Evidence map›Paper›PMID 39920824›Full record

ArticleStem cell research & therapy2025

Paracrine activity of Smurf1-silenced mesenchymal stem cells enhances bone regeneration and reduces bone loss in postmenopausal osteoporosis.

Alberto González-González, Itziar Álvarez-Iglesias, Daniel García-Sánchez, Monica Dotta, Ricardo Reyes, Ana Alfonso-Fernández, Alfonso Bolado-Carrancio, Patricia Díaz-Rodríguez, María Isabel Pérez-Núñez, José Carlos Rodríguez-Rey and 2 more

Abstract read
In one paragraph

Article in Stem cell research & therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Alberto González-GonzálezDepartment of Biochemistry and Molecular Biology, Faculty of Medicine, University of Cantabria-IDIVAL, 39012, Santander, Spain.
Itziar Álvarez-IglesiasDepartment of Biochemistry and Molecular Biology, Faculty of Medicine, University of Cantabria-IDIVAL, 39012, Santander, Spain.
Daniel García-SánchezDepartment of Physiology and Cell Biology, Winthrop P. Rockefeller Cancer Institute, University of Arkansas for Medical Sciences, Little Rock, AR, 72205, USA.
Monica DottaDepartment of Biochemistry and Molecular Biology, Faculty of Medicine, University of Cantabria-IDIVAL, 39012, Santander, Spain.
Ricardo ReyesDepartment of Biochemistry, Microbiology, Cell Biology and Genetics, Universidad de La Laguna, 38206, La Laguna, Spain.
Ana Alfonso-FernándezDepartment of Traumatology, Hospital Universitario Marqués de Valdecilla, University of Cantabria, 39008, Santander, Spain.
Alfonso Bolado-CarrancioCancer Research UK Scotland Centre, Institute of Genetics and Cancer, University of Edinburgh, Edinburgh, EH4 2XR, UK.
Patricia Díaz-RodríguezI+D Farma Group (GI-1645), Department of Pharmacology, Pharmacy and Pharmaceutical Technology, Facultad de Farmacia, Instituto de Materiales (iMATUS) and Health Research Institute of Santiago de Compostela (IDIS), Universidade de Santiago de Compostela, 15782, Santiago de Compostela, Spain.
María Isabel Pérez-NúñezDepartment of Traumatology, Hospital Universitario Marqués de Valdecilla, University of Cantabria, 39008, Santander, Spain.
José Carlos Rodríguez-ReyDepartment of Biochemistry and Molecular Biology, Faculty of Medicine, University of Cantabria-IDIVAL, 39012, Santander, Spain.
Jesús Delgado-CalleDepartment of Physiology and Cell Biology, Winthrop P. Rockefeller Cancer Institute, University of Arkansas for Medical Sciences, Little Rock, AR, 72205, USA.
Flor M Pérez-CampoDepartment of Biochemistry and Molecular Biology, Faculty of Medicine, University of Cantabria-IDIVAL, 39012, Santander, Spain. f.perezcampo@unican.es.ORCID http://orcid.org/0000-0002-9872-7990

Funding

Contribution of Osteocytes to the Musculoskeletal Effects of Multiple MyelomaR01CA209882 · NCI · UNIV OF ARKANSAS FOR MED SCIS · PI Teresita M. Bellido, Jesus Delgado-Calle · 2017 to 2026
$3.8M
Bone-Targeted Therapies to Improve Bone Health and Prevent Relapse in Multiple MyelomaR37CA251763 · NCI · UNIV OF ARKANSAS FOR MED SCIS · PI DELGADO-CALLE, JESUS · 2020 to 2025
$2.6M
Instituto de Investigación Marqués de Valdecilla NEXT-VALInstituto de Investigación Marqués de Valdecilla PREVAL19/02Instituto de Investigación Marqués de Valdecilla PREVAL 20/01Instituto de Salud Carlos III PI22/0264Ministerio de Economía y Competitividad PID2021-127493OB-C21National Institute of Health (US) R01-CA209882National Institute of Health (US) R37-CA251763NCI NIH HHS R01 CA209882NCI NIH HHS R37 CA251763
6 · The paper itself

Abstract

backgroundOsteoporosis (OP), characterized by reduced bone mass and mineral density, is a global metabolic disorder that severely impacts the quality of life in affected individuals. Although current pharmacological treatments are effective, their long-term use is often associated with adverse effects, highlighting the need for safer, more sustainable therapeutic strategies. This study investigates the pro-osteogenic and anti-resorptive potential of the secretome from Smurf1-silenced mesenchymal stem cells (MSCs) as a promising cell-free therapy for bone regeneration.

methodsConditioned media (CM) from Smurf1-silenced rat (rCM-Smur1) and human MSCs (hCM-Smurf1) was collected and analyzed. Pro-osteogenic potential was assessed by measuring in vitro mineralization in human and rat MSCs cultures. In vivo, studies were conducted using a rat ectopic bone formation model and a post-menopausal osteoporotic mouse model. Additionally, primary human osteoporotic MSCs were preconditioned with hCM-Smurf1, and their osteogenic capacity was compared to that induced by BMP2 treatment. Ex vivo, human bone explants were treated with hCM-Smurf1 to assess anti-resorptive effects. Proteomic analysis of the soluble and vesicular CM fractions identified key proteins involved in bone regeneration.

resultsCM from Smurf1-silenced MSCs significantly enhanced mineralization in vitro and bone formation in vivo. Preconditioning human osteoporotic MSCs with hCM-Smurf1 significantly increases in vitro mineralization, with levels comparable to those achieved with BMP2 treatment. Additionally, in ex vivo human bone cultures, treatment with hCM-Smurf1 significantly reduced RANKL expression without affecting OPG levels, indicating an anti-resorptive effect. In vivo, CM from Smurf1-silenced MSCs significantly increased bone formation in a rat ectopic model, and its local administration reduced trabecular bone loss by 50% in a post-menopausal osteoporotic mouse model after a single administration within just four weeks. Proteomic analysis revealed both soluble and vesicular fractions of hCM-Smurf1 were enriched with proteins essential for ossification and extracellular matrix organization, enhancing osteogenic differentiation.

conclusionsThe Smurf1-silenced MSCs' secretome shows potent osteogenic and anti-resorptive effects, significantly enhancing bone formation and reducing bone loss. This study provides compelling evidence for the therapeutic potential of Smurf1-silenced MSC-derived secretome as a non-toxic and targeted treatment for osteoporosis. These findings warrant further in vivo studies and clinical trials to validate its therapeutic efficacy and safety.

Indexed as

Bone RegenerationMesenchymal Stem CellsOsteoporosis, PostmenopausalParacrine CommunicationUbiquitin-Protein LigasesAnimalsCell DifferentiationCulture Media, ConditionedFemaleHumansMesenchymal Stem Cell TransplantationMiceOsteogenesisRatsCulture Media, ConditionedSMURF1 protein, humanSmurf1 protein, ratUbiquitin-Protein LigasesMesenchymal stem cellsOsteoporosisSecretomeSmurf1

Identifiers

PMID39920824
PMCPMC11806587

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.