miR‐23a‐3p‐abundant small extracellular vesicles released from Gelma/nanoclay hydrogel for cartilage regeneration
Open accessAbstract
Articular cartilage has limited self‐regenerative capacity and the therapeutic methods for cartilage defects are still dissatisfactory in clinic. Recent studies showed that exosomes derived from mesenchymal stem cells promoted chondrogenesis by delivering bioactive substances to the recipient cells, indicating exosomes might be a novel method for repairing cartilage defect. Herein, we investigated the role and mechanism of human umbilical cord mesenchymal stem cells derived small extracellular vesicles (hUC‐MSCs‐sEVs) on cartilage regeneration. In vitro results showed that hUC‐MSCs‐sEVs promoted the migration, proliferation and differentiation of chondrocytes and human bone marrow mesenchymal stem cells (hBMSCs). MiRNA microarray showed that miR‐23a‐3p was the most highly expressed among the various miRNAs contained in hUC‐MSCs‐sEVs. Our data revealed that hUC‐MSCs‐sEVs promoted cartilage regeneration by transferring miR‐23a‐3p to suppress the level of PTEN and elevate expression of AKT. Moreover, we fabricated Gelatin methacrylate (Gelma)/nanoclay hydrogel (Gel‐nano) for sustained release of sEVs, which was biocompatible and exhibited excellent mechanical property. In vivo results showed that hUC‐MSCs‐sEVs containing Gelma/nanoclay hydrogel (Gel‐nano‐sEVs) effectively promoted cartilage regeneration. These results indicated that Gel‐nano‐sEVs have a promising capacity to stimulate chondrogenesis and heal cartilage defects, and also provided valuable data for understanding the role and mechanism of hUC‐MSCs‐sEVs in cartilage regeneration.
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During human cartilage regeneration, expression level of miR-23a-3p in small extracellular vesicles derived from umbilical cord mesenchymal stem cells was significantly ramped up, inhibiting PTEN.
“during human cartilage regeneration, the expression level of miR-23a-3p in small extracellular vesicles derived from umbilical cord mesenchymal stem cells was significantly ramped up, inhibiting the expression level of PTEN.”
From Recent advances of miR-23 in human diseases and growth development (2025) · cites this paper as [112]
The Results section reports that vesicles from human umbilical cord mesenchymal stem cells delivered miR-23a-3p into chondrocytes and human bone marrow mesenchymal stem cells, where miR-23a-3p increased and PTEN decreased. It does not report that miR-23a-3p expression increased within the vesicles during human cartilage regeneration; its microarray finding is that miR-23a-3p was the most highly expressed miRNA in those vesicles. (LLM, conf=0.88)
Experimental — accuracy not yet measuredHuman hemoglobin combined with vesicles-derived miR-23a-3p overexpression through gel scaffold can repair and reconstruct bone through the PTEN/AKT signal pathway, and promote osteogenesis and angiogenesis.
“Human hemoglobin combined with vesicles-derived miR-23a-3p overexpression through gel scaffold can repair and reconstruct bone through PTEN/AKT signal pathway, and promote osteogenesis and angiogenesis [[111], [112], [113]].”
From Recent advances of miR-23 in human diseases and growth development (2025) · cites this paper as [112]
The Results section reports that vesicle-delivered miR-23a-3p targets PTEN and activates AKT signalling; the Discussion reports cartilage regeneration using a Gelma/nanoclay hydrogel. The paper does not report a human-hemoglobin combination, bone reconstruction, osteogenesis, or angiogenesis. Page numbers were not provided in our copy. (LLM, conf=0.89)
Experimental — accuracy not yet measuredWithin the first 24 h of osteoclast formation, the miR-23 family displayed differential downregulation between undifferentiated cells and macrophages stimulated by RANKL.
“Within the first 24 h of osteoclast formation, the miR-23 family displayed differential downregulation between undifferentiated cells and macrophages stimulated by receptor activator of nuclear factor-B ligand (RANKL).”
