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.
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.).
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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.
Acknowledgements
Not applicable.
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Funding information: The study did not receive any funding.
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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.
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Conflict of interest: The authors state no conflict of interest.
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Data availability statement: The analyzed datasets generated during the study are available from the corresponding author on reasonable request.
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- A comparative study on the overlapping effects of clinically applicable therapeutic interventions in patients with central nervous system damage
- Low intensity extracorporeal shockwave therapy for chronic pelvic pain syndrome: Long-term follow-up
- 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
- Mortality associated with Sjögren’s syndrome in the United States in the 1999–2020 period: A multiple cause-of-death study
- CircMMP11 as a prognostic biomarker mediates miR-361-3p/HMGB1 axis to accelerate malignant progression of hepatocellular carcinoma
- Analysis of the clinical characteristics and prognosis of adult de novo acute myeloid leukemia (none APL) with PTPN11 mutations
- KMT2A maintains stemness of gastric cancer cells through regulating Wnt/β-catenin signaling-activated transcriptional factor KLF11
- Evaluation of placental oxygenation by near-infrared spectroscopy in relation to ultrasound maturation grade in physiological term pregnancies
- The role of ultrasonographic findings for PIK3CA-mutated, hormone receptor-positive, human epidermal growth factor receptor-2-negative breast cancer
- Construction of immunogenic cell death-related molecular subtypes and prognostic signature in colorectal cancer
- Long-term prognostic value of high-sensitivity cardiac troponin-I in patients with idiopathic dilated cardiomyopathy
- Establishing a novel Fanconi anemia signaling pathway-associated prognostic model and tumor clustering for pediatric acute myeloid leukemia patients
- Integrative bioinformatics analysis reveals STAT2 as a novel biomarker of inflammation-related cardiac dysfunction in atrial fibrillation
- Adipose-derived stem cells repair radiation-induced chronic lung injury via inhibiting TGF-β1/Smad 3 signaling pathway
- Real-world practice of idiopathic pulmonary fibrosis: Results from a 2000–2016 cohort
- lncRNA LENGA sponges miR-378 to promote myocardial fibrosis in atrial fibrillation
- 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
- The value of color Doppler ultrasonography combined with serum tumor markers in differential diagnosis of gastric stromal tumor and gastric cancer
- The spike protein of SARS-CoV-2 induces inflammation and EMT of lung epithelial cells and fibroblasts through the upregulation of GADD45A
- Mycophenolate mofetil versus cyclophosphamide plus in patients with connective tissue disease-associated interstitial lung disease: Efficacy and safety analysis
- MiR-1278 targets CALD1 and suppresses the progression of gastric cancer via the MAPK pathway
- 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
- Cimifugin inhibits adipogenesis and TNF-α-induced insulin resistance in 3T3-L1 cells
- Predictors of gastrointestinal complaints in patients on metformin therapy
- Prescribing patterns in patients with chronic obstructive pulmonary disease and atrial fibrillation
- A retrospective analysis of the effect of latent tuberculosis infection on clinical pregnancy outcomes of in vitro fertilization–fresh embryo transferred in infertile women
- Appropriateness and clinical outcomes of short sustained low-efficiency dialysis: A national experience
- miR-29 regulates metabolism by inhibiting JNK-1 expression in non-obese patients with type 2 diabetes mellitus and NAFLD
- Clinical features and management of lymphoepithelial cyst
- Serum VEGF, high-sensitivity CRP, and cystatin-C assist in the diagnosis of type 2 diabetic retinopathy complicated with hyperuricemia
- ENPP1 ameliorates vascular calcification via inhibiting the osteogenic transformation of VSMCs and generating PPi
- Significance of monitoring the levels of thyroid hormone antibodies and glucose and lipid metabolism antibodies in patients suffer from type 2 diabetes
- The causal relationship between immune cells and different kidney diseases: A Mendelian randomization study
- Interleukin 33, soluble suppression of tumorigenicity 2, interleukin 27, and galectin 3 as predictors for outcome in patients admitted to intensive care units
- Identification of diagnostic immune-related gene biomarkers for predicting heart failure after acute myocardial infarction
- Long-term administration of probiotics prevents gastrointestinal mucosal barrier dysfunction in septic mice partly by upregulating the 5-HT degradation pathway
- miR-192 inhibits the activation of hepatic stellate cells by targeting Rictor
- Diagnostic and prognostic value of MR-pro ADM, procalcitonin, and copeptin in sepsis
- Review Articles
- Prenatal diagnosis of fetal defects and its implications on the delivery mode
- Electromagnetic fields exposure on fetal and childhood abnormalities: Systematic review and meta-analysis
- Characteristics of antibiotic resistance mechanisms and genes of Klebsiella pneumoniae
- Saddle pulmonary embolism in the setting of COVID-19 infection: A systematic review of case reports and case series
- Vitamin C and epigenetics: A short physiological overview
- Ebselen: A promising therapy protecting cardiomyocytes from excess iron in iron-overloaded thalassemia patients
- Aspirin versus LMWH for VTE prophylaxis after orthopedic surgery
- Mechanism of rhubarb in the treatment of hyperlipidemia: A recent review
- Surgical management and outcomes of traumatic global brachial plexus injury: A concise review and our center approach
- The progress of autoimmune hepatitis research and future challenges
- METTL16 in human diseases: What should we do next?
