Startseite lncRNA OIP5-AS1 attenuates the osteoarthritis progression in IL-1β-stimulated chondrocytes
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lncRNA OIP5-AS1 attenuates the osteoarthritis progression in IL-1β-stimulated chondrocytes

  • Xuefeng Zhang EMAIL logo , Zhikun Wang , Binbin Wang , Jingyi Li und Hui Yuan
Veröffentlicht/Copyright: 12. Juni 2023

Abstract

In view of the association between long noncoding RNA OIP5-AS1 and osteoarthritis (OA) pathology, the corresponding potential mechanism is worthy of exploration. Primary chondrocytes were identified by morphological observation and immunohistochemical staining of collagen II. The association between OIP5-AS1 and miR-338-3p was analyzed by StarBase and dual-luciferase reporter assay. After the expression of OIP5-AS1 or miR-338-3p in interleukin (IL)-1β-stimulated primary chondrocytes and CHON-001 cells was manipulated, cell viability, proliferation, apoptosis rate, apoptosis-related protein (cleaved caspase-9, Bax) expressions, extracellular matrix (ECM) (matrix metalloproteinase (MMP)-3, MMP-13, aggrecan, and collagen II), PI3K/AKT pathway, and mRNA expressions of inflammatory factors (IL-6 and IL-8), OIP5-AS1, and miR-338-3p were determined by cell counting kit-8, EdU, flow cytometry, Western blot, and quantitative reverse transcription-polymerase chain reaction. As a result, the expression of OIP5-AS1 was downregulated in IL-1β-activated chondrocytes, while miR-338-3p was overexpressed. OIP5-AS1 overexpression reversed the effects of IL-1β on viability, proliferation, apoptosis, ECM degradation, and inflammation in chondrocytes. However, OIP5-AS1 knockdown exhibited opposite effects. Interestingly, the effects of OIP5-AS1 overexpression were partially offset by miR-338-3p overexpression. Furthermore, OIP5-AS1 overexpression blocked the PI3K/AKT pathway by modulating miR-338-3p expression. In sum, OIP5-AS1 promotes viability and proliferation, and inhibits apoptosis and ECM degradation in IL-1β-activated chondrocytes by targeting miR-338-3p through blocking the PI3K/AKT pathway, indicating an attractive strategy for OA treatment.

1 Introduction

Osteoarthritis (OA) is a type of joint disease, characterized by articular cartilage fibrosis, derangement, ulceration, and loss resulting from various factors [1]. As the aging of the population intensifies globally, OA is more prevalent and turns into a principal health problem in the world [2]. Nevertheless, OA progresses are still undefined, and a lack of efficacious options are provided to control or even reverse the course of OA [2]. Articular cartilage mainly comprises chondrocytes and extracellular matrix (ECM). The chondrocyte matrix is synthesized by chondrocytes that are necessary to maintain the normal structure and the function of the articular cartilage, and also experience many physiological changes in the OA stage, like proliferation and secretory profile [3]. Therefore, identifying the potential mechanism of chondrocyte dysfunction may shed new light on the progression of OA and contribute to discovering a novel effective method for the improvement of OA outcome.

Noncoding RNAs (ncRNAs) can be approximately divided into small (<200 nt) ncRNAs, covering microRNAs (miRNAs), and long ncRNAs (>200 nt, lncRNAs) [4]. Previous studies have indicated that the interaction between lncRNA and miRNA plays a critical part in OA pathogenesis [5,6,7]. Recent research showed that the downregulation of lncRNA OIP5-AS1 participates in the OA progression [8]. miR-338-3p is highly expressed in serum and cartilage tissues from knee OA patients, which thus can serve as a promising biomarker [9,10]. However, the effect and potential mechanism of miR-338-3p in chondrocyte dysfunction need to be explored. Moreover, Li et al. [11] reported that OIP5-AS1 functions as a ceRNA to regulate miR-338-3p expression.

Hypothetically, OIP5-AS1 may target miR-338-3p, thereby participating in the modulation of chondrocyte dysfunction. The current study sought to clarify the interaction between OIP5-AS1 and miR-338-3p in interleukin (IL)-1β-stimulated OA models using chondrocytes.

2 Materials and methods

2.1 Chondrocyte culture

Primary human chondrocytes were purchased from PromoCell (C-12710, Heidelberg, Germany). Cells were incubated in Dulbecco's Modified Eagle Medium (DMEM) (30-2002, ATCC, Manassas, VA, USA) with 10% fetal bovine serum (FBS; 16140071, Thermo Fisher Scientific) and 1% penicillin-streptomycin solution, and plated in a culture flask at 37°C with 5% CO2. Until the convergence rate reached 85%, the chondrocytes were digested and then passaged. The enzyme digestion method was the same as that in primary cells. The morphology of chondrocytes was observed with a microscope. The cells at P2/P3 passage were used in all experiments. Human chondrocyte cell line CHON-001 (CRL-2846) was procured from ATCC. CHON-001 cells were grown in DMEM containing 0.1 mg/mL G-418 (10131027, Gibco, Grand Island, NY) and 10% FBS and were incubated at 37℃ with 5% CO2.

2.2 Immunohistochemical staining

The expression of collagen II in primary chondrocytes at second, third, or fourth generation was observed using immunohistochemical staining. Following culture, the cells were smeared onto climbing slices, fixed in 4% formaldehyde (P0099, Beyotime, China) for 0.5 h, and permeabilized in 0.2% Triton X-100 (T8200, Solarbio) for 15  min. The slices were later washed with phosphate buffer saline (PBS) and then treated with 3% H2O2 (10011208, Sinopharm Chemical Reagent Co. Ltd., Shanghai, China) for 15 min to repress endogenous peroxidase. After that, the cells were incubated with rabbit anti-Collagen II primary antibody (ab34712, 1/200 dilution, Abcam, Cambridge, MA, USA) overnight at 4°C, followed by treatment with horseradish peroxidase (HRP)-conjugated secondary antibody (ab205718, 1/20,000 dilution, Abcam) for 1 h at room temperature. Diaminobenzidine (DAB, ab103723, 1/100 dilution, Abcam) was used as the chromogen to stain the cells, and then the cells were counterstained with hematoxylin (H8070, Solarbio). The images were captured using a microscope (E800, Nikon, Tokyo, Japan) under ×200 magnification (Scale bars, 20 μm). Positive expression was presented as yellow or brown staining.

2.3 Cell transfection

An overexpression vector (pcDNA3.1; V79520, Invitrogen™, Thermo Fisher Scientific) containing human OIP5-AS1 gene (NCBI Accession Number: NR_026757.2) was generated by RiboBio (Guangzhou, China), with pcDNA3.1 empty vector as the negative control. The siRNA against OIP5-AS1 (si-OIP5-AS1; siB170717102527-1-5) and siRNA negative control (siNC; A06001) were synthesized by GenePharma (Shanghai, China). miR-338-3p mimic (M; miR10000763-1-5) and its negative control (mimic control (MC); miR1N0000001-1-5) were purchased from RiboBio (Guangzhou, China). Chondrocytes were plated into six-well plates until 60% confluence was reached and then transfected with oligonucleotides and/or plasmids with lipofectamine 3000 reagent (L3000008, Thermo Fisher Scientific) for 48 h.

