miR-122-5p targets GREM2 to protect against glucocorticoid-induced endothelial damage through the BMP signaling

Xianzhe Huang1, Shuo Jie1, Wenzhao Li1

  • 1Department of Orthopedics, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, China.

Insights

Glucocorticoid-induced osteonecrosis of the femoral head (ONFH) involves endothelial dysfunction. This study identifies a miR-122-5p/GREM2 pathway that protects against GC-induced endothelial damage via BMP/SMAD signaling, offering potential therapeutic targets for ONFH.

Area of Science:

  • Biomedical research
  • Molecular biology
  • Cell biology

Background:

  • Glucocorticoid (GC)-induced osteonecrosis of the femoral head (ONFH) is a significant clinical issue with poorly understood pathogenesis.
  • Endothelial dysfunction is implicated as a key factor in GC-induced ONFH progression.
  • The role of miR-122-5p in GC-induced ONFH and endothelial dysfunction requires clarification.

Purpose of the Study:

  • To investigate the function of miR-122-5p in glucocorticoid (GC)-induced osteonecrosis of the femoral head (ONFH).
  • To elucidate the molecular mechanism of miR-122-5p in regulating GC-induced endothelial dysfunction.
  • To identify the relationship between miR-122-5p, GREM2, and the BMP/SMAD signaling pathway in endothelial cells.

Main Methods:

  • Analysis of Gene Expression Omnibus (GEO) datasets to identify deregulated miRNAs in ONFH.
  • In vitro experiments using human umbilical vein endothelial cells (HUVECs) and bone microvascular endothelial cells (BMECs) stimulated with GCs.
  • Overexpression and silencing of miR-122-5p and GREM2, followed by assessments of cell viability, apoptosis, migration, and tube formation.
  • Western blot analysis to evaluate protein levels of BMP signaling pathway components (BMP-2/6/7, SMAD-1/5/8).
  • Bioinformatic analysis and luciferase reporter assays to confirm the direct binding of miR-122-5p to GREM2.

Main Results:

  • miR-122-5p was found to be underexpressed in GC-induced ONFH tissues and GC-stimulated endothelial cells.
  • GC stimulation impaired endothelial cell viability, promoted apoptosis, and increased pro-inflammatory cytokine expression.
  • Overexpression of miR-122-5p attenuated GC-induced endothelial injury and protected against BMP/SMAD pathway inhibition.
  • miR-122-5p directly targets GREM2, a BMP-2 antagonist.
  • GREM2 overexpression exacerbated GC-induced endothelial damage, while GREM2 silencing partially rescued endothelial function and reversed GC's effects on the BMP/SMAD pathway.

Conclusions:

  • The study establishes a novel miR-122-5p/GREM2 axis that modulates GC-induced endothelial damage through the BMP/SMAD signaling pathway.
  • miR-122-5p acts as a protective factor against GC-induced endothelial dysfunction.
  • The miR-122-5p/GREM2 axis represents a potential therapeutic target for managing GC-induced ONFH, warranting further in vivo and clinical investigation.