- New insights into the prevention of ureteral stents encrustation
- VISTA as a prospective immune checkpoint in gynecological malignant tumors: A review of the literature
- Case Reports
- Mycobacterium xenopi infection of the kidney and lymph nodes: A case report
- Genetic mutation of SLC6A20 (c.1072T > C) in a family with nephrolithiasis: A case report
- Chronic hepatitis B complicated with secondary hemochromatosis was cured clinically: A case report
- Liver abscess complicated with multiple organ invasive infection caused by hematogenous disseminated hypervirulent Klebsiella pneumoniae: A case report
- Urokinase-based lock solutions for catheter salvage: A case of an upcoming kidney transplant recipient
- Two case reports of maturity-onset diabetes of the young type 3 caused by the hepatocyte nuclear factor 1α gene mutation
- Immune checkpoint inhibitor-related pancreatitis: What is known and what is not
- Does total hip arthroplasty result in intercostal nerve injury? A case report and literature review
- Clinicopathological characteristics and diagnosis of hepatic sinusoidal obstruction syndrome caused by Tusanqi – Case report and literature review
- Synchronous triple primary gastrointestinal malignant tumors treated with laparoscopic surgery: A case report
- CT-guided percutaneous microwave ablation combined with bone cement injection for the treatment of transverse metastases: A case report
- Malignant hyperthermia: Report on a successful rescue of a case with the highest temperature of 44.2°C
- Anesthetic management of fetal pulmonary valvuloplasty: A case report
- Rapid Communication
- Impact of COVID-19 lockdown on glycemic levels during pregnancy: A retrospective analysis
- Erratum
- Erratum to “Inhibition of miR-21 improves pulmonary vascular responses in bronchopulmonary dysplasia by targeting the DDAH1/ADMA/NO pathway”
- Erratum to: “Fer exacerbates renal fibrosis and can be targeted by miR-29c-3p”
- Retraction
- 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”
- Retraction of “circ_0062491 alleviates periodontitis via the miR-142-5p/IGF1 axis”
- Retraction of “miR-223-3p alleviates TGF-β-induced epithelial-mesenchymal transition and extracellular matrix deposition by targeting SP3 in endometrial epithelial cells”
- Retraction of “SLCO4A1-AS1 mediates pancreatic cancer development via miR-4673/KIF21B axis”
- Retraction of “circRNA_0001679/miR-338-3p/DUSP16 axis aggravates acute lung injury”
- Retraction of “lncRNA ACTA2-AS1 inhibits malignant phenotypes of gastric cancer cells”
- Special issue Linking Pathobiological Mechanisms to Clinical Application for cardiovascular diseases
- Effect of cardiac rehabilitation therapy on depressed patients with cardiac insufficiency after cardiac surgery
- Special issue The evolving saga of RNAs from bench to bedside - Part I
- FBLIM1 mRNA is a novel prognostic biomarker and is associated with immune infiltrates in glioma
- Special Issue Computational Intelligence Methodologies Meets Recurrent Cancers - Part III
- Development of a machine learning-based signature utilizing inflammatory response genes for predicting prognosis and immune microenvironment in ovarian cancer
Artikel in diesem Heft
- Research Articles
- Exosomes derived from mesenchymal stem cells overexpressing miR-210 inhibits neuronal inflammation and contribute to neurite outgrowth through modulating microglia polarization
- Current situation of acute ST-segment elevation myocardial infarction in a county hospital chest pain center during an epidemic of novel coronavirus pneumonia
- circ-IARS depletion inhibits the progression of non-small-cell lung cancer by circ-IARS/miR-1252-5p/HDGF ceRNA pathway
- circRNA ITGA7 restrains growth and enhances radiosensitivity by up-regulating SMAD4 in colorectal carcinoma
- WDR79 promotes aerobic glycolysis of pancreatic ductal adenocarcinoma (PDAC) by the suppression of SIRT4
- Up-regulation of collagen type V alpha 2 (COL5A2) promotes malignant phenotypes in gastric cancer cell via inducing epithelial–mesenchymal transition (EMT)
- Inhibition of TERC inhibits neural apoptosis and inflammation in spinal cord injury through Akt activation and p-38 inhibition via the miR-34a-5p/XBP-1 axis
- 3D-printed polyether-ether-ketone/n-TiO2 composite enhances the cytocompatibility and osteogenic differentiation of MC3T3-E1 cells by downregulating miR-154-5p
- Propofol-mediated circ_0000735 downregulation restrains tumor growth by decreasing integrin-β1 expression in non-small cell lung cancer
- PVT1/miR-16/CCND1 axis regulates gastric cancer progression
- Silencing of circ_002136 sensitizes gastric cancer to paclitaxel by targeting the miR-16-5p/HMGA1 axis
- Short-term outcomes after simultaneous gastrectomy plus cholecystectomy in gastric cancer: A pooling up analysis