2.4 StarBase analysis and dual-luciferase reporter assay

The binding sites between miR-338-3p and OIP5-AS1 were predicted by StarBase 3.0 software. A pmirGLO vector (E1330, Promega, USA) containing wild-type (WT) or mutant (MUT) OIP5-AS1 3′-UTR was constructed. HEK293 cells (CRL-1573, ATCC, Manassas, VA, USA) were incubated in 24-well plates overnight. Next, cells were co-transfected with OIP5-AS1-WT vectors/OIP5-AS1-MUT vectors and miR-338-3p mimics/MC for 48 h. Thereafter, the luciferase activity was detected by the dual-luciferase reporter system (E1910, Promega) under a multifunction microplate reader (GENios-Pro 96/384, Tecan, Milan, Italy).

2.5 OA model establishment and grouping of chondrocytes

An in vitro OA model of chondrocytes was established by the stimulation of 10 ng/mL IL-1β (SRP3083, Sigma-Aldrich, Shanghai, China) for 24 h [12]. To identify the effect of OIP5-AS1 on OA, six groups were designed as follows: control, IL-1β, IL-1β + vector, IL-1β + OIP5-AS1, IL-1β + siNC, and IL-1β + siOIP5-AS1. Following transfection of OIP5-AS1 overexpression plasmid, siOIP5-AS1, or empty vector, an OA model of chondrocytes was established with IL-1β stimulation. Cells cultured in a medium without transfection and IL-1β stimulation served as the control group.

Furthermore, to identify whether miR-338-3p modulates the function of OIP5-AS1 in OA progression, four groups were designed as follows: IL-1β + vector + MC, IL-1β + OIP5-AS1 + MC, IL-1β + OIP5-AS1 + M, and IL-1β + vector + M. Before stimulation with 10 ng/mL IL-1β for 24 h, chondrocytes were transfected with MC/miR-338-3p mimic and empty vector/OIP5-AS1.

2.6 Cell counting kit-8 (CCK-8) assay

In short, 100 μL transfected or nontransfected chondrocytes were placed into 96-well plates (1 × 104 cells/well) and subsequently stimulated with 10 ng/mL IL-1β for 24 h. Then, the cell viability was assessed using 10 μL CCK-8 solution (C0038, Beyotime, Shanghai, China), and the optical density at 450 nm was evaluated using a multifunction microplate reader.

2.7 EdU assay for detecting cell proliferation

After transfection, the cells were seeded into 96-well plates (4 × 103/well). The cell proliferation was measured by EdU assay according to the manufacturer’s protocol. Following 2 h of incubation with 100 μL EdU solution (50 μM, R1053.11, RibBio, Guangzho, China) containing medium, the cells were fixed with 50 μL of 4% paraformaldehyde for 30 min at 37℃. Then, the fixed cells were incubated with 50 μL glycine (2 mg/mL) on a decolorizing shaking bed for 5 min, after the fixative was discarded, followed by washing with PBS and permeabilization with 100 μL Triton X-100 (0.5%). After EdU labeling, the cells were treated with 100 μL of Apollo reaction cocktail, and cell nuclei were stained with Hoechst 33342 (100 μL). Finally, EdU-positive cells were observed under a fluorescence microscope and quantified using Image J.

2.8 Flow cytometry assay

Briefly, transfected or nontransfected chondrocytes were inoculated into 24-well plates (5 × 105 cells/well) and then treated with IL-1β for 24 h. Later, the apoptotic rate of chondrocytes was assessed with Annexin V-FITC/PI apoptosis detection kit (CA1020, Solarbio) using a flow cytometry instrument (BD Accuri C6 flow cytometer).

2.9 Quantitative reverse transcription-polymerase chain reaction (qRT-PCR)

The total RNAs were extracted using TRIzol (12183555, Thermo Fisher Scientific). PrimeScript™ RT reagent Kit (RR037A, Takara, Dalian, China) was utilized to obtain cDNA from 1 μg of total RNA, with random primers and oligo dT. The miRNA was reversely transcribed into cDNA using PrimeScript™ RT reagent kit, with stem-loop RT primers (listed in Table 1). The cDNA was amplified using TB Green® Premix Ex Taq™ II (RR820A, Takara) on Thermal Cycler Dice™ Real Time System (TP700, Takara). Relative expression levels of genes were calculated based on the 2−ΔΔCt method [13]. GAPDH or U6 was the internal control for mRNA or miRNA, respectively. The primer sequences were included in Table 1.

Table 1

Primer sequences used in qRT-PCR

Gene RT (5′ → 3′) Forward (5′ → 3′) Reverse (5′ → 3′)
miR-338-3p GTCGTATCCAGTGCGTGTCGTGGAGTCGGCAATTGCACTGGATACGACCAACAAAA GTATCCAGTGCGTGTCGTGG TGTTGGTCGTATCCAGTGCAA
U6 CGCTTCACGAATTTGCGTGTCAT CGCTTCACGATTTGCGTGTCAT GCTTCGGCAGCACATATACTAAAAT
OIP5-AS1 Random hexamer GGCUGAGUUUCAUUUGAAACAGGTG CACCUGUUCAAAUGAAACUCAGCCUU
IL-6 Random hexamer ACTCACCTCTTCAGAACGAATTG CCATCTTTGGAAGGTTCAGGTTG
IL-8 Random hexamer TTTTGCCAAGGAGTGCTAAAGA AACCCTCTGCACCCAGTTTTC
GAPDH Random hexamer CACCACACTGAATCTCCCCT TGGTTGAGCACAGGGTACTT

2.10 Western blot

The total protein was lysed from cells in radio immuno precipitation assay buffer (R0010, Solarbio) with protease and phosphatase inhibitor (P1045, Beyotime, 1:50) for 30 min at 4°C, and then quantified with a BCA kit (PC0020, Solarbio). ColorMixed Protein Marker (PR1920, Solarbio) served as a protein size marker. Then, protein (20 μg) was isolated by 6–10% sodium dodecyl sulphate-polyacrylamide gel electrophoresis gels (P1200, Solarbio) and transferred onto immobilon-P polyvinylidene fluoride membranes (YA1701, Solarbio). Following incubation with 5% bovine serum albumin (SW3015, Solarbio) for 1 h at room temperature, the membranes were treated with primary antibodies (shown in Table 2) at 4℃ overnight, and then corresponding secondary antibody (shown in Table 2) for 2 h at room temperature. Visualization was achieved with ECL Western Blotting Substrate (PE0010, Solarbio). The intensity of protein band was determined by Quantity One Analysis Software (version 4.62; Bio-Rad Laboratories, Inc.).

Table 2

List of antibodies used for western blots

Protein Host species Catalog number Company Antibody dilution
Cleaved caspase-9 Rabbit #9505 CST 1:1,000
Bax Rabbit ab32503 Abcam 1:1,000
MMP-3 Rabbit ab52915 Abcam 1:1,000
MMP-13 Rabbit ab39012 Abcam 1:6,000
Aggrecan Mouse ab3778 Abcam 1:1,000
Collagen Ⅱ Rabbit ab188570 Abcam 1:1,000
PI3K Rabbit #4292 CST 1:1,000
p-PI3K Rabbit ab182651 Abcam 1:500
Akt Rabbit ab8805 Abcam 1:500
p-Akt Rabbit ab38449 Abcam 1:500
β-actin Mouse ab8226 Abcam 1:1,000
Secondary antibody Goat Anti-Rabbit IgG H&L (HRP) ab205718 Abcam 1:2,000
Secondary antibody Goat Anti-Mouse IgG H&L (HRP) ab205719 Abcam 1:2,000

2.11 Data analysis

Data were analyzed using GraphPad Prism 8.0 (San Diego, CA, USA) and shown as the mean ± standard deviation (SD, n = 3). The independent sample t-test was utilized to compare the differences between the two groups. Comparisons of multiple groups were completed using analysis of variance. Bonferroni test was employed for Post hoc pairwise comparison. p < 0.05 was regarded as a statistically significant difference.

