Evidence map›Paper›PMID 40796855›Full record

ArticleJournal of orthopaedic surgery and research2025

Role of lncRNA NONMMUT104330.1-miR-709-DDX58 axis in mediating immunomodulatory effects of enoxaparin sodium bone cement on macrophage polarization and inflammatory response.

Weiye Fan, Bei Jia, Jianchao Chen, Ronghua Ma, Sheng Li, Jichao Guo, Jia Li, Guohui Xu, Derun Su, Jianning Liu and 1 more

Abstract read
In one paragraph

Article in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

11 authors.

Weiye Fan *Department of Orthopaedic Surgery, Hebei Medical University Third Hospital, Shijiazhuang, 050051, China.
Bei Jia *Nosocomial Infection Management Department, Hebei Medical University First Hospital, Shijiazhuang, 050000, China.
Jianchao ChenDepartment of Orthopaedic Surgery, Hebei Medical University Third Hospital, Shijiazhuang, 050051, China.
Ronghua MaDepartment of Orthopaedic Surgery, Hebei Medical University Third Hospital, Shijiazhuang, 050051, China.
Sheng LiDepartment of Orthopaedic Surgery, Hebei Medical University Third Hospital, Shijiazhuang, 050051, China.
Jichao GuoDepartment of Orthopaedic Surgery, Hebei Medical University Third Hospital, Shijiazhuang, 050051, China.
Jia LiDepartment of Orthopaedic Surgery, Hebei Medical University Third Hospital, Shijiazhuang, 050051, China.
Guohui XuDepartment of Orthopaedic Surgery, Hebei Medical University Third Hospital, Shijiazhuang, 050051, China.
Derun SuDepartment of Orthopaedic Surgery, Hebei Medical University Third Hospital, Shijiazhuang, 050051, China.
Jianning LiuDepartment of Orthopaedic Surgery, Hebei Medical University Third Hospital, Shijiazhuang, 050051, China. 37900477@hebmu.edu.cn.
Lijie MaDepartment of Orthopaedic Surgery, Hebei Medical University Third Hospital, Shijiazhuang, 050051, China. malijie305x@hebmu.edu.cn.

Funding

Hebei provincial government funded clinical medicine outstanding talent training project in 2025 ZF2025143Science and Technology development fund project of central government guiding local government (Science and technology innovation base project) 226Z7720G
6 · The paper itself

Abstract

backgroundPMMA bone cement is known to induce tissue inflammation around implants. A previous research group developed a novel material, enoxaparin sodium bone cement (ES-PMMA), which combines 40 g of PMMA bone cement with 8000 AxaIU of enoxaparin sodium. This innovative bone cement has demonstrated anti-inflammatory and immunomodulatory properties within the local tissue microenvironment. This study aimed to explore the underlying molecular mechanisms.

methodsRAW264.7 cells were treated with different bone cement extract mediums to observe macrophage polarization and the expression of inflammatory factors. RAW264.7 cells treated with different bone cement extract mediums were collected for lncRNA sequencing, and the sequencing results were analyzed using bioinformatics. The lncRNA NONMMUT104330.1-miR-709-DDX58 regulatory axis was constructed based on the competing endogenous RNA mechanism. Subsequently, lncRNA NONMMUT104330.1 in RAW264.7 cells was either knocked down or overexpressed to observe the inflammatory response of the cells.

resultsES-PMMA bone cement induces M2 polarization of macrophages and increases the expression of anti-inflammatory factors. A bioinformatics analysis was conducted on the sequencing results to construct the lncRNA NONMMUT104330.1-miR-709-DDX58 regulatory axis. A dual-luciferase reporter gene assay was employed to verify the binding feasibility of the axis, and the results demonstrated that miR-709 could bind to the molecular sites of lncRNA NONMMUT104330.1 and DDX58, respectively. Knockout and overexpression experiments of lncRNA NONMMUT104330.1 demonstrated that the knockdown of lncRNA NONMMUT104330.1 induced M2 polarization in RAW264.7 cells, leading to a reduction in pro-inflammatory factor expression and an increase in anti-inflammatory factor expression. Conversely, upon overexpression of lncRNA NONMMUT104330.1, RAW264.7 cells were polarized to M1, resulting in elevated levels of pro-inflammatory factors.

conclusionEnoxaparin sodium bone cement can induce M2 polarization of macrophages, thereby playing an anti-inflammatory immunomodulatory role. The lncRNA NONMMUT104330.1-miR-709-DDX58 axis may significantly contribute to this process. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Bone CementsCell PolarityDEAD-box RNA HelicasesEnoxaparinImmunomodulationInflammationMacrophagesMicroRNAsRNA, Long NoncodingAnimalsMiceRAW 264.7 CellsBone CementsDEAD-box RNA HelicasesEnoxaparinMicroRNAsRNA, Long NoncodingBone cementCeRNAEnoxaparin sodiumInflammationLncRNA sequencingMacrophages

Identifiers

PMID40796855
PMCPMC12341104

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.