- SCARA5 inhibits oral squamous cell carcinoma via inactivating the STAT3 and PI3K/AKT signaling pathways
- Molecular mechanism by which the Notch signaling pathway regulates autophagy in a rat model of pulmonary fibrosis in pigeon breeder’s lung
- lncRNA TPT1-AS1 promotes cell migration and invasion in esophageal squamous-cell carcinomas by regulating the miR-26a/HMGA1 axis
- SIRT1/APE1 promotes the viability of gastric cancer cells by inhibiting p53 to suppress ferroptosis
- Glycoprotein non-metastatic melanoma B interacts with epidermal growth factor receptor to regulate neural stem cell survival and differentiation
- Treatments for brain metastases from EGFR/ALK-negative/unselected NSCLC: A network meta-analysis
- Association of osteoporosis and skeletal muscle loss with serum type I collagen carboxyl-terminal peptide β glypeptide: A cross-sectional study in elder Chinese population
- circ_0000376 knockdown suppresses non-small cell lung cancer cell tumor properties by the miR-545-3p/PDPK1 pathway
- Delivery in a vertical birth chair supported by freedom of movement during labor: A randomized control trial
- UBE2J1 knockdown promotes cell apoptosis in endometrial cancer via regulating PI3K/AKT and MDM2/p53 signaling
- Metabolic resuscitation therapy in critically ill patients with sepsis and septic shock: A pilot prospective randomized controlled trial
- Lycopene ameliorates locomotor activity and urinary frequency induced by pelvic venous congestion in rats
- UHRF1-induced connexin26 methylation is involved in hearing damage triggered by intermittent hypoxia in neonatal rats
- LINC00511 promotes melanoma progression by targeting miR-610/NUCB2
- Ultra-high-performance liquid chromatography-tandem mass spectrometry analysis of serum metabolomic characteristics in people with different vitamin D levels
- Role of Jumonji domain-containing protein D3 and its inhibitor GSK-J4 in Hashimoto’s thyroiditis
- circ_0014736 induces GPR4 to regulate the biological behaviors of human placental trophoblast cells through miR-942-5p in preeclampsia
- Monitoring of sirolimus in the whole blood samples from pediatric patients with lymphatic anomalies
- Effects of osteogenic growth peptide C-terminal pentapeptide and its analogue on bone remodeling in an osteoporosis rat model
- A novel autophagy-related long non-coding RNAs signature predicting progression-free interval and I-131 therapy benefits in papillary thyroid carcinoma
- WGCNA-based identification of potential targets and pathways in response to treatment in locally advanced breast cancer patients
- Radiomics model using preoperative computed tomography angiography images to differentiate new from old emboli of acute lower limb arterial embolism
- Dysregulated lncRNAs are involved in the progress of myocardial infarction by constructing regulatory networks
- Single-arm trial to evaluate the efficacy and safety of baclofen in treatment of intractable hiccup caused by malignant tumor chemotherapy
- Genetic polymorphisms of MRPS30-DT and NINJ2 may influence lung cancer risk
- Efficacy of immune checkpoint inhibitors in patients with KRAS-mutant advanced non-small cell lung cancer: A retrospective analysis
- Pyroptosis-based risk score predicts prognosis and drug sensitivity in lung adenocarcinoma
- Upregulation of lncRNA LANCL1-AS1 inhibits the progression of non-small-cell lung cancer via the miR-3680-3p/GMFG axis
- CircRANBP17 modulated KDM1A to regulate neuroblastoma progression by sponging miR-27b-3p
- Exosomal miR-93-5p regulated the progression of osteoarthritis by targeting ADAMTS9
- Downregulation of RBM17 enhances cisplatin sensitivity and inhibits cell invasion in human hypopharyngeal cancer cells
- HDAC5-mediated PRAME regulates the proliferation, migration, invasion, and EMT of laryngeal squamous cell carcinoma via the PI3K/AKT/mTOR signaling pathway
- The association between sleep duration, quality, and nonalcoholic fatty liver disease: A cross-sectional study
- Myostatin silencing inhibits podocyte apoptosis in membranous nephropathy through Smad3/PKA/NOX4 signaling pathway
- A novel long noncoding RNA AC125257.1 facilitates colorectal cancer progression by targeting miR-133a-3p/CASC5 axis
- Impact of omicron wave and associated control measures in Shanghai on health management and psychosocial well-being of patients with chronic conditions
- Clinicopathological characteristics and prognosis of young patients aged ≤45 years old with non-small cell lung cancer
- TMT-based comprehensive proteomic profiling identifies serum prognostic signatures of acute myeloid leukemia
- The dose limits of teeth protection for patients with nasopharyngeal carcinoma undergoing radiotherapy based on the early oral health-related quality of life
- miR-30b-5p targeting GRIN2A inhibits hippocampal damage in epilepsy
- Long non-coding RNA AL137789.1 promoted malignant biological behaviors and immune escape of pancreatic carcinoma cells