3 Results

3.1 Identification of primary chondrocytes and downregulation of OIP5-AS1 in OA chondrocytes

As shown in Figure 1a, under the inverted microscope, the primary chondrocytes were observed to be spherical, homogenous in size, and not easy to adhere to the wall. Forty-eight hours after incubation, the cells were oval or spindle like, more adhesive to the wall, and rich in cytoplasm, and cell nuclei presented an elongated morphology. Ninety-five hours after incubation, cells grew rapidly, and spindle-like cells were observed to further proliferate, whereas part of the cells gradually became rectangular or polygonal; moreover, cells began to connect with each other, grown in colonies, adhered to the wall, and covered the bottom of the flask. According to Figure 1b, cells at passage 2 exhibited good coloring; coloring in cells at passage 3 was waning, but still present; and cells at passage 4 exhibited poor coloring and had a greater variation. Therefore, chondrocytes at passage 2 and 3 were used for the subsequent experiments. In addition, the level of OIP5-AS1 was downregulated in IL-1β-activated chondrocytes (Figure 1c and d, p < 0.001). These findings indicated the downregulation of OIP5-AS1 in IL-1β-stimulated chondrocytes.

Figure 1 
                  Identification of primary chondrocytes and downregulation of OIP5-AS1 in OA chondrocytes. (a and b) Human primary chondrocytes were identified by morphological observation (a) and immunohistochemical staining of collagen II (b). (c and d) The level of OIP5-AS1 in IL-1β-stimulated primary chondrocytes and CHON-001 cells was determined by qRT-PCR. IL-1β, interleukin-1β; OA, osteoarthritis; qRT-PCR, quantitative reverse transcription-polymerase chain reaction. ***
                     p < 0.001 vs control.
Figure 1

Identification of primary chondrocytes and downregulation of OIP5-AS1 in OA chondrocytes. (a and b) Human primary chondrocytes were identified by morphological observation (a) and immunohistochemical staining of collagen II (b). (c and d) The level of OIP5-AS1 in IL-1β-stimulated primary chondrocytes and CHON-001 cells was determined by qRT-PCR. IL-1β, interleukin-1β; OA, osteoarthritis; qRT-PCR, quantitative reverse transcription-polymerase chain reaction. *** p < 0.001 vs control.

3.2 OIP5-AS1 regulated viability, proliferation, and apoptosis of IL-1β-activated chondrocytes

When compared to IL-1β + vector group, in the IL-1β + OIP5-AS1 group, the level of OIP5-AS1 was elevated in IL-1β-activated chondrocytes, while in IL-1β + siOIP5-AS1 group, the level of OIP5-AS1 was decreased (Figure 2a and b, p < 0.001). It was found that IL-1β stimulation strikingly inhibited cell viability (Figure 2c and d, p < 0.001), proliferation (Figure 3a–c, p < 0.001), and enhanced apoptosis rate (Figure 4a–c, p < 0.001) of chondrocytes, which was reversed by OIP5-AS1 overexpression (Figures 2c, d, 3a–c, and 4a–c, p < 0.001), but was further strengthened by OIP5-AS1 knockdown (Figures 2c and d, 3a–c, and 4a–c, p < 0.05). Apoptosis regulators like caspases and Bcl-2-associated X protein (Bax) are critical execution enzymes in mitochondria-mediated apoptosis [14]. In this study, IL-1β stimulation upregulated the expressions of cleaved caspase-9 and Bax in chondrocytes (Figure 5a–c, p < 0.05), which was offset by OIP5-AS1 overexpression (Figure 5a–c, p < 0.05), but was further promoted by OIP5-AS1 silencing (Figure 5a–c, p < 0.01). The aforementioned findings implied that OIP5-AS1 regulated viability, proliferation, and apoptosis of IL-1β-activated chondrocytes.

Figure 2 
                  OIP5-AS1 regulated viability of IL-1β-activated chondrocytes. (a and b) The level of OIP5-AS1 in chondrocytes was detected using qRT-PCR, with GAPDH as internal control. (c and d) Transfected chondrocytes were subjected to PBS or IL-1β, and then cell viability was examined by cell counting kit-8 (CCK-8). IL-1β, interleukin-1β; PBS, phosphate buffer saline. ***
                     p < 0.001 vs control; ^^
                     p < 0.01, ^^^
                     p < 0.001 vs IL-1β + vector; #
                     p < 0.05, ##
                     p < 0.01 vs IL-1β + siNC.
Figure 2

OIP5-AS1 regulated viability of IL-1β-activated chondrocytes. (a and b) The level of OIP5-AS1 in chondrocytes was detected using qRT-PCR, with GAPDH as internal control. (c and d) Transfected chondrocytes were subjected to PBS or IL-1β, and then cell viability was examined by cell counting kit-8 (CCK-8). IL-1β, interleukin-1β; PBS, phosphate buffer saline. *** p < 0.001 vs control; ^^ p < 0.01, ^^^ p < 0.001 vs IL-1β + vector; # p < 0.05, ## p < 0.01 vs IL-1β + siNC.

Figure 3 
                  OIP5-AS1 regulated proliferation of IL-1β-activated chondrocytes. (a–c) Transfected chondrocytes were subjected to PBS or IL-1β, and then cell proliferation was examined by EdU assay. ***
                     p < 0.001 vs control; ^^
                     p < 0.01, ^^^
                     p < 0.001 vs IL-1β + vector; ##
                     p < 0.01, ###
                     p < 0.001 vs IL-1β + siNC. IL-1β, interleukin-1β; PBS, phosphate buffer saline.
Figure 3

OIP5-AS1 regulated proliferation of IL-1β-activated chondrocytes. (a–c) Transfected chondrocytes were subjected to PBS or IL-1β, and then cell proliferation was examined by EdU assay. *** p < 0.001 vs control; ^^ p < 0.01, ^^^ p < 0.001 vs IL-1β + vector; ## p < 0.01, ### p < 0.001 vs IL-1β + siNC. IL-1β, interleukin-1β; PBS, phosphate buffer saline.

Figure 4 
                  OIP5-AS1 modulated apoptosis rate of IL-1β-activated chondrocytes. (a–c) Transfected chondrocytes were subjected to PBS or IL-1β, and then cell apoptosis was detected using annexin V-FITC/PI staining. IL-1β, interleukin-1β; PBS, phosphate buffer saline. ***
                     p < 0.001 vs control; ^^^
                     p < 0.001 vs IL-1β + vector; ###
                     p < 0.001 vs IL-1β + siNC.
Figure 4

OIP5-AS1 modulated apoptosis rate of IL-1β-activated chondrocytes. (a–c) Transfected chondrocytes were subjected to PBS or IL-1β, and then cell apoptosis was detected using annexin V-FITC/PI staining. IL-1β, interleukin-1β; PBS, phosphate buffer saline. *** p < 0.001 vs control; ^^^ p < 0.001 vs IL-1β + vector; ### p < 0.001 vs IL-1β + siNC.

Figure 5 
                  OIP5-AS1 modulated apoptosis-related proteins of IL-1β-activated chondrocytes. (a–c) The protein levels of cleaved caspase-9 and Bax were measured using Western blot. *
                     p < 0.05, **
                     p < 0.01, ***
                     p < 0.001 vs control; ^
                     p < 0.05, ^^
                     p < 0.01, ^^^
                     p < 0.001 vs IL-1β + vector; #
                     p < 0.05, ##
                     p < 0.01 vs IL-1β + siNC.
Figure 5

OIP5-AS1 modulated apoptosis-related proteins of IL-1β-activated chondrocytes. (a–c) The protein levels of cleaved caspase-9 and Bax were measured using Western blot. * p < 0.05, ** p < 0.01, *** p < 0.001 vs control; ^ p < 0.05, ^^ p < 0.01, ^^^ p < 0.001 vs IL-1β + vector; # p < 0.05, ## p < 0.01 vs IL-1β + siNC.

