibrosis, further impacting the bone healing process [19]. Understanding the role of cytokines in bone remodeling is essential for developing targeted therapies for bone-related disorders.

In summary, isomangiferin promotes BMSC motility and osteogenic differentiation through the AMPK/ACC pathway.


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  1. Funding information: Authors state no funding involved.

  2. Author contributions: Bingjun Gao designed the study and carried them out, Bingjun Gao, Xin Cheng, Yarong Wu, and Boyi Jiang supervised the data collection, analyzed the data, interpreted the data, prepared the manuscript for publication, and reviewed the draft of the manuscript. All authors have read and approved the manuscript.

  3. Conflict of interest: Authors state no conflict of interest.

  4. Data availability statement: The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.

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Received: 2024-01-17
Revised: 2024-05-07
Accepted: 2024-05-09
Published Online: 2024-07-20

© 2024 the author(s), published by De Gruyter

This work is licensed under the Creative Commons Attribution 4.0 International License.

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  3. LARP1 knockdown inhibits cultured gastric carcinoma cell cycle progression and metastatic behavior
  4. PEGylated porcine–human recombinant uricase: A novel fusion protein with improved efficacy and safety for the treatment of hyperuricemia and renal complications
  5. Research progress on ocular complications caused by type 2 diabetes mellitus and the function of tears and blepharons
  6. The role and mechanism of esketamine in preventing and treating remifentanil-induced hyperalgesia based on the NMDA receptor–CaMKII pathway
  7. Brucella infection combined with Nocardia infection: A case report and literature review
  8. Detection of serum interleukin-18 level and neutrophil/lymphocyte ratio in patients with antineutrophil cytoplasmic antibody-associated vasculitis and its clinical significance
  9. Ang-1, Ang-2, and Tie2 are diagnostic biomarkers for Henoch-Schönlein purpura and pediatric-onset systemic lupus erythematous
  10. PTTG1 induces pancreatic cancer cell proliferation and promotes aerobic glycolysis by regulating c-myc
  11. Role of serum B-cell-activating factor and interleukin-17 as biomarkers in the classification of interstitial pneumonia with autoimmune features
  12. Effectiveness and safety of a mumps containing vaccine in preventing laboratory-confirmed mumps cases from 2002 to 2017: A meta-analysis
  13. Low levels of sex hormone-binding globulin predict an increased breast cancer risk and its underlying molecular mechanisms
  14. A case of Trousseau syndrome: Screening, detection and complication
  15. Application of the integrated airway humidification device enhances the humidification effect of the rabbit tracheotomy model
  16. Preparation of Cu2+/TA/HAP composite coating with anti-bacterial and osteogenic potential on 3D-printed porous Ti alloy scaffolds for orthopedic applications
  17. Aquaporin-8 promotes human dermal fibroblasts to counteract hydrogen peroxide-induced oxidative damage: A novel target for management of skin aging
  18. Current research and evidence gaps on placental development in iron deficiency anemia
  19. Single-nucleotide polymorphism rs2910829 in PDE4D is related to stroke susceptibility in Chinese populations: The results of a meta-analysis
  20. Pheochromocytoma-induced myocardial infarction: A case report
  21. Kaempferol regulates apoptosis and migration of neural stem cells to attenuate cerebral infarction by O‐GlcNAcylation of β-catenin
  22. Sirtuin 5 regulates acute myeloid leukemia cell viability and apoptosis by succinylation modification of glycine decarboxylase
  23. Apigenin 7-glucoside impedes hypoxia-induced malignant phenotypes of cervical cancer cells in a p16-dependent manner
  24. KAT2A changes the function of endometrial stromal cells via regulating the succinylation of ENO1
  25. Current state of research on copper complexes in the treatment of breast cancer
  26. Exploring antioxidant strategies in the pathogenesis of ALS
  27. Helicobacter pylori causes gastric dysbacteriosis in chronic gastritis patients
  28. IL-33/soluble ST2 axis is associated with radiation-induced cardiac injury
  29. The predictive value of serum NLR, SII, and OPNI for lymph node metastasis in breast cancer patients with internal mammary lymph nodes after thoracoscopic surgery
  30. Carrying SNP rs17506395 (T > G) in TP63 gene and CCR5Δ32 mutation associated with the occurrence of breast cancer in Burkina Faso
