Engineered Stem Cell Clusters for Extracellular Vesicles-Mediated Gene Delivery to Rejuvenate Chondrocytes and

Yuezhou Wu1, Yubo Feng2, Fei Hu1

  • 1Department of Bone and Joint Surgery, Department of Orthopedics, Renji Hospital, School of Medicine, Shanghai Jiaotong University, 145 Middle Shandong Road, Shanghai, 200001, China.

Insights

Mesenchymal stem cells deliver therapeutic miRNA via extracellular vesicles for osteoarthritis gene therapy. This engineered system rejuvenates chondrocytes and alleviates cartilage degeneration in a rat model, offering a novel non-surgical treatment option.

Area of Science:

  • Biomedical Engineering
  • Regenerative Medicine
  • Gene Therapy

Background:

  • Osteoarthritis (OA) gene therapy faces challenges with direct miRNA delivery, including inactivation, low transfection efficiency, and short half-life.
  • Mesenchymal stem cells (MSCs) offer potential as a gene delivery platform, but efficient and sustained delivery of therapeutic agents is crucial.

Purpose of the Study:

  • To develop a novel gene therapy strategy for osteoarthritis using engineered MSCs-derived extracellular vesicles (EVs) for sustained therapeutic miRNA delivery.
  • To evaluate the efficacy of miRNA-874-3p delivered via engineered MSCs and EVs in alleviating OA-induced damage in vitro and in vivo.

Main Methods:

  • Engineered bone marrow mesenchymal stem cells (BMSCs) transfected with miRNA-874-3p and an exosome-targeting motif.
  • BMSCs seeded onto hydrogel microspheres to create a BMSCmotif+miR874/MS system for sustained gene delivery.
  • In vitro assessment of chondrocyte protection and chondrogenesis promotion; in vivo evaluation in a rat OA model.

Main Results:

  • Engineered BMSCs sustained the delivery of miRNA-874-3p via EVs, rejuvenating chondrocytes by downregulating the NF-κB pathway and promoting chondrogenesis.
  • In vivo studies demonstrated prolonged retention of engineered BMSCs and effective delivery of miRNA-874-3p to articular cartilage.
  • The BMSCmotif+miR874/MS system significantly alleviated cartilage degeneration in a rat OA model.

Conclusions:

  • EVs-mediated gene delivery using engineered MSCs provides a viable, sustained platform for miRNA-based osteoarthritis therapy.
  • This approach presents a promising, non-surgical alternative for osteoarthritis treatment, enhancing therapeutic gene delivery efficiency and duration.

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