3.3 OIP5-AS1 modulated ECM degradation and inflammation of IL-1β-activated chondrocytes

ECM synthesized by chondrocytes is necessary to maintain the normal structure and the function of the articular cartilage. In the stage of OA, matrix metalloproteinase (MMP)-3 and MMP-13 are indispensable for cartilage degradation [15]. Aggrecan is also the main structural ingredient of ECM. In addition, MMP-13 is regarded as a primary contributor to cartilage degeneration of OA because it preferentially cleaves collagen II [16]. In line with Figure 6a–c, IL-1β augmented the levels of MMP-3 and MMP-13, while diminishing the levels of aggrecan and collagen II in chondrocytes (p < 0.01). Also, the effects of IL-1β stimulation on these genes were partially mitigated by OIP5-AS1 overexpression (p < 0.01), but were potentiated by OIP5-AS1 knockdown (p < 0.01). In addition, IL-1β stimulation elevated the levels of IL-6 and IL-8 in chondrocytes (Figure 6d and e, p < 0.001), which was offset by OIP5-AS1 overexpression (Figure 6d and e, p < 0.001), but was further promoted by OIP5-AS1 knockdown (Figure 6d and e, p < 0.01). These data manifested that OIP5-AS1 regulated ECM degradation and inflammation of IL-1β-activated chondrocytes.

Figure 6 
                  OIP5-AS1 mediated ECM degradation and inflammation of IL-1β-activated chondrocytes. (a–e) Transfected chondrocytes were subjected to PBS or IL-1β. The protein levels of MMP-3, MMP-13, aggrecan and collagen II were quantified using Western blot (a–c), and the mRNA levels of inflammatory factors IL-6 and IL-8 were measured by qRT-PCR (d and e). IL-1β, interleukin-1β; MMP, matrix metalloproteinase; PBS, phosphate buffer saline; qRT-PCR, quantitative reverse transcription-polymerase chain reaction. **
                     p < 0.01, ***
                     p < 0.001 vs Control; ^^
                     p < 0.01, ^^^
                     p < 0.001 vs IL-1β + Vector; ##
                     p < 0.01 vs IL-1β + siNC.
Figure 6

OIP5-AS1 mediated ECM degradation and inflammation of IL-1β-activated chondrocytes. (a–e) Transfected chondrocytes were subjected to PBS or IL-1β. The protein levels of MMP-3, MMP-13, aggrecan and collagen II were quantified using Western blot (a–c), and the mRNA levels of inflammatory factors IL-6 and IL-8 were measured by qRT-PCR (d and e). IL-1β, interleukin-1β; MMP, matrix metalloproteinase; PBS, phosphate buffer saline; qRT-PCR, quantitative reverse transcription-polymerase chain reaction. ** p < 0.01, *** p < 0.001 vs Control; ^^ p < 0.01, ^^^ p < 0.001 vs IL-1β + Vector; ## p < 0.01 vs IL-1β + siNC.

3.4 miR-338-3p was inversely modulated by OIP5-AS1 and overexpressed in IL-1β-activated chondrocytes

The binding relation between miR-338-3p and OIP5-AS1 was shown by StarBase (Figure 7a) and verified by the results from dual-luciferase reporter assay (Figure 7b and c, p < 0.001). In addition, IL-1β stimulation promoted miR-338-3p expression in chondrocytes (Figure 7d and e, p < 0.001), which was neutralized by OIP5-AS1 overexpression (Figure 7d and e, p < 0.01), but was further enhanced by OIP5-AS1 knockdown (Figure 7d and e, p < 0.01). Collectively, miR-338-3p expression was upregulated in IL-1β-activated chondrocytes, and miR-338-3p was directly regulated by OIP5-AS1.

Figure 7 
                  MiR-338-3p was negatively regulated by OIP5-AS1 and was overexpressed in IL-1β-activated chonarocytes. (a) The targeting relationship between miR-338-3p and OIP5-AS1 was analyzed with StarBase. (b and c) The luciferase activity was examined. (d and e) qRT-PCR was performed to detect the level of miR-338-3p in IL-1β-stimulated chondrocytes, with U6 as internal control. IL-1β, interleukin-1β; WT, wild-type; MUT, mutant; qRT-PCR, quantitative reverse transcription-polymerase chain reaction. +++
                     p < 0.001 vs MC; ***
                     p < 0.001 vs Control; ^^
                     p < 0.01 vs IL-1β + Vector; ###
                     p < 0.001 vs IL-1β + siNC.
Figure 7

MiR-338-3p was negatively regulated by OIP5-AS1 and was overexpressed in IL-1β-activated chonarocytes. (a) The targeting relationship between miR-338-3p and OIP5-AS1 was analyzed with StarBase. (b and c) The luciferase activity was examined. (d and e) qRT-PCR was performed to detect the level of miR-338-3p in IL-1β-stimulated chondrocytes, with U6 as internal control. IL-1β, interleukin-1β; WT, wild-type; MUT, mutant; qRT-PCR, quantitative reverse transcription-polymerase chain reaction. +++ p < 0.001 vs MC; *** p < 0.001 vs Control; ^^ p < 0.01 vs IL-1β + Vector; ### p < 0.001 vs IL-1β + siNC.

3.5 miR-338-3p reversed the regulatory effect of OIP5-AS1 on viability and apoptosis of IL-1β-activated chondrocytes

As depicted in Figure 8a and b, the transfection of miR-338-3p mimic increased the level of miR-338-3p and partially neutralized the inhibitory effect of OIP5-AS1 overexpression on miR-338-3p level in IL-1β-activated chondrocytes (p < 0.01). miR-338-3p overexpression weakened viability and counteracted the promoting effect of OIP5-AS1 overexpression on the viability of IL-1β-activated chondrocytes (Figure 8c and d, p < 0.001). Furthermore, miR-338-3p upregulation augmented the levels of cleaved caspase-9 and Bax (Figure 8e–i, p < 0.01) and partially offset the inhibitory effects of OIP5-AS1 overexpression on these proteins in IL-1β-activated chondrocytes (Figure 8e–i, p < 0.001). In a word, OIP5-AS1 could mediate viability and apoptosis of IL-1β-activated chondrocytes by directly targeting miR-338-3p.

Figure 8 
                  MiR-338-3p partially reversed the regulatory effects of OIP5-AS1 on viability and apoptosis of IL-1β-activated chondrocytes. Chondrocytes were co-transfected with miR-338-3p (M)/ MC and OIP5-AS1-overexpressing vector/empty vector, and exposed to IL-1β stimulation. (a–i) The level of miR-338-3p was examined using qRT-PCR, with U6 as internal control (a and b); cell viability was determined via cell counting kit-8 (CCK-8) assay (c and d); the protein levels of cleaved caspase-9 and Bax were detected using Western blot, with β-actin as internal control (e–i). IL-1β, interleukin-1β; MC, mimic control; qRT-PCR, quantitative reverse transcription-polymerase chain reaction. **
                     p < 0.01 or ***
                     p < 0.001 vs IL-1β + vector + MC; ^^
                     p < 0.01 or ^^^
                     p < 0.001 vs IL-1β + OIP5-AS1 + MC; ##
                     p < 0.01 or ###
                     p < 0.001 vs IL-1β + vector + M.
Figure 8

MiR-338-3p partially reversed the regulatory effects of OIP5-AS1 on viability and apoptosis of IL-1β-activated chondrocytes. Chondrocytes were co-transfected with miR-338-3p (M)/ MC and OIP5-AS1-overexpressing vector/empty vector, and exposed to IL-1β stimulation. (a–i) The level of miR-338-3p was examined using qRT-PCR, with U6 as internal control (a and b); cell viability was determined via cell counting kit-8 (CCK-8) assay (c and d); the protein levels of cleaved caspase-9 and Bax were detected using Western blot, with β-actin as internal control (e–i). IL-1β, interleukin-1β; MC, mimic control; qRT-PCR, quantitative reverse transcription-polymerase chain reaction. ** p < 0.01 or *** p < 0.001 vs IL-1β + vector + MC; ^^ p < 0.01 or ^^^ p < 0.001 vs IL-1β + OIP5-AS1 + MC; ## p < 0.01 or ### p < 0.001 vs IL-1β + vector + M.