- IRF6 and FGF1 polymorphisms in non-syndromic cleft lip with or without cleft palate in the Polish population
- Comprehensive analysis of the role of SFXN family in breast cancer
- Efficacy of bronchoscopic intratumoral injection of endostar and cisplatin in lung squamous cell carcinoma patients underwent conventional chemoradiotherapy
- Silencing of long noncoding RNA MIAT inhibits the viability and proliferation of breast cancer cells by promoting miR-378a-5p expression
- AG1024, an IGF-1 receptor inhibitor, ameliorates renal injury in rats with diabetic nephropathy via the SOCS/JAK2/STAT pathway
- Downregulation of KIAA1199 alleviated the activation, proliferation, and migration of hepatic stellate cells by the inhibition of epithelial–mesenchymal transition
- Exendin-4 regulates the MAPK and WNT signaling pathways to alleviate the osteogenic inhibition of periodontal ligament stem cells in a high glucose environment
- Inhibition of glycolysis represses the growth and alleviates the endoplasmic reticulum stress of breast cancer cells by regulating TMTC3
- The function of lncRNA EMX2OS/miR-653-5p and its regulatory mechanism in lung adenocarcinoma
- Tectorigenin alleviates the apoptosis and inflammation in spinal cord injury cell model through inhibiting insulin-like growth factor-binding protein 6
- Ultrasound examination supporting CT or MRI in the evaluation of cervical lymphadenopathy in patients with irradiation-treated head and neck cancer
- F-box and WD repeat domain containing 7 inhibits the activation of hepatic stellate cells by degrading delta-like ligand 1 to block Notch signaling pathway
- Knockdown of circ_0005615 enhances the radiosensitivity of colorectal cancer by regulating the miR-665/NOTCH1 axis
- Long noncoding RNA Mhrt alleviates angiotensin II-induced cardiac hypertrophy phenotypes by mediating the miR-765/Wnt family member 7B pathway
- Effect of miR-499-5p/SOX6 axis on atrial fibrosis in rats with atrial fibrillation
- Cholesterol induces inflammation and reduces glucose utilization
- circ_0004904 regulates the trophoblast cell in preeclampsia via miR-19b-3p/ARRDC3 axis
- NECAB3 promotes the migration and invasion of liver cancer cells through HIF-1α/RIT1 signaling pathway
- The poor performance of cardiovascular risk scores in identifying patients with idiopathic inflammatory myopathies at high cardiovascular risk
- miR-2053 inhibits the growth of ovarian cancer cells by downregulating SOX4
- Nucleophosmin 1 associating with engulfment and cell motility protein 1 regulates hepatocellular carcinoma cell chemotaxis and metastasis
- α-Hederin regulates macrophage polarization to relieve sepsis-induced lung and liver injuries in mice
- Changes of microbiota level in urinary tract infections: A meta-analysis
- Identification of key enzalutamide-resistance-related genes in castration-resistant prostate cancer and verification of RAD51 functions
- Falls during oxaliplatin-based chemotherapy for gastrointestinal malignancies – (lessons learned from) a prospective study
- Outcomes of low-risk birth care during the Covid-19 pandemic: A cohort study from a tertiary care center in Lithuania
- Vitamin D protects intestines from liver cirrhosis-induced inflammation and oxidative stress by inhibiting the TLR4/MyD88/NF-κB signaling pathway
- Integrated transcriptome analysis identifies APPL1/RPS6KB2/GALK1 as immune-related metastasis factors in breast cancer
- Genomic analysis of immunogenic cell death-related subtypes for predicting prognosis and immunotherapy outcomes in glioblastoma multiforme
- Circular RNA Circ_0038467 promotes the maturation of miRNA-203 to increase lipopolysaccharide-induced apoptosis of chondrocytes
- An economic evaluation of fine-needle cytology as the primary diagnostic tool in the diagnosis of lymphadenopathy
- Midazolam impedes lung carcinoma cell proliferation and migration via EGFR/MEK/ERK signaling pathway
- Network pharmacology combined with molecular docking and experimental validation to reveal the pharmacological mechanism of naringin against renal fibrosis
- PTPN12 down-regulated by miR-146b-3p gene affects the malignant progression of laryngeal squamous cell carcinoma
- miR-141-3p accelerates ovarian cancer progression and promotes M2-like macrophage polarization by targeting the Keap1-Nrf2 pathway
- lncRNA OIP5-AS1 attenuates the osteoarthritis progression in IL-1β-stimulated chondrocytes
- Overexpression of LINC00607 inhibits cell growth and aggressiveness by regulating the miR-1289/EFNA5 axis in non-small-cell lung cancer
- Subjective well-being in informal caregivers during the COVID-19 pandemic
- Nrf2 protects against myocardial ischemia-reperfusion injury in diabetic rats by inhibiting Drp1-mediated mitochondrial fission
