Alcohol-induced inhibition of bone formation and neovascularization contributes to the failure of fracture healing via the miR-19a-3p/FOXF2 axis

Aims: Alcoholism is a well-known detrimental factor in fracture healing. However, the underlying mechanism of alcohol-inhibited fracture healing remains poorly understood. Methods: MicroRNA (miR) sequencing was performed on bone mesenchymal stem cells (BMSCs). The effects of alcohol and miR-19a-3p o...

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Main Authors: Daoyu Zhu, Haoyu Fang, Hongping Yu, Pei Liu, Qianhao Yang, Pengbo Luo, Changqing Zhang, Youshui Gao, Yi-Xuan Chen
Format: Article
Language:English
Published: The British Editorial Society of Bone & Joint Surgery 2022-06-01
Series:Bone & Joint Research
Subjects:
Online Access:https://online.boneandjoint.org.uk/doi/epdf/10.1302/2046-3758.116.BJR-2021-0596.R1
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author Daoyu Zhu
Haoyu Fang
Hongping Yu
Pei Liu
Qianhao Yang
Pengbo Luo
Changqing Zhang
Youshui Gao
Yi-Xuan Chen
author_facet Daoyu Zhu
Haoyu Fang
Hongping Yu
Pei Liu
Qianhao Yang
Pengbo Luo
Changqing Zhang
Youshui Gao
Yi-Xuan Chen
author_sort Daoyu Zhu
collection DOAJ
description Aims: Alcoholism is a well-known detrimental factor in fracture healing. However, the underlying mechanism of alcohol-inhibited fracture healing remains poorly understood. Methods: MicroRNA (miR) sequencing was performed on bone mesenchymal stem cells (BMSCs). The effects of alcohol and miR-19a-3p on vascularization and osteogenic differentiation were analyzed in vitro using BMSCs and human umbilical vein endothelial cells (HUVECs). An in vivo alcohol-fed mouse model of femur fracture healing was also established, and radiological and histomorphometric analyses were used to evaluate the role of miR-19a-3p. The binding of miR-19a-3p to forkhead box F2 (FOXF2) was analyzed using a luciferase reporter assay. Results: miR-19a-3p was identified as one of the key regulators in the osteogenic differentiation of BMSCs, and was found to be downregulated in the alcohol-fed mouse model of fracture healing. In vitro, miR-19a-3p expression was downregulated after ethanol administration in both BMSCs and HUVECs. Vascularization and osteogenic differentiation were independently suppressed by ethanol and reversed by miR-19a-3p. In addition, the luciferase reporter assay showed that FOXF2 is the direct binding target of miR-19a-3p. In vivo, miR-19a-3p agomir stimulated callus transformation and improved the alcohol-impaired fracture healing. Conclusion: This study is the first to demonstrate that the miR-19a-3p/FOXF2 axis has a pivotal role in alcohol-impaired fracture healing, and may be a potential therapeutic target. Cite this article: Bone Joint Res 2022;11(6):386–397.