3.6 miR-338-3p attenuated the regulatory effects of OIP5-AS1 on ECM degradation and inflammation in IL-1β-activated chondrocytes

miR-338-3p upregulation increased the protein levels of MMP-3 and MMP-13 as well as the mRNA levels of IL-6 and IL-8 (p < 0.001), while decreasing the levels of aggrecan and collagen II (p < 0.001). Moreover, miR-338-3p upregulation counteracted the effects of OIP5-AS1 overexpression on decreasing the levels of MMP-3, MMP-13, IL-6, and IL-8 and increasing the levels of aggrecan and collagen II (Figure 9a–e, p < 0.001). These findings indicated that OIP5-AS1 regulated ECM degradation and inflammation of IL-1β-activated chondrocytes by directly targeting miR-338-3p.

Figure 9 
                  MiR-338-3p partially offset the regulatory effects of OIP5-AS1 on ECM degradation and inflammation of IL-1β-activated chondrocytes. Chondrocytes were co-transfected with miR-338-3p (M)/ MC and OIP5-AS1-overexpressing vector/empty vector, and exposed to IL-1β stimulation. (a–e) The levels of MMP-3, MMP-13, collagen II, and aggrecan were quantitated using Western blot (a–c), and the levels of inflammatory factors IL-6 and IL-8 were examined using qRT-PCR (d and e). IL-1β, interleukin-1β; MC, mimic control; MMP, matrix metalloproteinase; qRT-PCR, quantitative reverse transcription-polymerase chain reaction. **
                     p < 0.01, ***
                     p < 0.001 vs IL-1β + vector + MC; ^^
                     p < 0.01, ^^^
                     p < 0.001 vs IL-1β + OIP5-AS1 + MC; ##
                     p < 0.01, ###
                     p < 0.001 vs IL-1β + vector + M.
Figure 9

MiR-338-3p partially offset the regulatory effects of OIP5-AS1 on ECM degradation and inflammation of IL-1β-activated chondrocytes. Chondrocytes were co-transfected with miR-338-3p (M)/ MC and OIP5-AS1-overexpressing vector/empty vector, and exposed to IL-1β stimulation. (a–e) The levels of MMP-3, MMP-13, collagen II, and aggrecan were quantitated using Western blot (a–c), and the levels of inflammatory factors IL-6 and IL-8 were examined using qRT-PCR (d and e). IL-1β, interleukin-1β; MC, mimic control; MMP, matrix metalloproteinase; qRT-PCR, quantitative reverse transcription-polymerase chain reaction. ** p < 0.01, *** p < 0.001 vs IL-1β + vector + MC; ^^ p < 0.01, ^^^ p < 0.001 vs IL-1β + OIP5-AS1 + MC; ## p < 0.01, ### p < 0.001 vs IL-1β + vector + M.

3.7 miR-338-3p offset the inhibitory effect of OIP5-AS1 on PI3K/AKT signaling activation

In OA progression, the PI3K/AKT pathway plays an important role in cell growth and survival [17]. OIP5-AS1 also regulates PI3K/AKT signaling activation by sponging miRNA [18]. Thus, PI3K/AKT signaling involved in this study was further explored. As shown in Figure 10a, the levels of PI3K and AKT did not change among all groups, whereas miR-338-3p overexpression increased the level of phosphorylation (p)-PI3K and p-AKT and partially counteracted the inhibitory effects of OIP5-AS1 overexpression on the levels of p-PI3K and p-AKT in IL-1β-activated chondrocytes (p < 0.001). In light of Figure 10b–e, miR-338-3p upregulation augmented the levels of p-PI3K/PI3K and p-AKT/AKT, and partially offset the inhibitory effects of OIP5-AS1 overexpression on the levels of p-PI3K/PI3K and p-AKT/AKT in IL-1β-activated chondrocytes (p < 0.001). These data demonstrated that OIP5-AS1 modulated PI3K/AKT signaling of IL-1β-activated chondrocytes by directly targeting miR-338-3p.

Figure 10 
                  MiR-338-3p partially counteracted the inhibitory effect of OIP5-AS1 on PI3K/AKT signaling activation. Chondrocytes were transfected with miR-338-3p (M)/ MC and OIP5-AS1-overexpressing vector/empty vector, and exposed to IL-1β stimulation. (a–e) The protein levels of PI3K, phosphorylation (p)-PI3K, AKT, and p-AKT, as well as the ratios of p-PI3K/PI3K and p-AKT/AKT in primary chondrocytes and CHON-001 cells were examined using Western blot, with β-actin as internal control. **
                     p < 0.01, ***
                     p < 0.001 vs IL-1β + vector + MC; ^^^
                     p < 0.001 vs IL-1β + OIP5-AS1 + MC; ###
                     p < 0.001 vs IL-1β + vector + M. IL-1β, interleukin-1β; MC, mimic control.
Figure 10

MiR-338-3p partially counteracted the inhibitory effect of OIP5-AS1 on PI3K/AKT signaling activation. Chondrocytes were transfected with miR-338-3p (M)/ MC and OIP5-AS1-overexpressing vector/empty vector, and exposed to IL-1β stimulation. (a–e) The protein levels of PI3K, phosphorylation (p)-PI3K, AKT, and p-AKT, as well as the ratios of p-PI3K/PI3K and p-AKT/AKT in primary chondrocytes and CHON-001 cells were examined using Western blot, with β-actin as internal control. ** p < 0.01, *** p < 0.001 vs IL-1β + vector + MC; ^^^ p < 0.001 vs IL-1β + OIP5-AS1 + MC; ### p < 0.001 vs IL-1β + vector + M. IL-1β, interleukin-1β; MC, mimic control.

4 Discussion

In the present study, we found that the expression of OIP5-AS1 was downregulated in IL-1β-activated chondrocytes, while miR-338-3p was upregulated. OIP5-AS1 promotes viability and proliferation and inhibits apoptosis and ECM degradation in IL-1β-activated chondrocytes via targeting miR-338-3p by blocking the PI3K/AKT pathway.

During the initiation and progression of OA, the organization of the cartilage ECM is disrupted, which in turn damages the mechanical function of the organization. The OA severity is associated with the elevated levels of a series of pro-inflammatory factors [19]. Chondrocytes synthesize or degrade ECM via producing anabolic or catabolic factors [20]. In addition, promoting proliferation and inhibiting apoptosis in chondrocytes have been regarded as the key options to prevent or control the progression of OA [21]. As a consequence, exploring the role of critical OA-associated biomarkers in proliferation, apoptosis, ECM composition, as well as inflammation in chondrocytes might contribute to shedding new light on OA pathology and discovering novel avenues to prevent or control OA development.