- Unfolded protein response inhibits KAT2B/MLKL-mediated necroptosis of hepatocytes by promoting BMI1 level to ubiquitinate KAT2B
- Bladder cancer screening: The new selection and prediction model
- circNFATC3 facilitated the progression of oral squamous cell carcinoma via the miR-520h/LDHA axis
- Prone position effect in intensive care patients with SARS-COV-2 pneumonia
- Clinical observation on the efficacy of Tongdu Tuina manipulation in the treatment of primary enuresis in children
- Dihydroartemisinin ameliorates cerebral I/R injury in rats via regulating VWF and autophagy-mediated SIRT1/FOXO1 pathway
- Knockdown of circ_0113656 assuages oxidized low-density lipoprotein-induced vascular smooth muscle cell injury through the miR-188-3p/IGF2 pathway
- Low Ang-(1–7) and high des-Arg9 bradykinin serum levels are correlated with cardiovascular risk factors in patients with COVID-19
- Effect of maternal age and body mass index on induction of labor with oral misoprostol for premature rupture of membrane at term: A retrospective cross-sectional study
- Potential protective effects of Huanglian Jiedu Decoction against COVID-19-associated acute kidney injury: A network-based pharmacological and molecular docking study
- Clinical significance of serum MBD3 detection in girls with central precocious puberty
- Clinical features of varicella-zoster virus caused neurological diseases detected by metagenomic next-generation sequencing
- Collagen treatment of complex anorectal fistula: 3 years follow-up
- LncRNA CASC15 inhibition relieves renal fibrosis in diabetic nephropathy through down-regulating SP-A by sponging to miR-424
- 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
- SMOC2 plays a role in heart failure via regulating TGF-β1/Smad3 pathway-mediated autophagy
- A prospective cohort study of the impact of chronic disease on fall injuries in middle-aged and older adults
- circRNA THBS1 silencing inhibits the malignant biological behavior of cervical cancer cells via the regulation of miR-543/HMGB2 axis
- hsa_circ_0000285 sponging miR-582-3p promotes neuroblastoma progression by regulating the Wnt/β-catenin signaling pathway
- Long non-coding RNA GNAS-AS1 knockdown inhibits proliferation and epithelial–mesenchymal transition of lung adenocarcinoma cells via the microRNA-433-3p/Rab3A axis
- lncRNA UCA1 regulates miR-132/Lrrfip1 axis to promote vascular smooth muscle cell proliferation
- Twenty-four-color full spectrum flow cytometry panel for minimal residual disease detection in acute myeloid leukemia
- Hsa-miR-223-3p participates in the process of anthracycline-induced cardiomyocyte damage by regulating NFIA gene
- Anti-inflammatory effect of ApoE23 on Salmonella typhimurium-induced sepsis in mice
- Analysis of somatic mutations and key driving factors of cervical cancer progression
- Hsa_circ_0028007 regulates the progression of nasopharyngeal carcinoma through the miR-1179/SQLE axis
- Variations in sexual function after laparoendoscopic single-site hysterectomy in women with benign gynecologic diseases
- Effects of pharmacological delay with roxadustat on multi-territory perforator flap survival in rats
- Analysis of heroin effects on calcium channels in rat cardiomyocytes based on transcriptomics and metabolomics
- Risk factors of recurrent bacterial vaginosis among women of reproductive age: A cross-sectional study
- Alkbh5 plays indispensable roles in maintaining self-renewal of hematopoietic stem cells
- Study to compare the effect of casirivimab and imdevimab, remdesivir, and favipiravir on progression and multi-organ function of hospitalized COVID-19 patients
- Correlation between microvessel maturity and ISUP grades assessed using contrast-enhanced transrectal ultrasonography in prostate cancer
- The protective effect of caffeic acid phenethyl ester in the nephrotoxicity induced by α-cypermethrin
- Norepinephrine alleviates cyclosporin A-induced nephrotoxicity by enhancing the expression of SFRP1
- Effect of RUNX1/FOXP3 axis on apoptosis of T and B lymphocytes and immunosuppression in sepsis
- The function of Foxp1 represses β-adrenergic receptor transcription in the occurrence and development of bladder cancer through STAT3 activity
- Risk model and validation of carbapenem-resistant Klebsiella pneumoniae infection in patients with cerebrovascular disease in the ICU
- Calycosin protects against chronic prostatitis in rats via inhibition of the p38MAPK/NF-κB pathway
- Pan-cancer analysis of the PDE4DIP gene with potential prognostic and immunotherapeutic values in multiple cancers including acute myeloid leukemia
- The safety and immunogenicity to inactivated COVID-19 vaccine in patients with hyperlipemia
- Circ-UBR4 regulates the proliferation, migration, inflammation, and apoptosis in ox-LDL-induced vascular smooth muscle cells via miR-515-5p/IGF2 axis
