Exosomes/tricalcium phosphate combination scaffolds can enhance bone regeneration by activating the PI3K/Akt signaling pathway
Open accessAbstract
BACKGROUND: Recently, accumulating evidence has shown that exosomes, the naturally secreted nanocarriers of cells, can exert therapeutic effects in various disease models in the absence of parent cells. However, application of exosomes in bone defect repair and regeneration has been rarely reported, and little is known regarding their underlying mechanisms. METHODS: Exosomes derived from human-induced pluripotent stem cell-derived mesenchymal stem cells (hiPS-MSC-Exos) were combined with tricalcium phosphate (β-TCP) to repair critical-sized calvarial bone defects, and the efficacy was assessed by histological examination. We evaluated the in vitro effects of hiPSC-MSC-Exos on the proliferation, migration, and osteogenic differentiation of human bone marrow-derived mesenchymal stem cells (hBMSCs) by cell-counting, scratch assays, and qRT-PCR, respectively. Gene expression profiling and bioinformatics analyses were also used to identify the underlying mechanisms in the repair. RESULTS: We found that the exosome/β-TCP combination scaffolds could enhance osteogenesis as compared to pure β-TCP scaffolds. In vitro assays showed that the exosomes could release from β-TCP and could be internalized by hBMSCs. In addition, the internalization of exosomes into hBMSCs could profoundly enhance the proliferation, migration, and osteogenic differentiation of hBMSCs. Furthermore, gene expression profiling and bioinformatics analyses demonstrated that exosome/β-TCP combination scaffolds significantly altered the expression of a network of genes involved in the PI3K/Akt signaling pathway. Functional studies further confirmed that the PI3K/Akt signaling pathway was the critical mediator during the exosome-induced osteogenic responses of hBMSCs. CONCLUSIONS: We propose that the exosomes can enhance the osteoinductivity of β-TCP through activating the PI3K/Akt signaling pathway of hBMSCs, which means that the exosome/β-TCP combination scaffolds possess better osteogenesis activity than pure β-TCP scaffolds. These results indicate that naturally secreted nanocarriers-exosomes can be used as a bioactive material to improve the bioactivity of the biomaterials, and that hiPS-MSC-Exos combined with β-TCP scaffolds can be potentially used for repairing bone defects.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
MSC-exosome/β-TCP composite scaffolds had better healing functions on rat calvarial defects.
“In addition, Zhang et al. found MSC-exosome/β-TCP composite scaffolds had better healing functions on rat calvarial defects [88].”
From The Therapeutic Potential and Clinical Significance of Exosomes as Carriers of Drug Delivery System (2022) · cites this paper as [88]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Exosome secreted by MSC reduces myocardial ischemia/reperfusion injury
Lai, R. C., Arslan, F., Lee, M. M., Sze, N. S. K., Choo, A., Chen, T. S., Salto-Tellez, M., Timmers, L., Lee, C. N., El Oakley, R. M., et al. (2010) · Stem Cell Research · doi:10.1016/j.scr.2009.12.003 · Cited by 2,215 · see citing works
Complications of Iliac Crest Bone Graft Harvesting
Arrington, E. D., Smith, W. J., Chambers, H. G., Bucknell, A. L., & Davino, N. A. (1996) · Clinical Orthopaedics and Related Research · doi:10.1097/00003086-199608000-00037 · Cited by 1,548 · see citing works
Exosomes/microvesicles as a mechanism of cell-to-cell communication
Camussi, G., Deregibus, M. C., Bruno, S., Cantaluppi, V., & Biancone, L. (2010) · Kidney International · doi:10.1038/ki.2010.278 · Cited by 1,179 · see citing works
