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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.
Abstract:
Gene therapy offers an ideal potential treatment strategy for osteoarthritis (OA). However, the safe and efficient delivery of therapeutic genes remains highly challenging because of the inactivation in direct delivery of miRNA, low transfection efficiency, and a short half-life. This study introduced a gene therapy strategy using mesenchymal stem cells (MSCs) as a gene delivery platform and achieved the sustained delivery of therapeutic genes via engineered MSCs-derived extracellular vesicles (EVs). The miRNA-874-3p is combined with an exosome-targeting motif and transfected into bone marrow mesenchymal stem cells (BMSCs). The BMSCsmotif+miR874 are then seeded onto hydrogel microspheres, creating the BMSCmotif+miR874/MS system for OA treatment. In vitro experiments demonstrated that miRNA-874-3p not only alleviated inflammation and oxidative stress-induced damage to chondrocytes by downregulating the NF-κB signaling pathway, thereby rejuvenating chondrocytes, but also promoted chondrogenesis in the inflammatory microenvironment. Furthermore, the engineered BMSCs in the system demonstrated prolonged retention in vivo, thereby enabling the sustained delivery of the therapeutic gene, miRNA-874-3p, over an extended duration. In the rat OA model, BMSCmotif+miR874/MS successfully delivered miRNA-874-3p to the articular cartilage and effectively alleviated cartilage degeneration. In conclusion, this EVs-mediated therapeutic gene delivery approach enables miRNA-based gene therapy a viable alternative to surgery for OA treatment and provides a novel option for gene therapy.
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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