- Clinical characteristics of current COVID-19 rehabilitation outpatients in China
- Luteolin alleviates ulcerative colitis in rats via regulating immune response, oxidative stress, and metabolic profiling
- miR-199a-5p inhibits aortic valve calcification by targeting ATF6 and GRP78 in valve interstitial cells
- 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
- Elevated blood acetoacetate levels reduce major adverse cardiac and cerebrovascular events risk in acute myocardial infarction
- The effects of progesterone on the healing of obstetric anal sphincter damage in female rats
- Identification of cuproptosis-related genes for predicting the development of prostate cancer
- Lumican silencing ameliorates β-glycerophosphate-mediated vascular smooth muscle cell calcification by attenuating the inhibition of APOB on KIF2C activity
- Targeting PTBP1 blocks glutamine metabolism to improve the cisplatin sensitivity of hepatocarcinoma cells through modulating the mRNA stability of glutaminase
- 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
- Clinical analysis of AN69ST membrane continuous venous hemofiltration in the treatment of severe sepsis
- Antibiotics therapy combined with probiotics administered intravaginally for the treatment of bacterial vaginosis: A systematic review and meta-analysis
- Construction of a ceRNA network to reveal a vascular invasion associated prognostic model in hepatocellular carcinoma
- A pan-cancer analysis of STAT3 expression and genetic alterations in human tumors
- A prognostic signature based on seven T-cell-related cell clustering genes in bladder urothelial carcinoma
- Pepsin concentration in oral lavage fluid of rabbit reflux model constructed by dilating the lower esophageal sphincter
- The antihypertensive felodipine shows synergistic activity with immune checkpoint blockade and inhibits tumor growth via NFAT1 in LUSC
- Tanshinone IIA attenuates valvular interstitial cells’ calcification induced by oxidized low density lipoprotein via reducing endoplasmic reticulum stress
- AS-IV enhances the antitumor effects of propofol in NSCLC cells by inhibiting autophagy
- Establishment of two oxaliplatin-resistant gallbladder cancer cell lines and comprehensive analysis of dysregulated genes
- Trial protocol: Feasibility of neuromodulation with connectivity-guided intermittent theta-burst stimulation for improving cognition in multiple sclerosis
- LncRNA LINC00592 mediates the promoter methylation of WIF1 to promote the development of bladder cancer
- Factors associated with gastrointestinal dysmotility in critically ill patients
- Mechanisms by which spinal cord stimulation intervenes in atrial fibrillation: The involvement of the endothelin-1 and nerve growth factor/p75NTR pathways
- Analysis of two-gene signatures and related drugs in small-cell lung cancer by bioinformatics
- Silencing USP19 alleviates cigarette smoke extract-induced mitochondrial dysfunction in BEAS-2B cells by targeting FUNDC1
- Menstrual irregularities associated with COVID-19 vaccines among women in Saudi Arabia: A survey during 2022
- Ferroptosis involves in Schwann cell death in diabetic peripheral neuropathy
- The effect of AQP4 on tau protein aggregation in neurodegeneration and persistent neuroinflammation after cerebral microinfarcts
- Activation of UBEC2 by transcription factor MYBL2 affects DNA damage and promotes gastric cancer progression and cisplatin resistance
- Analysis of clinical characteristics in proximal and distal reflux monitoring among patients with gastroesophageal reflux disease
- Exosomal circ-0020887 and circ-0009590 as novel biomarkers for the diagnosis and prediction of short-term adverse cardiovascular outcomes in STEMI patients
- Upregulated microRNA-429 confers endometrial stromal cell dysfunction by targeting HIF1AN and regulating the HIF1A/VEGF pathway
- Bibliometrics and knowledge map analysis of ultrasound-guided regional anesthesia
- Knockdown of NUPR1 inhibits angiogenesis in lung cancer through IRE1/XBP1 and PERK/eIF2α/ATF4 signaling pathways
- D-dimer trends predict COVID-19 patient’s prognosis: A retrospective chart review study
- WTAP affects intracranial aneurysm progression by regulating m6A methylation modification
- Using of endoscopic polypectomy in patients with diagnosed malignant colorectal polyp – The cross-sectional clinical study
- Anti-S100A4 antibody administration alleviates bronchial epithelial–mesenchymal transition in asthmatic mice
- Prognostic evaluation of system immune-inflammatory index and prognostic nutritional index in double expressor diffuse large B-cell lymphoma
- Prevalence and antibiogram of bacteria causing urinary tract infection among patients with chronic kidney disease
- Reactive oxygen species within the vaginal space: An additional promoter of cervical intraepithelial neoplasia and uterine cervical cancer development?