Paracrine Mechanisms of Mesenchymal Stem Cell-Based Therapy: Current Status and Perspectives
Liang, X., Ding, Y., Zhang, Y., Tse, H.-F., & Lian, Q. (2014) · Cell Transplantation · doi:10.3727/096368913x667709 · Cited by 909 · see citing works
Zhang, J., Guan, J., Niu, X., Hu, G., Guo, S., Li, Q., Xie, Z., Zhang, C., & Wang, Y. (2015) · Journal of Translational Medicine · doi:10.1186/s12967-015-0417-0 · Cited by 786 · see citing works
Self-citationDoeppner, T. R., Herz, J., Görgens, A., Schlechter, J., Ludwig, A., Radtke, S., de Miroschedji, K., Horn, P. A., Giebel, B., & Hermann, D. M. (2015) · Stem Cells Translational Medicine · doi:10.5966/sctm.2015-0078 · Cited by 773 · see citing works
Osteoinductive ceramics as a synthetic alternative to autologous bone grafting
Yuan, H., Fernandes, H., Habibovic, P., de Boer, J., Barradas, A. M. C., de Ruiter, A., Walsh, W. R., van Blitterswijk, C. A., & de Bruijn, J. D. (2010) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1003600107 · Cited by 746 · see citing works
HucMSC‐Exosome Mediated‐Wnt4 Signaling Is Required for Cutaneous Wound Healing
Zhang, B., Wang, M., Gong, A.-H., Zhang, X., Wu, X., Zhu, Y.-H., Shi, H., Wu, L.-J., Zhu, W., Qian, H., et al. (2015) · Stem Cells · doi:10.1002/stem.1771 · Cited by 746 · see citing works
Zhang, Y., Chopp, M., Meng, Y., Katakowski, M., Xin, H., Mahmood, A., & Xiong, Y. (2015) · Journal of neurosurgery · doi:10.3171/2014.11.jns14770 · Cited by 737 · see citing works
Shabbir, A., Cox, A., Rodriguez-Menocal, L., Salgado, M., & Badiavas, E. V. (2015) · Stem Cells and Development · doi:10.1089/scd.2014.0316 · Cited by 721 · see citing works
Mesenchymal Stem Cells Secrete Immunologically Active Exosomes
Zhang, B., Yin, Y., Lai, R. C., Tan, S. S., Choo, A. B. H., & Lim, S. K. (2013) · Stem Cells and Development · doi:10.1089/scd.2013.0479 · Cited by 698 · see citing works
Lian, Q., Zhang, Y., Zhang, J., Zhang, H. K., Wu, X., Zhang, Y., Lam, F. F. Y., Kang, S., Xia, J., Lai, W., et al. (2010) · Circulation · doi:10.1161/circulationaha.109.898312 · Cited by 618 · see citing works
Self-citationMesenchymal stem cell secreted vesicles provide novel opportunities in (stem) cell-free therapy
Baglio, S. R., Pegtel, D. M., & Baldini, N. (2012) · Frontiers in Physiology · doi:10.3389/fphys.2012.00359 · Cited by 543 · see citing works
Mesenchymal‐stem‐cell‐derived exosomes accelerate skeletal muscle regeneration
Nakamura, Y., Miyaki, S., Ishitobi, H., Matsuyama, S., Nakasa, T., Kamei, N., Akimoto, T., Higashi, Y., & Ochi, M. (2015) · FEBS Letters · doi:10.1016/j.febslet.2015.03.031 · Cited by 511 · see citing works
Fujita, T., Azuma, Y., Fukuyama, R., Hattori, Y., Yoshida, C. A., Koida, M., Ogita, K., & Komori, T. (2004) · The Journal of Cell Biology · doi:10.1083/jcb.200401138 · Cited by 462 · see citing works
Bcl‐2 and Bcl‐xL play important roles in the crosstalk between autophagy and apoptosis
Zhou, F., Yang, Y., & Xing, D. (2010) · FEBS Journal · doi:10.1111/j.1742-4658.2010.07965.x · Cited by 424 · see citing works
Hu, G., Li, Q., Niu, X., Hu, B., Liu, J., Zhou, S.-M., Guo, S., Lang, H., Zhang, C., Wang, Y., et al. (2015) · Stem Cell Research & Therapy · doi:10.1186/scrt546 · Cited by 394 · see citing works
Self-citationOsugi, M., Katagiri, W., Yoshimi, R., Inukai, T., Hibi, H., & Ueda, M. (2012) · Tissue Engineering Part A · doi:10.1089/ten.tea.2011.0325 · Cited by 382 · see citing works
Extracellular Vesicles: Potential Roles in Regenerative Medicine
de Jong, O. G., van Balkom, B. W. M., Schiffelers, R. M., Bouten, C. V. C., & Verhaar, M. C. (2014) · Frontiers in Immunology · doi:10.3389/fimmu.2014.00608 · Cited by 353 · see citing works
Fractures of allografts. Frequency, treatment, and end-results.