  31. P2X7 receptor: A receptor closely linked with sepsis-associated encephalopathy
  32. Probiotics for inflammatory bowel disease: Is there sufficient evidence?
  33. Identification of KDM4C as a gene conferring drug resistance in multiple myeloma
  34. Microbial perspective on the skin–gut axis and atopic dermatitis
  35. Thymosin α1 combined with XELOX improves immune function and reduces serum tumor markers in colorectal cancer patients after radical surgery
  36. Highly specific vaginal microbiome signature for gynecological cancers
  37. Sample size estimation for AQP4-IgG seropositive optic neuritis: Retinal damage detection by optical coherence tomography
  38. The effects of SDF-1 combined application with VEGF on femoral distraction osteogenesis in rats
  39. Fabrication and characterization of gold nanoparticles using alginate: In vitro and in vivo assessment of its administration effects with swimming exercise on diabetic rats
  40. Mitigating digestive disorders: Action mechanisms of Mediterranean herbal active compounds
  41. Distribution of CYP2D6 and CYP2C19 gene polymorphisms in Han and Uygur populations with breast cancer in Xinjiang, China
  42. VSP-2 attenuates secretion of inflammatory cytokines induced by LPS in BV2 cells by mediating the PPARγ/NF-κB signaling pathway
  43. Factors influencing spontaneous hypothermia after emergency trauma and the construction of a predictive model
  44. Long-term administration of morphine specifically alters the level of protein expression in different brain regions and affects the redox state
  45. Application of metagenomic next-generation sequencing technology in the etiological diagnosis of peritoneal dialysis-associated peritonitis
  46. Clinical diagnosis, prevention, and treatment of neurodyspepsia syndrome using intelligent medicine
  47. Case report: Successful bronchoscopic interventional treatment of endobronchial leiomyomas
  48. Preliminary investigation into the genetic etiology of short stature in children through whole exon sequencing of the core family
  49. Cystic adenomyoma of the uterus: Case report and literature review
  50. Mesoporous silica nanoparticles as a drug delivery mechanism
  51. Dynamic changes in autophagy activity in different degrees of pulmonary fibrosis in mice
  52. Vitamin D deficiency and inflammatory markers in type 2 diabetes: Big data insights
  53. Lactate-induced IGF1R protein lactylation promotes proliferation and metabolic reprogramming of lung cancer cells
  54. Meta-analysis on the efficacy of allogeneic hematopoietic stem cell transplantation to treat malignant lymphoma
  55. Mitochondrial DNA drives neuroinflammation through the cGAS-IFN signaling pathway in the spinal cord of neuropathic pain mice
  56. Application value of artificial intelligence algorithm-based magnetic resonance multi-sequence imaging in staging diagnosis of cervical cancer
  57. Embedded monitoring system and teaching of artificial intelligence online drug component recognition
  58. Investigation into the association of FNDC1 and ADAMTS12 gene expression with plumage coloration in Muscovy ducks
  59. Yak meat content in feed and its impact on the growth of rats
  60. A rare case of Richter transformation with breast involvement: A case report and literature review
  61. First report of Nocardia wallacei infection in an immunocompetent patient in Zhejiang province
  62. Rhodococcus equi and Brucella pulmonary mass in immunocompetent: A case report and literature review
  63. Downregulation of RIP3 ameliorates the left ventricular mechanics and function after myocardial infarction via modulating NF-κB/NLRP3 pathway
  64. Evaluation of the role of some non-enzymatic antioxidants among Iraqi patients with non-alcoholic fatty liver disease
  65. The role of Phafin proteins in cell signaling pathways and diseases
  66. Ten-year anemia as initial manifestation of Castleman disease in the abdominal cavity: A case report
  67. Coexistence of hereditary spherocytosis with SPTB P.Trp1150 gene variant and Gilbert syndrome: A case report and literature review
  68. Utilization of convolutional neural networks to analyze microscopic images for high-throughput screening of mesenchymal stem cells