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spelling doaj.art-d9803a2ec55a4afa97444d6342a0d6b92022-12-22T02:43:47ZengThe British Editorial Society of Bone & Joint SurgeryBone & Joint Research2046-37582022-06-0111638639710.1302/2046-3758.116.BJR-2021-0596.R1Alcohol-induced inhibition of bone formation and neovascularization contributes to the failure of fracture healing via the miR-19a-3p/FOXF2 axisDaoyu Zhu0Haoyu Fang1Hongping Yu2Pei Liu3Qianhao Yang4Pengbo Luo5Changqing Zhang6Youshui Gao7Yi-Xuan Chen8Department of Orthopedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, ChinaDepartment of Orthopedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, ChinaDepartment of Orthopedic Surgery, The First Affiliated Hospital of Xiamen University, Xiamen, ChinaDepartment of Orthopedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, ChinaDepartment of Orthopedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, ChinaDepartment of Orthopedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, ChinaDepartment of Orthopedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, ChinaDepartment of Orthopedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, ChinaDepartment of Orthopedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, ChinaAims: Alcoholism is a well-known detrimental factor in fracture healing. However, the underlying mechanism of alcohol-inhibited fracture healing remains poorly understood. Methods: MicroRNA (miR) sequencing was performed on bone mesenchymal stem cells (BMSCs). The effects of alcohol and miR-19a-3p on vascularization and osteogenic differentiation were analyzed in vitro using BMSCs and human umbilical vein endothelial cells (HUVECs). An in vivo alcohol-fed mouse model of femur fracture healing was also established, and radiological and histomorphometric analyses were used to evaluate the role of miR-19a-3p. The binding of miR-19a-3p to forkhead box F2 (FOXF2) was analyzed using a luciferase reporter assay. Results: miR-19a-3p was identified as one of the key regulators in the osteogenic differentiation of BMSCs, and was found to be downregulated in the alcohol-fed mouse model of fracture healing. In vitro, miR-19a-3p expression was downregulated after ethanol administration in both BMSCs and HUVECs. Vascularization and osteogenic differentiation were independently suppressed by ethanol and reversed by miR-19a-3p. In addition, the luciferase reporter assay showed that FOXF2 is the direct binding target of miR-19a-3p. In vivo, miR-19a-3p agomir stimulated callus transformation and improved the alcohol-impaired fracture healing. Conclusion: This study is the first to demonstrate that the miR-19a-3p/FOXF2 axis has a pivotal role in alcohol-impaired fracture healing, and may be a potential therapeutic target. Cite this article: Bone Joint Res 2022;11(6):386–397.https://online.boneandjoint.org.uk/doi/epdf/10.1302/2046-3758.116.BJR-2021-0596.R1microrna-19a-3pforkhead box f2alcoholbone fractureosteogenesisvascularizationbone fracture healingbone formationbmscsmesenchymal stem cellsendothelial cellsmouse modelveinluciferase reporter assaystainingmicrorna
spellingShingle Daoyu Zhu
Haoyu Fang
Hongping Yu
Pei Liu
Qianhao Yang
Pengbo Luo
Changqing Zhang
Youshui Gao
Yi-Xuan Chen
Alcohol-induced inhibition of bone formation and neovascularization contributes to the failure of fracture healing via the miR-19a-3p/FOXF2 axis
Bone & Joint Research
microrna-19a-3p
forkhead box f2
alcohol
bone fracture
osteogenesis
vascularization
bone fracture healing
bone formation
bmscs
mesenchymal stem cells
endothelial cells
mouse model
vein
luciferase reporter assay
staining
microrna
title Alcohol-induced inhibition of bone formation and neovascularization contributes to the failure of fracture healing via the miR-19a-3p/FOXF2 axis
title_full Alcohol-induced inhibition of bone formation and neovascularization contributes to the failure of fracture healing via the miR-19a-3p/FOXF2 axis
title_fullStr Alcohol-induced inhibition of bone formation and neovascularization contributes to the failure of fracture healing via the miR-19a-3p/FOXF2 axis
title_full_unstemmed Alcohol-induced inhibition of bone formation and neovascularization contributes to the failure of fracture healing via the miR-19a-3p/FOXF2 axis
title_short Alcohol-induced inhibition of bone formation and neovascularization contributes to the failure of fracture healing via the miR-19a-3p/FOXF2 axis
title_sort alcohol induced inhibition of bone formation and neovascularization contributes to the failure of fracture healing via the mir 19a 3p foxf2 axis
topic microrna-19a-3p
forkhead box f2
alcohol
bone fracture
osteogenesis
vascularization
bone fracture healing
bone formation
bmscs
mesenchymal stem cells
endothelial cells
mouse model
vein
luciferase reporter assay
staining
microrna
url https://online.boneandjoint.org.uk/doi/epdf/10.1302/2046-3758.116.BJR-2021-0596.R1
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