The current findings showed that OIP5-AS1 was downregulated in IL-1β-treated chondrocytes, which was consistent with the previous results reported by Zhi et al. [8]. Furthermore, the biological function of OIP5-AS1 in IL-1β-stimulated chondrocytes was investigated. It was documented that OIP5-AS1 overexpression offset the effects of IL-1β on inhibiting cell viability, proliferation, and protein levels of aggrecan and collagen II, and promoting the apoptosis rate and protein levels of MMP-3, MMP-13, cleaved caspase-9, Bax, IL-6, and IL-8 in chondrocytes. However, OIP5-AS1 knockdown produced the opposite effects. The functional integrity of ECM, particularly rich in collagen II, is responsible for the function of normal articular cartilage [22]. Aggrecan is also the main structural ingredient of ECM. MMPs are the most important protease enzymes in ECM remodeling [23]. In OA, enzymes, such as MMP-3 and MMP-13, are increased in the joint space and indispensable for cartilage degradation [15]. MMP-13 is regarded as a primary contributor to cartilage degeneration of OA, because it preferentially cleaves collagen II [16]. In this study, OIP5-AS1 overexpression repressed IL-1β-stimulated viability decrease, apoptosis activation, ECM degradation, and inflammation enhancement in chondrocytes. Analogously, a previous report suggested that OIP5-AS1 overexpression drives the viability and suppresses the apoptosis and inflammation of chondrocytes [8].

The existing evidence unveiled that miRNA may have significant diagnostic and therapeutic potential and provide a novel option for OA treatment [24]. As per current findings, miR-338-3p expression is elevated in IL-1β-stimulated chondrocytes, implying miR-338-3p might have an association with OA pathology. Furthermore, we found that miR-338-3p was a direct target of OIP5-AS1 and inversely modulated by OIP5-AS1. To clarify the interplay of miR-338-3p and OIP5-AS1 in OA progression, we detected the roles of miR-338-3p and OIP5-AS1 in the viability, apoptosis, and inflammation in IL-1β-stimulated chondrocytes. The data proved that OIP5-AS1 promotes viability and inhibits apoptosis and ECM degradation in IL-1β-activated chondrocytes by directly regulating miR-338-3p.

In different biological processes, such as OA progression, the PI3K/AKT pathway plays a critical role in cell growth and survival [17]. It has been reported that AKT blocks pro-caspase-9 and phosphorylates caspase-9, thereby interfering with the apoptotic process [25]. Inactivation of PI3K/AKT/NF-κB pathway alleviates the inflammation and lessens the levels of MMP-3 and MMP-13 in human OA chondrocytes [26]. In the current work, we unraveled that OIP5-AS1 overexpression dampened the PI3K/AKT pathway by modulating miR-338-3p expression. Therefore, OIP5-AS1 may be dependent on blocking the PI3K/AKT pathway, so as to promote viability and inhibit apoptosis and ECM degradation by targeting miR-338-3p in IL-1β-activated chondrocytes. However, a limitation of this study is that since PI3K/AKT pathway is related to almost all cancers, exploring this one alone is far from enough to reveal the molecular mechanisms. Other potential molecular mechanisms still require further investigation.

Collectively, OIP5-AS1 promotes viability and proliferation and inhibits apoptosis and ECM degradation in IL-1β-activated chondrocytes by targeting miR-338-3p through blocking the PI3K/AKT pathway. The present results suggest that OIP5-AS1/miR-338-3p axis plays a regulatory role by blocking the PI3K/AKT signaling, which may be a new method for OA treatment. To better elucidate how OIP5-AS1/miR-338-3p axis ameliorates chondrocyte dysfunction by the PI3K/AKT signaling, PI3K/AKT inhibitors should be utilized in the future study, and more extensive experiments should be carried out in appropriate animal models for verification.


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Acknowledgements

Not applicable.

  1. Funding information: The study did not receive any funding.

  2. Author contributions: Substantial contributions to conception and design: Xuefeng Zhang. Data acquisition, data analysis and interpretation: Zhikun Wang, Binbin Wang, Jingyi Li, and Hui Yuan. Drafting the article or critically revising it for important intellectual content: Xuefeng Zhang. Final approval of the version to be published: all authors. Agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of the work are appropriately investigated and resolved: Xuefeng Zhang, Zhikun Wang, Binbin Wang, Jingyi Li, and Hui Yuan.

  3. Conflict of interest: The authors state no conflict of interest.

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

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Received: 2022-09-22
Revised: 2023-04-18
Accepted: 2023-05-12
Published Online: 2023-06-12