  69. Exploratory evaluation supported by experimental and modeling approaches of Inula viscosa root extract as a potent corrosion inhibitor for mild steel in a 1 M HCl solution
  70. Imaging manifestations of ductal adenoma of the breast: A case report
  71. Gut microbiota and sleep: Interaction mechanisms and therapeutic prospects
  72. Isomangiferin promotes the migration and osteogenic differentiation of rat bone marrow mesenchymal stem cells
  73. Prognostic value and microenvironmental crosstalk of exosome-related signatures in human epidermal growth factor receptor 2 positive breast cancer
  74. Circular RNAs as potential biomarkers for male severe sepsis
  75. Knockdown of Stanniocalcin-1 inhibits growth and glycolysis in oral squamous cell carcinoma cells
  76. The expression and biological role of complement C1s in esophageal squamous cell carcinoma
  77. A novel GNAS mutation in pseudohypoparathyroidism type 1a with articular flexion deformity: A case report
  78. Predictive value of serum magnesium levels for prognosis in patients with non-small cell lung cancer undergoing EGFR-TKI therapy
  79. HSPB1 alleviates acute-on-chronic liver failure via the P53/Bax pathway
  80. IgG4-related disease complicated by PLA2R-associated membranous nephropathy: A case report
  81. Baculovirus-mediated endostatin and angiostatin activation of autophagy through the AMPK/AKT/mTOR pathway inhibits angiogenesis in hepatocellular carcinoma
  82. Metformin mitigates osteoarthritis progression by modulating the PI3K/AKT/mTOR signaling pathway and enhancing chondrocyte autophagy
  83. Evaluation of the activity of antimicrobial peptides against bacterial vaginosis
  84. Atypical presentation of γ/δ mycosis fungoides with an unusual phenotype and SOCS1 mutation
  85. Analysis of the microecological mechanism of diabetic kidney disease based on the theory of “gut–kidney axis”: A systematic review
  86. Omega-3 fatty acids prevent gestational diabetes mellitus via modulation of lipid metabolism
  87. Refractory hypertension complicated with Turner syndrome: A case report
  88. Interaction of ncRNAs and the PI3K/AKT/mTOR pathway: Implications for osteosarcoma
  89. Association of low attenuation area scores with pulmonary function and clinical prognosis in patients with chronic obstructive pulmonary disease
  90. Long non-coding RNAs in bone formation: Key regulators and therapeutic prospects
  91. The deubiquitinating enzyme USP35 regulates the stability of NRF2 protein
  92. Neutrophil-to-lymphocyte ratio and platelet-to-lymphocyte ratio as potential diagnostic markers for rebleeding in patients with esophagogastric variceal bleeding
  93. G protein-coupled receptor 1 participating in the mechanism of mediating gestational diabetes mellitus by phosphorylating the AKT pathway
  94. LL37-mtDNA regulates viability, apoptosis, inflammation, and autophagy in lipopolysaccharide-treated RLE-6TN cells by targeting Hsp90aa1
  95. The analgesic effect of paeoniflorin: A focused review
  96. Chemical composition’s effect on Solanum nigrum Linn.’s antioxidant capacity and erythrocyte protection: Bioactive components and molecular docking analysis
  97. Knockdown of HCK promotes HREC cell viability and inner blood–retinal barrier integrity by regulating the AMPK signaling pathway
  98. The role of rapamycin in the PINK1/Parkin signaling pathway in mitophagy in podocytes
  99. Laryngeal non-Hodgkin lymphoma: Report of four cases and review of the literature
  100. Clinical value of macrogenome next-generation sequencing on infections
  101. Overview of dendritic cells and related pathways in autoimmune uveitis
  102. TAK-242 alleviates diabetic cardiomyopathy via inhibiting pyroptosis and TLR4/CaMKII/NLRP3 pathway
  103. Hypomethylation in promoters of PGC-1α involved in exercise-driven skeletal muscular alterations in old age
  104. Profile and antimicrobial susceptibility patterns of bacteria isolated from effluents of Kolladiba and Debark hospitals
  105. The expression and clinical significance of syncytin-1 in serum exosomes of hepatocellular carcinoma patients
  106. A histomorphometric study to evaluate the therapeutic effects of biosynthesized silver nanoparticles on the kidneys infected with Plasmodium chabaudi
