Abstract

The osteogenic differentiation of human bone mesenchymal stromal cells (BMSCs) has been considered as a central issue in fracture healing. Wnt signaling could promote BMSC osteogenic differentiation through inhibiting PPARγ. During atrophic nonunion, Wnt signaling-related factors, WNT5A and FZD3 proteins, were significantly reduced, along with downregulation of Runx2, ALP, and Collagen I and upregulation of PPARγ. Here, we performed a microarray analysis to identify differentially expressed miRNAs in atrophic nonunion tissues that were associated with Wnt signaling through targeting related factors. Of upregulated miRNAs, miR-381 overexpression could significantly inhibit the osteogenic differentiation in primary human BMSCs while increase in PPARγ protein level. Through binding to the 3′UTR of WNT5A and FZD3, miR-381 modulated the osteogenic differentiation via regulating β-catenin nucleus translocation. Moreover, PPARγ, an essential transcription factor inhibiting osteogenic differentiation, could bind to the promoter region of miR-381 to activate its expression. Taken together, PPARγ-induced miR-381 upregulation inhibits the osteogenic differentiation in human BMSCs through miR-381 downstream targets, WNT5A and FZD3, and β-catenin nucleus translocation in Wnt signaling. The in vivo study also proved that inhibition of miR-381 promoted the fracture healing. Our finding may provide a novel direction for atrophic nonunion treatment.

Highlights

  • Atrophic nonunion is a permanent failure of healing following bone fracture injury and commonly exists about 6 months after fracture[1,2]

  • Immunoblotting revealed that the protein levels of WNT5A, FZD3, Runx[2], alkaline phosphatase (ALP), and Collagen I were significantly reduced while peroxisome proliferator-activated receptor γ (PPARγ) was increased in nonunion tissues (Fig. 1b–h), suggesting that the osteogenic differentiation in nonunion tissues may be inhibited

  • Wnt signaling was inhibited in bone mesenchymal stromal cells (BMSCs) osteogenesis accompanied with upregulation of PPARγ protein. miR-381 overexpression inhibited osteogenic differentiation through targeting WNT5A and FZD3, two essential factors in Wnt signaling, thereby inhibiting β-catenin nucleus translocation

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Summary

Introduction

Atrophic nonunion is a permanent failure of healing following bone fracture injury and commonly exists about 6 months after fracture[1,2]. Atrophic nonunion may be owing to many factors, including inadequate immobilization and inadequate blood supply[2]; yet, the underlying physiopathology is still unclear. The major role of osteogenesis in nonunion and fracture healing has been reported. BMSC osteogenic differentiation, the expression of timely expressed genes, including Runt-related transcription factor 2 (Runx2), alkaline phosphatase (ALP), and Collagen I, and the mineralization of extracellular matrix could be observed[9,10]. In spite of the essential role of BMSCs in osteogenic differentiation, the differentiation potential and function of the human BMSCs in atrophic nonunion patients is still poorly understood.

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