Berrey, B. H., Lord, C. F., Gebhardt, M. C., et al. (1990) · Journal of Bone and Joint Surgery · doi:10.2106/00004623-199072060-00005 · Cited by 351 · see citing works
Mechanisms of bone repair and regeneration
Deschaseaux, F., Sensebé, L., & Heymann, D. (2009) · Trends in Molecular Medicine · doi:10.1016/j.molmed.2009.07.002 · Cited by 322 · see citing works
Exosomes/miRNAs as mediating cell-based therapy of stroke
Xin, H., Li, Y., & Chopp, M. (2014) · Frontiers in Cellular Neuroscience · doi:10.3389/fncel.2014.00377 · Cited by 302 · see citing works
Ghosh‐Choudhury, N., Abboud, S. L., Nishimura, R., Celeste, A. J., Mahimainathan, L., & Choudhury, G. G. (2002) · Journal of Biological Chemistry · doi:10.1074/jbc.m205053200 · Cited by 299 · see citing works
Jiang, Z.-Z., Liu, Y., Niu, X., Yin, J., Hu, B., Guo, S., Fan, Y., Wang, Y., & Wang, N. (2016) · Stem Cell Research & Therapy · doi:10.1186/s13287-016-0287-2 · Cited by 271 · see citing works
Self-citationHuman endothelial colony-forming cells protect against acute kidney injury: role of exosomes.
Burger, D., Viñas, J., Akbari, S., Dehak, H., Knoll, W., Gutsol, A., Carter, A. J., Touyz, R., Allan, D., & Burns, K. D. (2015) · American Journal of Pathology · doi:10.1016/j.ajpath.2015.04.010 · Cited by 212 · see citing works
Villa-Diaz, L. G., Brown, S. E., Liu, Y., Ross, A. M., Lahann, J., Parent, J. M., & Krebsbach, P. H. (2012) · Stem Cells · doi:10.1002/stem.1084 · Cited by 212 · see citing works
Safety of Mesenchymal Stem Cells for Clinical Application
Wang, Y., Han, Z., Song, Y., & Han, Z. (2012) · Stem Cells International · doi:10.1155/2012/652034 · Cited by 206 · see citing works
Self-citationLai, R. C., Arslan, F., Tan, S. S., Tan, B., Choo, A. B. H., Lee, M. M., Chen, T. S., Teh, B. J., Eng, J. K. L., Sidik, H., et al. (2010) · Journal of Molecular and Cellular Cardiology · doi:10.1016/j.yjmcc.2009.12.021 · Cited by 152 · see citing works
Fu, Q., Chow, Y. Y., Sun, S., Zeng, Q., Li, H., Shi, J., Sun, Y., Wen, W., Tse, H., Lian, Q., et al. (2012) · Allergy · doi:10.1111/j.1398-9995.2012.02875.x · Cited by 143 · see citing works
Self-citationTsai, K., Kao, S., Wang, C., et al. (2010) · Journal of Biomedical Materials Research Part A · doi:10.1002/jbm.a.32693 · Cited by 129 · see citing works
Mesenchymal Stem Cell Exosome Ameliorates Reperfusion Injury Through Proteomic Complementation
Lai, R. C., Yeo, R. W. Y., Tan, K. H., & Lim, S. K. (2013) · Regenerative Medicine · doi:10.2217/rme.13.4 · Cited by 129 · see citing works
A simple method for deriving functional MSCs and applied for osteogenesis in 3D scaffolds
Zou, L., Luo, Y., Chen, M., Wang, G., Ding, M. L., Petersen, C. C., Kang, R., Dagnæs‐Hansen, F., Zeng, Y., Lv, N., et al. (2013) · Scientific Reports · doi:10.1038/srep02243 · Cited by 127 · see citing works
Exosomes Released by Islet-Derived Mesenchymal Stem Cells Trigger Autoimmune Responses in NOD Mice
Rahman, M. J., Regn, D., Bashratyan, R., & Dai, Y. D. (2013) · Diabetes · doi:10.2337/db13-0859 · Cited by 122 · see citing works
Katagiri, W., Osugi, M., Kawai, T., & Hibi, H. (2016) · Head & Face Medicine · doi:10.1186/s13005-016-0101-5 · Cited by 122 · see citing works
Radcliff, K. E., Tang, T.-B., Lim, J., Zhang, Z., Abedin, M., Demer, L. L., & Tintut, Y. (2005) · Circulation Research · doi:10.1161/01.res.0000157671.47477.71 · Cited by 118 · see citing works