- Identification of disulfidptosis-related genes and immune infiltration in lower-grade glioma
- A new technique for uterine-preserving pelvic organ prolapse surgery: Laparoscopic rectus abdominis hysteropexy for uterine prolapse by comparing with traditional techniques
- Self-isolation of an Italian long-term care facility during COVID-19 pandemic: A comparison study on care-related infectious episodes
- A comparative study on the overlapping effects of clinically applicable therapeutic interventions in patients with central nervous system damage
- Low intensity extracorporeal shockwave therapy for chronic pelvic pain syndrome: Long-term follow-up
- 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
- Mortality associated with Sjögren’s syndrome in the United States in the 1999–2020 period: A multiple cause-of-death study
- CircMMP11 as a prognostic biomarker mediates miR-361-3p/HMGB1 axis to accelerate malignant progression of hepatocellular carcinoma
- Analysis of the clinical characteristics and prognosis of adult de novo acute myeloid leukemia (none APL) with PTPN11 mutations
- KMT2A maintains stemness of gastric cancer cells through regulating Wnt/β-catenin signaling-activated transcriptional factor KLF11
- Evaluation of placental oxygenation by near-infrared spectroscopy in relation to ultrasound maturation grade in physiological term pregnancies
- The role of ultrasonographic findings for PIK3CA-mutated, hormone receptor-positive, human epidermal growth factor receptor-2-negative breast cancer
- Construction of immunogenic cell death-related molecular subtypes and prognostic signature in colorectal cancer
- Long-term prognostic value of high-sensitivity cardiac troponin-I in patients with idiopathic dilated cardiomyopathy
- Establishing a novel Fanconi anemia signaling pathway-associated prognostic model and tumor clustering for pediatric acute myeloid leukemia patients
- Integrative bioinformatics analysis reveals STAT2 as a novel biomarker of inflammation-related cardiac dysfunction in atrial fibrillation
- Adipose-derived stem cells repair radiation-induced chronic lung injury via inhibiting TGF-β1/Smad 3 signaling pathway
- Real-world practice of idiopathic pulmonary fibrosis: Results from a 2000–2016 cohort
- lncRNA LENGA sponges miR-378 to promote myocardial fibrosis in atrial fibrillation
- 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
- The value of color Doppler ultrasonography combined with serum tumor markers in differential diagnosis of gastric stromal tumor and gastric cancer
- The spike protein of SARS-CoV-2 induces inflammation and EMT of lung epithelial cells and fibroblasts through the upregulation of GADD45A
- Mycophenolate mofetil versus cyclophosphamide plus in patients with connective tissue disease-associated interstitial lung disease: Efficacy and safety analysis
- MiR-1278 targets CALD1 and suppresses the progression of gastric cancer via the MAPK pathway
- 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
- Cimifugin inhibits adipogenesis and TNF-α-induced insulin resistance in 3T3-L1 cells
- Predictors of gastrointestinal complaints in patients on metformin therapy
- Prescribing patterns in patients with chronic obstructive pulmonary disease and atrial fibrillation
- A retrospective analysis of the effect of latent tuberculosis infection on clinical pregnancy outcomes of in vitro fertilization–fresh embryo transferred in infertile women
- Appropriateness and clinical outcomes of short sustained low-efficiency dialysis: A national experience
- miR-29 regulates metabolism by inhibiting JNK-1 expression in non-obese patients with type 2 diabetes mellitus and NAFLD
- Clinical features and management of lymphoepithelial cyst
- Serum VEGF, high-sensitivity CRP, and cystatin-C assist in the diagnosis of type 2 diabetic retinopathy complicated with hyperuricemia
- ENPP1 ameliorates vascular calcification via inhibiting the osteogenic transformation of VSMCs and generating PPi
- Significance of monitoring the levels of thyroid hormone antibodies and glucose and lipid metabolism antibodies in patients suffer from type 2 diabetes
- The causal relationship between immune cells and different kidney diseases: A Mendelian randomization study
- Interleukin 33, soluble suppression of tumorigenicity 2, interleukin 27, and galectin 3 as predictors for outcome in patients admitted to intensive care units
- Identification of diagnostic immune-related gene biomarkers for predicting heart failure after acute myocardial infarction