From Recent advances of miR-23 in human diseases and growth development (2025) · cites this paper as [112]
The Results discuss miR-23a-3p in chondrocytes and hBMSCs, including a 24-hour chondrocyte experiment, but do not address osteoclast formation. Searches for RANKL-stimulated macrophages and first-24-hour miR-23-family downregulation found no passage supporting the claim in our copy. (LLM, conf=0.76)
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References 55 · Cited by 310
Research works printed but not linked: 52
- [1]Iannone F, Lapadula G. Phenotype of chondrocytes in osteoarthritis. Biorheology. 2008; 45(3–4): 411– 18. 18836241
- [2]Yin L, Wu Y, Yang Z, et al Characterization and application of size-sorted zonal chondrocytes for articular cartilage regeneration. Biomaterials. 2018; 165: 66– 78. 29518707
- [3]Kowalczuk M, Musahl V. F.h.j.c.o. fu, r. research, cochrane in corr®: surgical interventions (microfracture, drilling, mosaicplasty, and allograft transplantation) for treating isolated cartilage defects of the knee in adults. Clin Orthop Relat Res 2018; 476(1): 16. PMC5919244 29389754
- [4]Kon E, Filardo G, Di Martino A, et al ACI and MACI. Journal of Knee Surgery. 2012; 25(1): 017–022. 22624243
- [5]Basad E, Ishaque B, Bachmann G, et al J.J.K.s. Steinmeyer, sports traumatology, arthroscopy, Matrix-induced autologous chondrocyte implantation versus microfracture in the treatment of cartilage defects of the knee: a 2-year randomised study. Knee Surg Sports Traumatol Arthrosc18 2010; 18(4): 519– 527. 20062969
- [6]Lu Z, Liu S, Le Y, et al An injectable collagen-genipin-carbon dot hydrogel combined with photodynamic therapy to enhance chondrogenesis. Biomaterials. 2019; 218: 119190. 31326656
- [7]Moradi L, Vasei M, Dehghan MM, et al Regeneration of meniscus tissue using adipose mesenchymal stem cells-chondrocytes co-culture on a hybrid scaffold: in vivo study. Biomaterials. 2017; 126: 18– 30. 28242519
- [8]Zhu Y, Kong L, Farhadi F, et al An injectable continuous stratified structurally and functionally biomimetic construct for enhancing osteochondral regeneration. Biomaterials. 2019; 192: 149– 158. 30448699
- [9]Yang W, Zhang J, Xu B, et al HucMSC-derived exosomes mitigate the age-related retardation of fertility in female mice. Mol Ther. 2020; 28(4): 1200– 1213. 32097602 PMC7132622
- [10]Wu J, Kuang L, Chen C, et al miR-100-5p-abundant exosomes derived from infrapatellar fat pad MSCs protect articular cartilage and ameliorate gait abnormalities via inhibition of mTOR in osteoarthritis. Biomaterials. 2019; 206: 87– 100. 30927715
- [11]Wang M, Wang C, Chen M, et al Efficient angiogenesis-based diabetic wound healing/skin reconstruction through bioactive antibacterial adhesive ultraviolet shielding nanodressing with exosome release. ACS Nano. 2019;13(9):10279–10293. 31483606
- [12]Zhang ZG, Buller B, Chopp M Exosomes – beyond stem cells for restorative therapy in stroke and neurological injury. Nat Rev Neurol. 2019; 15(4): 193– 203. 30700824
- [13]Tao SC, Yuan T, Zhang YL, et al Exosomes derived from miR-140-5p-overexpressing human synovial mesenchymal stem cells enhance cartilage tissue regeneration and prevent osteoarthritis of the knee in a rat model. Theranostics. 2017; 7(1): 180– 195. 28042326 PMC5196895
- [14]Liu X, Yang Y, Li Y, et al Integration of stem cell-derived exosomes with in situ hydrogel glue as a promising tissue patch for articular cartilage regeneration. Nanoscale. 2017; 9(13): 4430– 4438. 28300264
- [15]Zhang S, Chuah SJ, Lai RC, et al MSC exosomes mediate cartilage repair by enhancing proliferation, attenuating apoptosis and modulating immune reactivity. Biomaterials. 2018; 156: 16– 27. 29182933
- [16]Phinney DG, Pittenger MF Concise review: msc-derived exosomes for cell-free therapy. Stem Cells. 2017; 35(4): 851– 858. 28294454
- [17]Chen P, Zheng L, Wang Y, et al Desktop-stereolithography 3D printing of a radially oriented extracellular matrix/mesenchymal stem cell exosome bioink for osteochondral defect regeneration. Theranostics. 2019; 9(9): 2439– 2459. 31131046 PMC6525998