© 2023 the author(s), published by De Gruyter

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

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  107. LncRNA CASC15 inhibition relieves renal fibrosis in diabetic nephropathy through down-regulating SP-A by sponging to miR-424
  108. Efficacy analysis of empirical bismuth quadruple therapy, high-dose dual therapy, and resistance gene-based triple therapy as a first-line Helicobacter pylori eradication regimen – An open-label, randomized trial
  109. SMOC2 plays a role in heart failure via regulating TGF-β1/Smad3 pathway-mediated autophagy
  110. A prospective cohort study of the impact of chronic disease on fall injuries in middle-aged and older adults
  111. circRNA THBS1 silencing inhibits the malignant biological behavior of cervical cancer cells via the regulation of miR-543/HMGB2 axis
  112. hsa_circ_0000285 sponging miR-582-3p promotes neuroblastoma progression by regulating the Wnt/β-catenin signaling pathway
  113. Long non-coding RNA GNAS-AS1 knockdown inhibits proliferation and epithelial–mesenchymal transition of lung adenocarcinoma cells via the microRNA-433-3p/Rab3A axis
  114. lncRNA UCA1 regulates miR-132/Lrrfip1 axis to promote vascular smooth muscle cell proliferation
  115. Twenty-four-color full spectrum flow cytometry panel for minimal residual disease detection in acute myeloid leukemia
  116. Hsa-miR-223-3p participates in the process of anthracycline-induced cardiomyocyte damage by regulating NFIA gene
  117. Anti-inflammatory effect of ApoE23 on Salmonella typhimurium-induced sepsis in mice
  118. Analysis of somatic mutations and key driving factors of cervical cancer progression
  119. Hsa_circ_0028007 regulates the progression of nasopharyngeal carcinoma through the miR-1179/SQLE axis
  120. Variations in sexual function after laparoendoscopic single-site hysterectomy in women with benign gynecologic diseases
  121. Effects of pharmacological delay with roxadustat on multi-territory perforator flap survival in rats
  122. Analysis of heroin effects on calcium channels in rat cardiomyocytes based on transcriptomics and metabolomics
  123. Risk factors of recurrent bacterial vaginosis among women of reproductive age: A cross-sectional study
  124. Alkbh5 plays indispensable roles in maintaining self-renewal of hematopoietic stem cells
  125. Study to compare the effect of casirivimab and imdevimab, remdesivir, and favipiravir on progression and multi-organ function of hospitalized COVID-19 patients
  126. Correlation between microvessel maturity and ISUP grades assessed using contrast-enhanced transrectal ultrasonography in prostate cancer
  127. The protective effect of caffeic acid phenethyl ester in the nephrotoxicity induced by α-cypermethrin
  128. Norepinephrine alleviates cyclosporin A-induced nephrotoxicity by enhancing the expression of SFRP1
  129. Effect of RUNX1/FOXP3 axis on apoptosis of T and B lymphocytes and immunosuppression in sepsis
  130. The function of Foxp1 represses β-adrenergic receptor transcription in the occurrence and development of bladder cancer through STAT3 activity
  131. Risk model and validation of carbapenem-resistant Klebsiella pneumoniae infection in patients with cerebrovascular disease in the ICU
  132. Calycosin protects against chronic prostatitis in rats via inhibition of the p38MAPK/NF-κB pathway
  133. Pan-cancer analysis of the PDE4DIP gene with potential prognostic and immunotherapeutic values in multiple cancers including acute myeloid leukemia
  134. The safety and immunogenicity to inactivated COVID-19 vaccine in patients with hyperlipemia
  135. Circ-UBR4 regulates the proliferation, migration, inflammation, and apoptosis in ox-LDL-induced vascular smooth muscle cells via miR-515-5p/IGF2 axis
  136. Clinical characteristics of current COVID-19 rehabilitation outpatients in China
  137. Luteolin alleviates ulcerative colitis in rats via regulating immune response, oxidative stress, and metabolic profiling
  138. miR-199a-5p inhibits aortic valve calcification by targeting ATF6 and GRP78 in valve interstitial cells
  139. The application of iliac fascia space block combined with esketamine intravenous general anesthesia in PFNA surgery of the elderly: A prospective, single-center, controlled trial
  140. Elevated blood acetoacetate levels reduce major adverse cardiac and cerebrovascular events risk in acute myocardial infarction
  141. The effects of progesterone on the healing of obstetric anal sphincter damage in female rats
  142. Identification of cuproptosis-related genes for predicting the development of prostate cancer
  143. Lumican silencing ameliorates β-glycerophosphate-mediated vascular smooth muscle cell calcification by attenuating the inhibition of APOB on KIF2C activity
  144. Targeting PTBP1 blocks glutamine metabolism to improve the cisplatin sensitivity of hepatocarcinoma cells through modulating the mRNA stability of glutaminase
  145. A single center prospective study: Influences of different hip flexion angles on the measurement of lumbar spine bone mineral density by dual energy X-ray absorptiometry
  146. Clinical analysis of AN69ST membrane continuous venous hemofiltration in the treatment of severe sepsis
  147. Antibiotics therapy combined with probiotics administered intravaginally for the treatment of bacterial vaginosis: A systematic review and meta-analysis
  148. Construction of a ceRNA network to reveal a vascular invasion associated prognostic model in hepatocellular carcinoma
  149. A pan-cancer analysis of STAT3 expression and genetic alterations in human tumors
  150. A prognostic signature based on seven T-cell-related cell clustering genes in bladder urothelial carcinoma
  151. Pepsin concentration in oral lavage fluid of rabbit reflux model constructed by dilating the lower esophageal sphincter
  152. The antihypertensive felodipine shows synergistic activity with immune checkpoint blockade and inhibits tumor growth via NFAT1 in LUSC
  153. Tanshinone IIA attenuates valvular interstitial cells’ calcification induced by oxidized low density lipoprotein via reducing endoplasmic reticulum stress
  154. AS-IV enhances the antitumor effects of propofol in NSCLC cells by inhibiting autophagy
  155. Establishment of two oxaliplatin-resistant gallbladder cancer cell lines and comprehensive analysis of dysregulated genes
  156. Trial protocol: Feasibility of neuromodulation with connectivity-guided intermittent theta-burst stimulation for improving cognition in multiple sclerosis
  157. LncRNA LINC00592 mediates the promoter methylation of WIF1 to promote the development of bladder cancer
  158. Factors associated with gastrointestinal dysmotility in critically ill patients
  159. Mechanisms by which spinal cord stimulation intervenes in atrial fibrillation: The involvement of the endothelin-1 and nerve growth factor/p75NTR pathways
  160. Analysis of two-gene signatures and related drugs in small-cell lung cancer by bioinformatics
  161. Silencing USP19 alleviates cigarette smoke extract-induced mitochondrial dysfunction in BEAS-2B cells by targeting FUNDC1
  162. Menstrual irregularities associated with COVID-19 vaccines among women in Saudi Arabia: A survey during 2022
  163. Ferroptosis involves in Schwann cell death in diabetic peripheral neuropathy
  164. The effect of AQP4 on tau protein aggregation in neurodegeneration and persistent neuroinflammation after cerebral microinfarcts
  165. Activation of UBEC2 by transcription factor MYBL2 affects DNA damage and promotes gastric cancer progression and cisplatin resistance
  166. Analysis of clinical characteristics in proximal and distal reflux monitoring among patients with gastroesophageal reflux disease
  167. Exosomal circ-0020887 and circ-0009590 as novel biomarkers for the diagnosis and prediction of short-term adverse cardiovascular outcomes in STEMI patients
  168. Upregulated microRNA-429 confers endometrial stromal cell dysfunction by targeting HIF1AN and regulating the HIF1A/VEGF pathway
  169. Bibliometrics and knowledge map analysis of ultrasound-guided regional anesthesia
  170. Knockdown of NUPR1 inhibits angiogenesis in lung cancer through IRE1/XBP1 and PERK/eIF2α/ATF4 signaling pathways
  171. D-dimer trends predict COVID-19 patient’s prognosis: A retrospective chart review study
  172. WTAP affects intracranial aneurysm progression by regulating m6A methylation modification
  173. Using of endoscopic polypectomy in patients with diagnosed malignant colorectal polyp – The cross-sectional clinical study
  174. Anti-S100A4 antibody administration alleviates bronchial epithelial–mesenchymal transition in asthmatic mice
  175. Prognostic evaluation of system immune-inflammatory index and prognostic nutritional index in double expressor diffuse large B-cell lymphoma
  176. Prevalence and antibiogram of bacteria causing urinary tract infection among patients with chronic kidney disease
  177. Reactive oxygen species within the vaginal space: An additional promoter of cervical intraepithelial neoplasia and uterine cervical cancer development?
  178. Identification of disulfidptosis-related genes and immune infiltration in lower-grade glioma
  179. A new technique for uterine-preserving pelvic organ prolapse surgery: Laparoscopic rectus abdominis hysteropexy for uterine prolapse by comparing with traditional techniques
  180. Self-isolation of an Italian long-term care facility during COVID-19 pandemic: A comparison study on care-related infectious episodes