  107. PGRMC1 and PAQR4 are promising molecular targets for a rare subtype of ovarian cancer
  108. Analysis of MDA, SOD, TAOC, MNCV, SNCV, and TSS scores in patients with diabetes peripheral neuropathy
  109. SLIT3 deficiency promotes non-small cell lung cancer progression by modulating UBE2C/WNT signaling
  110. The relationship between TMCO1 and CALR in the pathological characteristics of prostate cancer and its effect on the metastasis of prostate cancer cells
  111. Heterogeneous nuclear ribonucleoprotein K is a potential target for enhancing the chemosensitivity of nasopharyngeal carcinoma
  112. PHB2 alleviates retinal pigment epithelium cell fibrosis by suppressing the AGE–RAGE pathway
  113. Anti-γ-aminobutyric acid-B receptor autoimmune encephalitis with syncope as the initial symptom: Case report and literature review
  114. Comparative analysis of chloroplast genome of Lonicera japonica cv. Damaohua
  115. Human umbilical cord mesenchymal stem cells regulate glutathione metabolism depending on the ERK–Nrf2–HO-1 signal pathway to repair phosphoramide mustard-induced ovarian cancer cells
  116. Electroacupuncture on GB acupoints improves osteoporosis via the estradiol–PI3K–Akt signaling pathway
  117. Renalase protects against podocyte injury by inhibiting oxidative stress and apoptosis in diabetic nephropathy
  118. Review: Dicranostigma leptopodum: A peculiar plant of Papaveraceae
  119. Combination effect of flavonoids attenuates lung cancer cell proliferation by inhibiting the STAT3 and FAK signaling pathway
  120. Renal microangiopathy and immune complex glomerulonephritis induced by anti-tumour agents: A case report
  121. Correlation analysis of AVPR1a and AVPR2 with abnormal water and sodium and potassium metabolism in rats
  122. Gastrointestinal health anti-diarrheal mixture relieves spleen deficiency-induced diarrhea through regulating gut microbiota
  123. Myriad factors and pathways influencing tumor radiotherapy resistance
  124. Exploring the effects of culture conditions on Yapsin (YPS) gene expression in Nakaseomyces glabratus
  125. Screening of prognostic core genes based on cell–cell interaction in the peripheral blood of patients with sepsis
  126. Coagulation factor II thrombin receptor as a promising biomarker in breast cancer management
  127. Ileocecal mucinous carcinoma misdiagnosed as incarcerated hernia: A case report
  128. Methyltransferase like 13 promotes malignant behaviors of bladder cancer cells through targeting PI3K/ATK signaling pathway
  129. The debate between electricity and heat, efficacy and safety of irreversible electroporation and radiofrequency ablation in the treatment of liver cancer: A meta-analysis
  130. ZAG promotes colorectal cancer cell proliferation and epithelial–mesenchymal transition by promoting lipid synthesis
  131. Baicalein inhibits NLRP3 inflammasome activation and mitigates placental inflammation and oxidative stress in gestational diabetes mellitus
  132. Impact of SWCNT-conjugated senna leaf extract on breast cancer cells: A potential apoptotic therapeutic strategy
  133. MFAP5 inhibits the malignant progression of endometrial cancer cells in vitro
  134. Major ozonated autohemotherapy promoted functional recovery following spinal cord injury in adult rats via the inhibition of oxidative stress and inflammation
  135. Axodendritic targeting of TAU and MAP2 and microtubule polarization in iPSC-derived versus SH-SY5Y-derived human neurons
  136. Differential expression of phosphoinositide 3-kinase/protein kinase B and Toll-like receptor/nuclear factor kappa B signaling pathways in experimental obesity Wistar rat model
  137. The therapeutic potential of targeting Oncostatin M and the interleukin-6 family in retinal diseases: A comprehensive review
  138. BA inhibits LPS-stimulated inflammatory response and apoptosis in human middle ear epithelial cells by regulating the Nf-Kb/Iκbα axis
  139. Role of circRMRP and circRPL27 in chronic obstructive pulmonary disease
  140. Investigating the role of hyperexpressed HCN1 in inducing myocardial infarction through activation of the NF-κB signaling pathway