- [19]Li CJ, Cheng P, Liang MK, et al MicroRNA-188 regulates age-related switch between osteoblast and adipocyte differentiation. J Clin Invest. 2015; 125(4): 1509– 1522. 25751060 PMC4396470
- [20]Thind A, Wilson C Exosomal miRNAs as cancer biomarkers and therapeutic targets. J Extracell Vesicles. 2016; 5(1): 31292. 27440105 PMC4954869
- [21]Chen S, Tang F, Tang L, et al Synthesis of cu-nanoparticle hydrogel with self-healing and photothermal properties. ACS Appl Mater Interfaces. 2017; 9(24): 20895– 20903. 28569057
- [22]Zhao Z, Fang R, Rong Q, et al Bioinspired nanocomposite hydrogels with highly ordered structures. Adv Mater. 2017; 29(45): 1703045. 29059482
- [23]Hasany M, Thakur A, Taebnia N, et al combinatorial screening of nanoclay-reinforced hydrogels: a glimpse of the “holy grail” in orthopedic stem cell therapy? ACS Appl Mater Interfaces. 2018; 10(41): 34924– 34941. 30226363
- [24]Jin Y, Shen Y, Yin J, et al Nanoclay-based self-supporting responsive nanocomposite hydrogels for printing applications. ACS Appl Mater Interfaces. 2018; 10(12): 10461– 10470. 29493213
- [25]Gosset M, Berenbaum F, Thirion S, et al Primary culture and phenotyping of murine chondrocytes. Nat Protoc. 2008; 3(8): 1253. 18714293
- [27]Au - Jung MK, Au- Mun JY Sample preparation and imaging of exosomes by transmission electron microscopy. J Vis Exp 2018; 131: e56482. PMC5908436 29364263
- [28]Haftmann C, Riedel R, Porstner M, et al Direct uptake of Antagomirs and efficient knockdown of miRNA in primary B and T lymphocytes. J Immunol Methods. 2015; 426: 128– 133. 26187895 PMC4655414
- [29]Zhang Z, Kang Y, Zhang Z, et al Expression of microRNAs during chondrogenesis of human adipose-derived stem cells. Osteoarthritis Cartilage. 2012; 20(12): 1638– 1646. 22947280
- [30]Meng F, Li Z, Zhang Z, et al MicroRNA-193b-3p regulates chondrogenesis and chondrocyte metabolism by targeting HDAC3. Theranostics. 2018; 8(10): 2862– 2883. 29774080 PMC5957014
- [31]Zhu Z, Liu Y, Xue Y, et al Tazarotene released from aligned electrospun membrane facilitates cutaneous wound healing by promoting angiogenesis. ACS Appl Mater Interfaces. 2019; 11(39): 36141– 36153. 31503444
- [32]Park H, Guo X, Temenoff JS, et al Effect of swelling ratio of injectable hydrogel composites on chondrogenic differentiation of encapsulated rabbit marrow mesenchymal stem cells in vitro. Biomacromolecules. 2009; 10(3): 541– 546. 19173557 PMC2765566
- [33]Wu J, Ding Q, Dutta A, et al An injectable extracellular matrix derived hydrogel for meniscus repair and regeneration. Acta Biomater. 2015; 16: 49– 59. 25644450
- [34]Chen Y, Wu T, Huang S, et al Sustained Release SDF-1alpha/TGF-beta1-Loaded Silk Fibroin-Porous Gelatin Scaffold Promotes Cartilage Repair. ACS Appl Mater Interfaces. 2019; 11(16): 14608– 14618. 30938503
- [35]Xin H, Li Y, Chopp M Exosomes/miRNAs as mediating cell-based therapy of stroke. Front Cell Neurosci. 2014; 8: 377. 25426026 PMC4226157
- [36]Xie J, Lin J, Wei M, et al Sustained Akt signaling in articular chondrocytes causes osteoarthritis via oxidative stress-induced senescence in mice. Bone Res 2019; 7(1): 1– 9. PMC6804644 31646013
- [37]Murphy CM, Haugh MG, O’Brien FJ The effect of mean pore size on cell attachment, proliferation and migration in collagen-glycosaminoglycan scaffolds for bone tissue engineering. Biomaterials. 2010; 31(3): 461– 466. 19819008
- [38]Perez RA, Mestres G Role of pore size and morphology in musculo-skeletal tissue regeneration Materials science & engineering. C. Mater Biol Appl. 2016; 61: 922– 939. 26838923
- [39]van den Borne MP, Raijmakers NJ, Vanlauwe J, et al International Cartilage Repair Society (ICRS) and Oswestry macroscopic cartilage evaluation scores validated for use in Autologous Chondrocyte Implantation (ACI) and microfracture. Osteoarthritis Cartilage. 2007; 15(12): 1397– 1402. 17604187
- [40]Yin L, Wu Y, Yang Z, et al Characterization and application of size-sorted zonal chondrocytes for articular cartilage regeneration. Biomaterials 2018; 165: 66– 78. 29518707