  181. A comparative study on the overlapping effects of clinically applicable therapeutic interventions in patients with central nervous system damage
  182. Low intensity extracorporeal shockwave therapy for chronic pelvic pain syndrome: Long-term follow-up
  183. The diagnostic accuracy of touch imprint cytology for sentinel lymph node metastases of breast cancer: An up-to-date meta-analysis of 4,073 patients
  184. Mortality associated with Sjögren’s syndrome in the United States in the 1999–2020 period: A multiple cause-of-death study
  185. CircMMP11 as a prognostic biomarker mediates miR-361-3p/HMGB1 axis to accelerate malignant progression of hepatocellular carcinoma
  186. Analysis of the clinical characteristics and prognosis of adult de novo acute myeloid leukemia (none APL) with PTPN11 mutations
  187. KMT2A maintains stemness of gastric cancer cells through regulating Wnt/β-catenin signaling-activated transcriptional factor KLF11
  188. Evaluation of placental oxygenation by near-infrared spectroscopy in relation to ultrasound maturation grade in physiological term pregnancies
  189. The role of ultrasonographic findings for PIK3CA-mutated, hormone receptor-positive, human epidermal growth factor receptor-2-negative breast cancer
  190. Construction of immunogenic cell death-related molecular subtypes and prognostic signature in colorectal cancer
  191. Long-term prognostic value of high-sensitivity cardiac troponin-I in patients with idiopathic dilated cardiomyopathy
  192. Establishing a novel Fanconi anemia signaling pathway-associated prognostic model and tumor clustering for pediatric acute myeloid leukemia patients
  193. Integrative bioinformatics analysis reveals STAT2 as a novel biomarker of inflammation-related cardiac dysfunction in atrial fibrillation
  194. Adipose-derived stem cells repair radiation-induced chronic lung injury via inhibiting TGF-β1/Smad 3 signaling pathway
  195. Real-world practice of idiopathic pulmonary fibrosis: Results from a 2000–2016 cohort
  196. lncRNA LENGA sponges miR-378 to promote myocardial fibrosis in atrial fibrillation
  197. Diagnostic value of urinary Tamm-Horsfall protein and 24 h urine osmolality for recurrent calcium oxalate stones of the upper urinary tract: Cross-sectional study
  198. The value of color Doppler ultrasonography combined with serum tumor markers in differential diagnosis of gastric stromal tumor and gastric cancer
  199. The spike protein of SARS-CoV-2 induces inflammation and EMT of lung epithelial cells and fibroblasts through the upregulation of GADD45A
  200. Mycophenolate mofetil versus cyclophosphamide plus in patients with connective tissue disease-associated interstitial lung disease: Efficacy and safety analysis
  201. MiR-1278 targets CALD1 and suppresses the progression of gastric cancer via the MAPK pathway
  202. Metabolomic analysis of serum short-chain fatty acid concentrations in a mouse of MPTP-induced Parkinson’s disease after dietary supplementation with branched-chain amino acids
  203. Cimifugin inhibits adipogenesis and TNF-α-induced insulin resistance in 3T3-L1 cells
  204. Predictors of gastrointestinal complaints in patients on metformin therapy
  205. Prescribing patterns in patients with chronic obstructive pulmonary disease and atrial fibrillation
  206. A retrospective analysis of the effect of latent tuberculosis infection on clinical pregnancy outcomes of in vitro fertilization–fresh embryo transferred in infertile women
  207. Appropriateness and clinical outcomes of short sustained low-efficiency dialysis: A national experience
  208. miR-29 regulates metabolism by inhibiting JNK-1 expression in non-obese patients with type 2 diabetes mellitus and NAFLD
  209. Clinical features and management of lymphoepithelial cyst
  210. Serum VEGF, high-sensitivity CRP, and cystatin-C assist in the diagnosis of type 2 diabetic retinopathy complicated with hyperuricemia
  211. ENPP1 ameliorates vascular calcification via inhibiting the osteogenic transformation of VSMCs and generating PPi
  212. Significance of monitoring the levels of thyroid hormone antibodies and glucose and lipid metabolism antibodies in patients suffer from type 2 diabetes
  213. The causal relationship between immune cells and different kidney diseases: A Mendelian randomization study
  214. Interleukin 33, soluble suppression of tumorigenicity 2, interleukin 27, and galectin 3 as predictors for outcome in patients admitted to intensive care units
  215. Identification of diagnostic immune-related gene biomarkers for predicting heart failure after acute myocardial infarction
  216. Long-term administration of probiotics prevents gastrointestinal mucosal barrier dysfunction in septic mice partly by upregulating the 5-HT degradation pathway
  217. miR-192 inhibits the activation of hepatic stellate cells by targeting Rictor
  218. Diagnostic and prognostic value of MR-pro ADM, procalcitonin, and copeptin in sepsis
  219. Review Articles
  220. Prenatal diagnosis of fetal defects and its implications on the delivery mode
  221. Electromagnetic fields exposure on fetal and childhood abnormalities: Systematic review and meta-analysis
  222. Characteristics of antibiotic resistance mechanisms and genes of Klebsiella pneumoniae
  223. Saddle pulmonary embolism in the setting of COVID-19 infection: A systematic review of case reports and case series
  224. Vitamin C and epigenetics: A short physiological overview
  225. Ebselen: A promising therapy protecting cardiomyocytes from excess iron in iron-overloaded thalassemia patients
  226. Aspirin versus LMWH for VTE prophylaxis after orthopedic surgery
  227. Mechanism of rhubarb in the treatment of hyperlipidemia: A recent review
  228. Surgical management and outcomes of traumatic global brachial plexus injury: A concise review and our center approach
  229. The progress of autoimmune hepatitis research and future challenges
  230. METTL16 in human diseases: What should we do next?
  231. New insights into the prevention of ureteral stents encrustation
  232. VISTA as a prospective immune checkpoint in gynecological malignant tumors: A review of the literature
  233. Case Reports
  234. Mycobacterium xenopi infection of the kidney and lymph nodes: A case report
  235. Genetic mutation of SLC6A20 (c.1072T > C) in a family with nephrolithiasis: A case report
  236. Chronic hepatitis B complicated with secondary hemochromatosis was cured clinically: A case report
  237. Liver abscess complicated with multiple organ invasive infection caused by hematogenous disseminated hypervirulent Klebsiella pneumoniae: A case report
  238. Urokinase-based lock solutions for catheter salvage: A case of an upcoming kidney transplant recipient
  239. Two case reports of maturity-onset diabetes of the young type 3 caused by the hepatocyte nuclear factor 1α gene mutation
  240. Immune checkpoint inhibitor-related pancreatitis: What is known and what is not
  241. Does total hip arthroplasty result in intercostal nerve injury? A case report and literature review
  242. Clinicopathological characteristics and diagnosis of hepatic sinusoidal obstruction syndrome caused by Tusanqi – Case report and literature review
  243. Synchronous triple primary gastrointestinal malignant tumors treated with laparoscopic surgery: A case report
  244. CT-guided percutaneous microwave ablation combined with bone cement injection for the treatment of transverse metastases: A case report
  245. Malignant hyperthermia: Report on a successful rescue of a case with the highest temperature of 44.2°C
  246. Anesthetic management of fetal pulmonary valvuloplasty: A case report
  247. Rapid Communication
  248. Impact of COVID-19 lockdown on glycemic levels during pregnancy: A retrospective analysis
  249. Erratum
  250. Erratum to “Inhibition of miR-21 improves pulmonary vascular responses in bronchopulmonary dysplasia by targeting the DDAH1/ADMA/NO pathway”
  251. Erratum to: “Fer exacerbates renal fibrosis and can be targeted by miR-29c-3p”
  252. Retraction
  253. Retraction of “Study to compare the effect of casirivimab and imdevimab, remdesivir, and favipiravir on progression and multi-organ function of hospitalized COVID-19 patients”
  254. Retraction of “circ_0062491 alleviates periodontitis via the miR-142-5p/IGF1 axis”
  255. Retraction of “miR-223-3p alleviates TGF-β-induced epithelial-mesenchymal transition and extracellular matrix deposition by targeting SP3 in endometrial epithelial cells”
  256. Retraction of “SLCO4A1-AS1 mediates pancreatic cancer development via miR-4673/KIF21B axis”
  257. Retraction of “circRNA_0001679/miR-338-3p/DUSP16 axis aggravates acute lung injury”
  258. Retraction of “lncRNA ACTA2-AS1 inhibits malignant phenotypes of gastric cancer cells”
  259. Special issue Linking Pathobiological Mechanisms to Clinical Application for cardiovascular diseases
  260. Effect of cardiac rehabilitation therapy on depressed patients with cardiac insufficiency after cardiac surgery
  261. Special issue The evolving saga of RNAs from bench to bedside - Part I
  262. FBLIM1 mRNA is a novel prognostic biomarker and is associated with immune infiltrates in glioma
  263. Special Issue Computational Intelligence Methodologies Meets Recurrent Cancers - Part III
  264. Development of a machine learning-based signature utilizing inflammatory response genes for predicting prognosis and immune microenvironment in ovarian cancer
Heruntergeladen am 11.9.2025 von https://www.degruyterbrill.com/document/doi/10.1515/med-2023-0721/html
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