Zou, D., Zhang, Z., He, J., Zhu, S., Wang, S., Zhang, W., Zhou, J., Xu, Y., Huang, Y., Wang, Y., et al. (2011) · Biomaterials · doi:10.1016/j.biomaterials.2011.09.005 · Cited by 116 · see citing works
Self-citationDebiais, F., Lefevre, G. M., Lemonnier, J., Mée, S. L., Lasmoles, F., Mascarelli, F., & Marie, P. J. (2004) · Experimental Cell Research · doi:10.1016/j.yexcr.2004.03.032 · Cited by 80 · see citing works
Wang, K., Xu, L., Rui, Y., Huang, S., Lin, S., Xiong, J., Li, Y., Lee, W., & Li, G. (2015) · PLoS ONE · doi:10.1371/journal.pone.0120593 · Cited by 74 · see citing works
Akt Activation is Required for TGF-β1-Induced Osteoblast Differentiation of MC3T3-E1 Pre-Osteoblasts
Suzuki, E., Ochiai-Shino, H., Aoki, H., Onodera, S., Saito, A. M., Saitô, A., & Azuma, T. (2014) · PLoS ONE · doi:10.1371/journal.pone.0112566 · Cited by 63 · see citing works
Repair of segmental long bone defect in rabbit femur using bioactive titanium cylindrical mesh cage
Fujibayashi, S., Kim, H., Neo, M., et al. (2003) · Biomaterials · doi:10.1016/s0142-9612(03)00221-7 · Cited by 62 · see citing works
Guan, J., Zhang, J., Zhu, Z., Niu, X., Guo, S., Wang, Y., & Zhang, C. (2015) · Stem Cell Research & Therapy · doi:10.1186/scrt539 · Cited by 46 · see citing works
Self-citationYOKOTA, J., Chosa, N., Sawada, S., Okubo, N., Takahashi, N. K., Hasegawa, T., Kondo, H., & Ishisaki, A. (2013) · International Journal of Molecular Medicine · doi:10.3892/ijmm.2013.1606 · Cited by 44 · see citing works
Han, P., Xu, M., Chang, J., Chakravorty, N., Wu, C., & Xiao, Y. (2014) · Biomaterials Science · doi:10.1039/c4bm00111g · Cited by 39 · see citing works
Zhang, J., Guan, J., Zhang, C., Wang, H., Huang, W., Guo, S., Niu, X., Xie, Z., & Wang, Y. (2015) · Biomedical Materials · doi:10.1088/1748-6041/10/6/065011 · Cited by 33 · see citing works
Self-citationWharton’s jelly mesenchymal stem cells promote wound healing and tissue regeneration
Kamolz, L., Keck, M. K., & Kasper, C. (2014) · Stem Cell Research & Therapy · doi:10.1186/scrt451 · Cited by 32 · see citing works
Zhou, H., Xiao, C., Wang, Y., et al. (2010) · Investigative Ophthalmology & Visual Science · doi:10.1167/iovs.10-5988 · Cited by 23 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
Zhang, S., Chuah, S. J., Lai, R. C., Hui, J. H. P., Lim, S. K., & Toh, W. S. (2018) · Biomaterials · doi:10.1016/j.biomaterials.2017.11.028 · Cited by 919 · see citing works
Luo, Z.-W., Li, F.-X.-Z., Liu, Y.-W., Rao, S.-S., Yin, H., Huang, J., Chen, C.-Y., Hu, Y., Zhang, Y., Tan, Y.-J., et al. (2019) · Nanoscale · doi:10.1039/c9nr02791b · Cited by 281 · see citing works
Self-citationWang, Y., Cao, Z., Wei, Q., Ma, K., Hu, W., Huang, Q., Su, J., Li, H., Zhang, C., & Fu, X. (2022) · Acta Biomaterialia · doi:10.1016/j.actbio.2022.05.018 · Cited by 225 · see citing works
Self-citationLiu, A., Lin, D., Zhao, H., Chen, L., Cai, B., Lin, K., & Shen, S. G. (2021) · Biomaterials · doi:10.1016/j.biomaterials.2021.120718 · Cited by 201 · see citing works
The Therapeutic Potential and Clinical Significance of Exosomes as Carriers of Drug Delivery System
Li, T., Li, X., Han, G., Liang, M., Yang, Z., Zhang, C., Huang, S., Tai, S., & Yu, S. (2022) · Pharmaceutics · doi:10.3390/pharmaceutics15010021 · Cited by 110 · see citing works
Exosomes: Mediators of bone diseases, protection, and therapeutics potential
Behera, J., & Tyagi, N. (2018) · Oncoscience · doi:10.18632/oncoscience.421 · Cited by 101 · see citing works
