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논문 기본 정보

자료유형
학술저널
저자정보
Yaying Sun (Fudan University Shanghai China) Yisheng Chen (Fudan University Shanghai China) Jinrong Lin (Fudan University Shanghai China) Yuhan Zhang (Fudan University Shanghai China) Beijie Qi (Fudan University Shanghai China) Jiwu Chen (Shanghai Jiaotong University Shanghai China)
저널정보
한국생체재료학회 생체재료학회지 생체재료학회지 제26권 제3호
발행연도
2022.9
수록면
649 - 663 (15page)
DOI
https://doi.org/10.1186/s40824-022-00286-2

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Background: Adhesive capsulitis is a common shoulder disorder inducing joint capsule fibrosis and pain. When combined with rotator cuff tear (RCT), treatments can be more complex. Currently, targeted therapy is lacking. Since adhesive capsulitis is reported to be related to circulating materials, we analyzed the contents and biology of circu lating exosomes from RCT patients with and without adhesive capsulitis, in an attempt to developing a targeting treatment. Methods: Samples from a consecutive cohort of patients with RCT for surgery were collected. Circulating exoso mal miRNAs sequencing were used to detect differentially expressed miRNAs in patients with and without adhesive capsulitis. For experiments in vitro, Brdu staining, CCK-8 assay, wound healing test, collagen contraction test, real-time quantitative polymerase chain reaction, and western blot were conducted. Histological and immunofluorescent stain ing, and biomechanical analysis were applied in a mouse model of shoulder stiffness. The characteristics of liposomes loaded with siRNA were measured via dynamic light scattering or electron microscopy. Results: Circulating exosomal miRNAs sequencing showed that, compared to exosomes from patients without adhesive capsulitis, miR-142 was significantly up-regulated in exosomes from adhesive capsulitis (Exo-S). Both Exo-S and miR-142 could inhibit fibrogenesis, and the anti-fibrotic effect of Exo-S relied on miR-142. The target of miR-142 was proven to be transforming growth factor β receptor 1 (Tgfbr1). Then, liposomes were developed and loaded with si-Tgfbr1. The si-Tgfbr1-loading liposomes exhibited promising therapeutic effect against shoulder stiffness in mouse model with no evidence toxicity. Conclusion: This study showed that, in RCT patients with adhesive capsulitis, circulating exosomes are protective and have anti-fibrotic potential. This effect is related to the contained miR-142, which targets Tgfbr1. By mimicking this biological function, liposomes loaded with si-Tgfbr1 can mitigate shoulder stiffness pre-clinically

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