  141. Characterization of phenolic compounds and evaluation of anti-diabetic potential in Cannabis sativa L. seeds: In vivo, in vitro, and in silico studies
  142. Quantitative immunohistochemistry analysis of breast Ki67 based on artificial intelligence
  143. Ecology and Environmental Science
  144. Screening of different growth conditions of Bacillus subtilis isolated from membrane-less microbial fuel cell toward antimicrobial activity profiling
  145. Degradation of a mixture of 13 polycyclic aromatic hydrocarbons by commercial effective microorganisms
  146. Evaluation of the impact of two citrus plants on the variation of Panonychus citri (Acari: Tetranychidae) and beneficial phytoseiid mites
  147. Prediction of present and future distribution areas of Juniperus drupacea Labill and determination of ethnobotany properties in Antalya Province, Türkiye
  148. Population genetics of Todarodes pacificus (Cephalopoda: Ommastrephidae) in the northwest Pacific Ocean via GBS sequencing
  149. A comparative analysis of dendrometric, macromorphological, and micromorphological characteristics of Pistacia atlantica subsp. atlantica and Pistacia terebinthus in the middle Atlas region of Morocco
  150. Macrofungal sporocarp community in the lichen Scots pine forests
  151. Assessing the proximate compositions of indigenous forage species in Yemen’s pastoral rangelands
  152. Food Science
  153. Gut microbiota changes associated with low-carbohydrate diet intervention for obesity
  154. Reexamination of Aspergillus cristatus phylogeny in dark tea: Characteristics of the mitochondrial genome
  155. Differences in the flavonoid composition of the leaves, fruits, and branches of mulberry are distinguished based on a plant metabolomics approach
  156. Investigating the impact of wet rendering (solventless method) on PUFA-rich oil from catfish (Clarias magur) viscera
  157. Non-linear associations between cardiovascular metabolic indices and metabolic-associated fatty liver disease: A cross-sectional study in the US population (2017–2020)
  158. Knockdown of USP7 alleviates atherosclerosis in ApoE-deficient mice by regulating EZH2 expression
  159. Utility of dairy microbiome as a tool for authentication and traceability
  160. Agriculture
  161. Enhancing faba bean (Vicia faba L.) productivity through establishing the area-specific fertilizer rate recommendation in southwest Ethiopia
  162. Impact of novel herbicide based on synthetic auxins and ALS inhibitor on weed control
  163. Perspectives of pteridophytes microbiome for bioremediation in agricultural applications
  164. Fertilizer application parameters for drip-irrigated peanut based on the fertilizer effect function established from a “3414” field trial
  165. Improving the productivity and profitability of maize (Zea mays L.) using optimum blended inorganic fertilization
  166. Application of leaf multispectral analyzer in comparison to hyperspectral device to assess the diversity of spectral reflectance indices in wheat genotypes
  167. Animal Sciences
  168. Knockdown of ANP32E inhibits colorectal cancer cell growth and glycolysis by regulating the AKT/mTOR pathway
  169. Development of a detection chip for major pathogenic drug-resistant genes and drug targets in bovine respiratory system diseases
  170. Exploration of the genetic influence of MYOT and MB genes on the plumage coloration of Muscovy ducks
  171. Transcriptome analysis of adipose tissue in grazing cattle: Identifying key regulators of fat metabolism
  172. Comparison of nutritional value of the wild and cultivated spiny loaches at three growth stages
  173. Transcriptomic analysis of liver immune response in Chinese spiny frog (Quasipaa spinosa) infected with Proteus mirabilis
  174. Disruption of BCAA degradation is a critical characteristic of diabetic cardiomyopathy revealed by integrated transcriptome and metabolome analysis
  175. Plant Sciences
  176. Effect of long-term in-row branch covering on soil microorganisms in pear orchards
  177. Photosynthetic physiological characteristics, growth performance, and element concentrations reveal the calcicole–calcifuge behaviors of three Camellia species