Kyung Kim, D., Lee, S., Kim, M., Jeong, Y., & Lee, S. (2021) · Chemical Engineering Journal · doi:10.1016/j.cej.2020.127080 · Cited by 57 · see citing works
Exosomes: a tool for bone tissue engineering
Huber, J., Griffin, M. F., Longaker, M. T., & Quarto, N. (2022) · Tissue Engineering Part B Reviews · doi:10.1089/ten.teb.2020.0246 · Cited by 41 · see citing works
MSC-Exos: important active factor of bone regeneration
Ren, S., Lin, Y., Liu, W., Yang, L., & Zhao, M. (2023) · Frontiers in Bioengineering and Biotechnology · doi:10.3389/fbioe.2023.1136453 · Cited by 37 · see citing works
Engineering exosomes for bone defect repair
Ma, S., Zhang, Y., Li, S., Li, A., Li, Y., & Pei, D. (2022) · Frontiers in Bioengineering and Biotechnology · doi:10.3389/fbioe.2022.1091360 · Cited by 38 · see citing works
Lu, H., Zhang, Y., Xiong, S., Zhou, Y., Xiao, L., Ma, Y., Xiao, Y., & Wang, X. (2021) · Frontiers in Chemistry · doi:10.3389/fchem.2021.699802 · Cited by 36 · see citing works
Tian, T., Qiao, S., & Tannous, B. A. (2023) · ACS Applied Materials & Interfaces · doi:10.1021/acsami.2c07981 · Cited by 27 · see citing works
Amadeo, F., Trivino Cepeda, K., Littlewood, J., Wilm, B., Taylor, A., & Murray, P. (2021) · Emerging Topics in Life Sciences · doi:10.1042/etls20210013 · Cited by 20 · see citing works
Moradi, N., Zomorrod, M. S., Hosseinzadeh, S., & Soleimani, M. (2023) · BioImpacts · doi:10.34172/bi.2023.27510 · Cited by 7 · see citing works
“9,15,44 We have prepared a novel scaffold (PAA/triCaPNP) by the cross-linking method as described.”
BackgroundMethod
- Authors
- Zhang, J., Liu, X., Li, H., Chen, C., Hu, B., Niu, X., Li, Q., Zhao, B., Xie, Z., & Wang, Y.
- Affiliations
- Shanghai Jiao Tong University (CN)
- Shanghai Sixth People's Hospital (CN)
- Corresponding author
- Xie, Zongping
- Wang, Yang
- Venue
- Stem Cell Research & Therapy
- Published
- 2016-09-20
- Volume
- 7
- Issue
- 1
- Pages
- 136-136
- ISSN
- 1757-6512 (ISSN-L)
- PMC
- PMC5028974
- OpenAlex
- W2523417713
- Cited by
- 431
- References
- 46
- Citations by year
- 2026: 25 · 2025: 44 · 2024: 54 · 2023: 47 · 2022: 54 · 2021: 69 · 2020: 54 · 2019: 41 · 2018: 31 · 2017: 12
- FWCI
- 13.48
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Stem Cell Research & Therapy (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- National Natural Science Foundation of China (81472152, 81371938, 31470918, 81572120)
- Topics
- Physical Sciences › Engineering › Biomedical Engineering › Bone Tissue Engineering Materials
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Extracellular vesicles in disease
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Medicinal Plant Pharmacodynamics Research
- Keywords
- exosomes, tricalcium phosphate, bone regeneration, PI3K/Akt signaling, induced pluripotent stem cell-derived mesenchymal stem cells, bone marrow-derived mesenchymal stem cells, osteogenic differentiation, calvarial defect, exosome internalization
- MeSH terms
- Animals, Bone Regeneration, Calcium Phosphates, Cell Differentiation, Cell Movement, Cells, Cultured, Gene Expression Regulation, Humans, Osteogenesis, Skull, Signal Transduction, Rats, Sprague-Dawley, Phosphatidylinositol 3-Kinases, Gene Expression Profiling, Cell Proliferation, Proto-Oncogene Proteins c-akt, Rats, Tissue Scaffolds, Exosomes, Induced Pluripotent Stem Cells, Mesenchymal Stem Cells
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review