- [41]Liu S, Hou KD, Yuan M, et al Characteristics of mesenchymal stem cells derived from Wharton’s jelly of human umbilical cord and for fabrication of non-scaffold tissue-engineered cartilage. J Biosci Bioeng. 2014; 117(2): 229– 235. 23899897
- [42]Chen S, Tang Y, Liu Y, et al Exosomes derived from miR-375-overexpressing human adipose mesenchymal stem cells promote bone regeneration. Cell Prolif. 2019; 52(5): e12669. 31380594 PMC6797519
- [43]Li X, Liu L, Yang J, et al Exosome derived from human umbilical cord mesenchymal stem cell mediates mir-181c attenuating burn-induced excessive inflammation. EBioMedicine. 2016; 8: 72– 82. 27428420 PMC4919539
- [44]Tan AR, Dong EY, Andry JP, et al Coculture of engineered cartilage with primary chondrocytes induces expedited growth. Clin Orthop Relat Res. 2011; 469(10): 2735– 2743. 21267800 PMC3171525
- [45]Liu X, Sun H, Yan D, et al In vivo ectopic chondrogenesis of BMSCs directed by mature chondrocytes. Biomaterials. 2010; 31(36): 9406– 9414. 21056466
- [46]Valadi H, Ekstrom K, Bossios A, et al Exosome-mediated transfer of mRNAs and microRNAs is a novel mechanism of genetic exchange between cells. Nat Cell Biol. 2007; 9(6): 654– 659. 17486113
- [47]Hannafon BN, Ding WQ Intercellular communication by exosome-derived microRNAs in cancer. Int J Mol Sci. 2013; 14(7): 14240– 14269. 23839094 PMC3742242
- [48]Zhang A, Li M, Wang B, et al miRNA-23a/27a attenuates muscle atrophy and renal fibrosis through muscle-kidney crosstalk. J Cachexia Sarcopenia Muscle. 2018; 9(4): 755– 770. 29582582 PMC6104113
- [49]Manning BD, Toker A AKT/PKB Signaling: navigating the Network. Cell. 2017; 169(3): 381– 405. 28431241 PMC5546324
- [50]Price J, Zaidi AK, Bohensky J, et al Akt-1 mediates survival of chondrocytes from endoplasmic reticulum-induced stress. J Cell Physiol. 2010; 222(3): 502– 508. 20020442
- [51]Taylor DL M. in het panhuis, self-healing hydrogels. Adv Mater. 2016; 28(41): 9060– 9093. 27488822
- [52]Dou X-Q, Feng C-L Amino acids and peptide-based supramolecular hydrogels for three-dimensional cell culture. Adv Mater. 2017; 29(16): 1604062. 28112836
- [53]Oliva N, Conde J, Wang K, et al Designing hydrogels for on-demand therapy. Acc Chem Res. 2017; 50(4): 669– 679. 28301139 PMC6527116
- [54]Lai W-F, Rogach AL Hydrogel-based materials for delivery of herbal medicines. ACS Appl Mater Interfaces. 2017; 9(13): 11309– 11320. 28244320
- Authors
- Hu, H., Dong, L., Bu, Z., Shen, Y., Luo, J., Zhang, H., Zhao, S., Lv, F., & Liu, Z.
- Affiliations
- Wenzhou Medical University (CN)
- Shanghai Jiao Tong University (CN)
- Second Military Medical University (CN)
- East China Normal University (CN)
- Southern Medical University (CN)
- Corresponding author
- Zhao, Shichang
- Lv, Fang
- Liu, Zhongtang
- Venue
- Journal of Extracellular Vesicles
- Publisher
- Wiley
- Published
- 2020-06-16
- Volume
- 9
- Issue
- 1
- Pages
- 1778883-1778883
- ISSN
- 2001-3078 (ISSN-L)
- PMC
- PMC7480606
- OpenAlex
- W3034592342
- Cited by
- 310
- References
- 55
- Citations by year
- 2026: 28 · 2025: 58 · 2024: 84 · 2023: 50 · 2022: 57 · 2021: 30 · 2020: 3
- FWCI
- 11.36
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Journal of Extracellular Vesicles (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Key Research and Development Program of China (2018YFC1105102)
- National Natural Science Foundation of China (51673212, 51972212, 81802202)
- by National Key Research and Development Program of China
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Extracellular vesicles in disease
- Health Sciences › Medicine › Rheumatology › Osteoarthritis Treatment and Mechanisms
- Health Sciences › Medicine › Genetics › Mesenchymal stem cell research
- Keywords
- cartilage regeneration, small extracellular vesicles, miR-23a-3p, human umbilical cord mesenchymal stem cells, sustained drug release, chondrogenesis, PTEN, Akt, exosomes, cartilage defects, bone marrow mesenchymal stem cells
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