Molecular Therapy: Nucleic Acids (Sep 2019)

miRNA-26a-5p Accelerates Healing via Downregulation of PTEN in Fracture Patients with Traumatic Brain Injury

  • Yuan Xiong,
  • Faqi Cao,
  • Liangcong Hu,
  • Chenchen Yan,
  • Lang Chen,
  • Adriana C. Panayi,
  • Yun Sun,
  • Wu Zhou,
  • Peng Zhang,
  • Qipeng Wu,
  • Hang Xue,
  • Mengfei Liu,
  • Yi Liu,
  • Jing Liu,
  • Abudula Abududilibaier,
  • Bobin Mi,
  • Guohui Liu

Journal volume & issue
Vol. 17
pp. 223 – 234

Abstract

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Patients who sustain a traumatic brain injury (TBI) are known to have a significantly quicker fracture healing time than patients with isolated fractures, but the underlying mechanism has yet to be identified. In this study, we found that the upregulation of miRNA-26a-5p induced by TBI correlated with a decrease in phosphatase and tensin homolog (PTEN) in callus formation. In vitro, overexpressing miRNA-26a-5p inhibited PTEN expression and accelerated osteoblast differentiation, whereas silencing of miRNA-26a-5p inhibited osteoblast activity. Reduction of PTEN facilitated osteoblast differentiation via the PI3K/AKT signaling pathway. Through luciferase assays, we found evidence that PTEN is a miRNA-26a-5p target gene that negatively regulates the differentiation of osteoblasts. Moreover, the present study confirmed that preinjection of agomiR-26a-5p leads to increased bone formation. Collectively, these results indicate that miRNA-26a-5p overexpression may be a key factor governing the improved fracture healing observed in TBI patients after the downregulation of PTEN and PI3K/AKT signaling. Upregulation of miRNA-26a-5p may therefore be a promising therapeutic strategy for promoting fracture healing. Keywords: traumatic brain injury, fracture, miRNA, PTEN