Work

BMP2 enhance the osteogenic effect of BMSCs-derived exosomes in skull defect of diabetic rats

Year: 2024

Type: article

Abstract: Diabetic patients often face poor repair of bone defects, which may be related to the reduced osteogenic capacity of bone marrow mesenchymal stem cells (BMSCs) and the polarization of M1/M2 macrophage imbalance leading to an inflammatory response. The ability of BMSC-derived exosomes (BMSC-Exos) and BMP2 to exert both bone tissue regeneration and immunomodulation is expected to resolve this clinical dilemma. In this study, we demonstrate that exosomes derived from BMP2-treated BMSCs (BMP2-Exos) in a diabetic microenvironment exhibit enhanced osteogenic effects. Additionally, compared to the blank control group, macrophages stimulated by BMP2-Exos were more polarized towards the M2 type. These results were verified in vivo by GelMA loaded exosomes in the diabetic rat skull defect model. Importantly, we found that BMP2-Exos can upregulate the PI3K/AKT signaling pathway in diabetic BMSCs and improved osteogenic function and M2 macrophage polarization in diabetes-impaired BMSC-Exos in vitro. In conclusion, the present study revealed that BMP2 pretreatment can enhance the ability of BMSC-Exos to promote osteogenesis in diabetic bone defect areas, provides a preliminary exploration of the underlying mechanisms. Our study provided important experimental basis and innovative ideas for the application of exosomes therapy in the field of bone tissue regeneration.

Source: Materials & Design

DOI: 10.1016/j.matdes.2024.113517