- Long-term administration of probiotics prevents gastrointestinal mucosal barrier dysfunction in septic mice partly by upregulating the 5-HT degradation pathway
- miR-192 inhibits the activation of hepatic stellate cells by targeting Rictor
- Diagnostic and prognostic value of MR-pro ADM, procalcitonin, and copeptin in sepsis
- Review Articles
- Prenatal diagnosis of fetal defects and its implications on the delivery mode
- Electromagnetic fields exposure on fetal and childhood abnormalities: Systematic review and meta-analysis
- Characteristics of antibiotic resistance mechanisms and genes of Klebsiella pneumoniae
- Saddle pulmonary embolism in the setting of COVID-19 infection: A systematic review of case reports and case series
- Vitamin C and epigenetics: A short physiological overview
- Ebselen: A promising therapy protecting cardiomyocytes from excess iron in iron-overloaded thalassemia patients
- Aspirin versus LMWH for VTE prophylaxis after orthopedic surgery
- Mechanism of rhubarb in the treatment of hyperlipidemia: A recent review
- Surgical management and outcomes of traumatic global brachial plexus injury: A concise review and our center approach
- The progress of autoimmune hepatitis research and future challenges
- METTL16 in human diseases: What should we do next?
- New insights into the prevention of ureteral stents encrustation
- VISTA as a prospective immune checkpoint in gynecological malignant tumors: A review of the literature
- Case Reports
- Mycobacterium xenopi infection of the kidney and lymph nodes: A case report
- Genetic mutation of SLC6A20 (c.1072T > C) in a family with nephrolithiasis: A case report
- Chronic hepatitis B complicated with secondary hemochromatosis was cured clinically: A case report
- Liver abscess complicated with multiple organ invasive infection caused by hematogenous disseminated hypervirulent Klebsiella pneumoniae: A case report
- Urokinase-based lock solutions for catheter salvage: A case of an upcoming kidney transplant recipient
- Two case reports of maturity-onset diabetes of the young type 3 caused by the hepatocyte nuclear factor 1α gene mutation
- Immune checkpoint inhibitor-related pancreatitis: What is known and what is not
- Does total hip arthroplasty result in intercostal nerve injury? A case report and literature review
- Clinicopathological characteristics and diagnosis of hepatic sinusoidal obstruction syndrome caused by Tusanqi – Case report and literature review
- Synchronous triple primary gastrointestinal malignant tumors treated with laparoscopic surgery: A case report
- CT-guided percutaneous microwave ablation combined with bone cement injection for the treatment of transverse metastases: A case report
- Malignant hyperthermia: Report on a successful rescue of a case with the highest temperature of 44.2°C
- Anesthetic management of fetal pulmonary valvuloplasty: A case report
- Rapid Communication
- Impact of COVID-19 lockdown on glycemic levels during pregnancy: A retrospective analysis
- Erratum
- Erratum to “Inhibition of miR-21 improves pulmonary vascular responses in bronchopulmonary dysplasia by targeting the DDAH1/ADMA/NO pathway”
- Erratum to: “Fer exacerbates renal fibrosis and can be targeted by miR-29c-3p”
- Retraction
- 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”
- Retraction of “circ_0062491 alleviates periodontitis via the miR-142-5p/IGF1 axis”
- Retraction of “miR-223-3p alleviates TGF-β-induced epithelial-mesenchymal transition and extracellular matrix deposition by targeting SP3 in endometrial epithelial cells”
- Retraction of “SLCO4A1-AS1 mediates pancreatic cancer development via miR-4673/KIF21B axis”
- Retraction of “circRNA_0001679/miR-338-3p/DUSP16 axis aggravates acute lung injury”
- Retraction of “lncRNA ACTA2-AS1 inhibits malignant phenotypes of gastric cancer cells”
- Special issue Linking Pathobiological Mechanisms to Clinical Application for cardiovascular diseases
- Effect of cardiac rehabilitation therapy on depressed patients with cardiac insufficiency after cardiac surgery
- Special issue The evolving saga of RNAs from bench to bedside - Part I
- FBLIM1 mRNA is a novel prognostic biomarker and is associated with immune infiltrates in glioma
- Special Issue Computational Intelligence Methodologies Meets Recurrent Cancers - Part III
- Development of a machine learning-based signature utilizing inflammatory response genes for predicting prognosis and immune microenvironment in ovarian cancer