miR-127-5p-enriched extracellular vesicles modulate the Hippo pathway to counteract steroid-induced osteonecrosis pathology of the femoral head

Li, Shushan and Guo, Pei and Wang, Li and Zhang, Yi and Li, Sanhua and Liu, Chang and Dang, Haibin and Yin, Li and Grassel, Susanne (2025) miR-127-5p-enriched extracellular vesicles modulate the Hippo pathway to counteract steroid-induced osteonecrosis pathology of the femoral head. FREE RADICAL BIOLOGY AND MEDICINE, 238. pp. 90-104. ISSN 0891-5849, 1873-4596

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Abstract

Steroid-induced osteonecrosis of the femoral head (SONFH) is a debilitating condition characterized by bone tissue death and joint dysfunction. This study explored the role of miR-127-5p in SONFH-human bone marrow derived stromal cells (hBMSCs), focusing on its impact on the Hippo signaling pathway and the therapeutic potential of miR-127-5p-enriched extracellular vesicles (EVs). Quantitative real-time PCR revealed that miR-1275p is significantly downregulated in SONFH-hBMSCs, leading to the upregulation of LATS2 and the suppression of YAP/TAZ-TEAD activity, which are crucial for osteogenesis. EVs derived from SONFH-hBMSCs further inhibited osteogenic differentiation and promoted adipogenesis. However, miR-127-5p-enriched EVs reversed these effects, restoring osteogenic differentiation, improving bone microarchitecture, and enhancing gait performance in SONFH models. These findings suggest that miR-127-5p downregulation plays a critical role in SONFH progression and that miR-127-5p-enriched EVs may offer a promising therapeutic strategy to treat SONFH by promoting bone regeneration and improving functional outcomes.

Item Type: Article
Uncontrolled Keywords: MESENCHYMAL STEM-CELLS; Steroid-induced osteonecrosis of the femoral; head; EVs; hBMSC; Osteogenic differentiation; miRNA; Hippo pathway
Subjects: 500 Science > 570 Life sciences
600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Orthopädie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 26 May 2026 11:32
Last Modified: 26 May 2026 11:32
URI: https://pred.uni-regensburg.de/id/eprint/67430

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