  178. Transcriptome analysis reveals the mechanism of NaHCO3 promoting tobacco leaf maturation
  179. Bioinformatics, expression analysis, and functional verification of allene oxide synthase gene HvnAOS1 and HvnAOS2 in qingke
  180. Water, nitrogen, and phosphorus coupling improves gray jujube fruit quality and yield
  181. Improving grape fruit quality through soil conditioner: Insights from RNA-seq analysis of Cabernet Sauvignon roots
  182. Role of Embinin in the reabsorption of nucleus pulposus in lumbar disc herniation: Promotion of nucleus pulposus neovascularization and apoptosis of nucleus pulposus cells
  183. Revealing the effects of amino acid, organic acid, and phytohormones on the germination of tomato seeds under salinity stress
  184. Combined effects of nitrogen fertilizer and biochar on the growth, yield, and quality of pepper
  185. Comprehensive phytochemical and toxicological analysis of Chenopodium ambrosioides (L.) fractions
  186. Impact of “3414” fertilization on the yield and quality of greenhouse tomatoes
  187. Exploring the coupling mode of water and fertilizer for improving growth, fruit quality, and yield of the pear in the arid region
  188. Metagenomic analysis of endophytic bacteria in seed potato (Solanum tuberosum)
  189. Antibacterial, antifungal, and phytochemical properties of Salsola kali ethanolic extract
  190. Exploring the hepatoprotective properties of citronellol: In vitro and in silico studies on ethanol-induced damage in HepG2 cells
  191. Enhanced osmotic dehydration of watermelon rind using honey–sucrose solutions: A study on pre-treatment efficacy and mass transfer kinetics
  192. Effects of exogenous 2,4-epibrassinolide on photosynthetic traits of 53 cowpea varieties under NaCl stress
  193. Comparative transcriptome analysis of maize (Zea mays L.) seedlings in response to copper stress
  194. An optimization method for measuring the stomata in cassava (Manihot esculenta Crantz) under multiple abiotic stresses
  195. Fosinopril inhibits Ang II-induced VSMC proliferation, phenotype transformation, migration, and oxidative stress through the TGF-β1/Smad signaling pathway
  196. Antioxidant and antimicrobial activities of Salsola imbricata methanolic extract and its phytochemical characterization
  197. Bioengineering and Biotechnology
  198. Absorbable calcium and phosphorus bioactive membranes promote bone marrow mesenchymal stem cells osteogenic differentiation for bone regeneration
  199. New advances in protein engineering for industrial applications: Key takeaways
  200. An overview of the production and use of Bacillus thuringiensis toxin
  201. Research progress of nanoparticles in diagnosis and treatment of hepatocellular carcinoma
  202. Bioelectrochemical biosensors for water quality assessment and wastewater monitoring
  203. PEI/MMNs@LNA-542 nanoparticles alleviate ICU-acquired weakness through targeted autophagy inhibition and mitochondrial protection
  204. Unleashing of cytotoxic effects of thymoquinone-bovine serum albumin nanoparticles on A549 lung cancer cells
  205. Erratum
  206. Erratum to “Investigating the association between dietary patterns and glycemic control among children and adolescents with T1DM”
  207. Erratum to “Activation of hypermethylated P2RY1 mitigates gastric cancer by promoting apoptosis and inhibiting proliferation”
  208. Retraction
  209. Retraction to “MiR-223-3p regulates cell viability, migration, invasion, and apoptosis of non-small cell lung cancer cells by targeting RHOB”
  210. Retraction to “A data mining technique for detecting malignant mesothelioma cancer using multiple regression analysis”
  211. Special Issue on Advances in Neurodegenerative Disease Research and Treatment
  212. Transplantation of human neural stem cell prevents symptomatic motor behavior disability in a rat model of Parkinson’s disease
  213. Special Issue on Multi-omics
  214. Inflammasome complex genes with clinical relevance suggest potential as therapeutic targets for anti-tumor drugs in clear cell renal cell carcinoma
  215. Gastroesophageal varices in primary biliary cholangitis with anti-centromere antibody positivity: Early onset?
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