Abstract

ObjectivesTemporomandibular joint osteoarthritis (TMJOA) is an inflammatory joint disease. This study investigated whether exosomes (Exos) of stem cells from human exfoliated deciduous teeth (SHEDs) have a therapeutic effect on TMJ inflammation and elucidated the underlying mechanisms.Materials and methodsSHEDs were verified by flow cytometry. SHED-Exos were identified by western blotting, nanoparticle tracking analysis, and transmission electron microscopy. Western blot and RT-qPCR were performed to verify the anti-inflammatory effects of SHED-Exos. MicroRNA (miRNA) array analysis was conducted to determine the miRNA expression profiles of SHED-Exos, and the key pathways were analyzed. After chondrocytes were treated with an miR-100-5p mimic or rapamycin, relative expression of genes was measured by RT-qPCR and western blotting. A luciferase reporter assay was performed to reveal the molecular role of the exosomal miR-100 target, mTOR.ResultsMiR-100-5p was enriched in the SHED-Exos. Treatment with SHED-Exos suppressed the expression of interleukin-6 (IL-6), IL-8, matrix metalloproteinase 1 (MMP1), MMP3, MMP9, MMP13, and disintegrin and metalloproteinase with thrombospondin motifs 5 (ADAMTS5). Chondrocytes treated with the miR-100 mimic showed lower expression of MMP1, MMP9, MMP13, ADAMTS5, and mTOR. In contrast, miR-100 downregulation upregulated the MMPs and mTOR. Rapamycin treatment upregulated miR-100 and downregulated MMPs and ADAMTS5. Furthermore, the luciferase reporter assay demonstrated that miR-100-5p directly targeted the mTOR 3′ untranslated region and that SHED-Exos miR-100-5p repressed mTOR expression.ConclusionsThis study demonstrated that SHED-Exos suppress inflammation in TMJ chondrocytes and may thus be a novel therapeutic agent for TMJ inflammation.

Highlights

  • The temporomandibular joint (TMJ) is a synovial joint that performs the most complicated movement in the human body

  • Treatment with Stem cells from human exfoliated deciduous teeth (SHEDs)-Exos suppressed the expression of interleukin-6 (IL-6), IL-8, matrix metalloproteinase 1 (MMP1), Matrix metalloproteinase-3 (MMP3), MMP9, Matrix metalloproteinase-13 (MMP13), and disintegrin and metalloproteinase with thrombospondin motifs 5 (ADAMTS5)

  • This study demonstrated that SHED-Exos suppress inflammation in TMJ chondrocytes and may be a novel therapeutic agent for TMJ inflammation

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Summary

Introduction

The temporomandibular joint (TMJ) is a synovial joint that performs the most complicated movement in the human body. Stem cells from human exfoliated deciduous teeth (SHEDs) are an ideal cell source for regenerative medicine as they are highly proliferative, have high multipotency, and are immunosuppressive [8,9,10,11]. It is well-documented that MSCs release a rich secretome containing large amounts of cytokines, growth factors, chemokines, and extracellular nanoparticles. Increasing evidence has demonstrated that the small membrane vesicles called exosomes play a key role in the mechanism of action in stem cell therapy [12, 14]. It is believed that exosomes hold great promise as a cell-free therapy because of their safety and low immunogenicity [20]

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