Bone marrow mesenchymal stem cell exosome-derived miR-223 regulated cellular pyroptosis of macrophage in

Ting Zhou1,2,3, Jie Zhu1, Feng Shan1

  • 1Children's hospital of Soochow University, Suzhou, Jiangsu Province, China.

Scientific Reports
|November 5, 2025
PubMed

Insights

Bone infection (osteomyelitis) involves inflammation. Bone marrow mesenchymal stem cell (BMSC)-derived exosomes carrying miR-223 protect against this by reducing macrophage pyroptosis via Caspase-1 and LACC1 regulation.

Area of Science:

  • Biomedical research
  • Cellular and Molecular Biology
  • Immunology

Background:

  • Osteomyelitis (OM) is a severe bone infection with significant inflammation.
  • Macrophages are key players in OM-related inflammation.
  • MicroRNA-223 (miR-223) is implicated in inflammatory processes and dysregulated in OM.

Purpose of the Study:

  • To investigate the therapeutic potential of bone marrow mesenchymal stem cell (BMSC)-derived exosomes carrying miR-223 in osteomyelitis.
  • To elucidate the role of these exosomes in regulating macrophage pyroptosis and inflammation.

Main Methods:

  • Collected blood samples from OM patients and controls to measure miR-223 levels.
  • Isolated and characterized exosomes from miR-223 overexpressing BMSCs.
  • Assessed exosome effects on macrophage viability, apoptosis, and pyroptosis using various assays (CCK-8, flow cytometry, ELISA, Western blotting).
  • Investigated miR-223's regulatory role in Caspase-1 and LACC1 expression.

Main Results:

  • miR-223 expression was decreased in OM patients and LPS-treated BMSCs.
  • BMSC-derived exosomes with miR-223 (miR-223 exo) improved macrophage viability, reduced apoptosis, and suppressed LPS-induced pyroptosis.
  • miR-223 targeted the NLRP3 inflammasome and Caspase-1, modulating macrophage inflammation.
  • miR-223 regulated macrophage survival and inflammation via Caspase-1, and targeted LACC1 to alleviate pyroptosis.

Conclusions:

  • BMSC-derived exosomes carrying miR-223 exert a protective effect in osteomyelitis.
  • This protection is achieved by regulating macrophage pyroptosis and inflammation through Caspase-1 and LACC1 pathways.
  • miR-223-loaded exosomes represent a promising therapeutic strategy for osteomyelitis treatment.