Evidence map›Paper›PMID 41163026›Full record

ArticleJournal of orthopaedic surgery and research2025

Functional mechanism and clinical implications of miR-455-5p in delayed fracture healing.

Yan Ma, Jinxiang Zhang, Luna He, Haitao Xu, Xiaolin Zhao

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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. Not yet cited in PubMed.

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5 · Who and what money

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5 authors.

Yan Ma *Department of Orthopaedics, Xishan People's Hospital of Wuxi City, Wuxi, 214000, China.
Jinxiang Zhang *Department of Joint Surgery and Geriatric Orthopedics, The Affiliated Hospital of Youjiang Medical University for Nationalities, Baise, 533000, China.
Luna HeDepartment of Respiratory, The First Affiliated Hospital of Chengdu Medical Hospital, Chengdu, 610500, China.
Haitao XuDepartment of Orthopedics, Zhucheng People's Hospital, Weifang, 262200, China.
Xiaolin ZhaoDepartment of Spine Surgery, Taihe Hospital, Hubei University of Medicine, No.32, Renmin South Road, Shiyan, 442000, China. XiaolinZhaodr@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDelayed fracture healing (DFH) is a common and difficult-to-treat complication after fracture surgery. Early diagnosis serves a key function in clinical management. This research seeks to clarify the molecular mechanism underlying how miR-455-5p modulates osteogenic differentiation via QKI(Quaking), thereby laying a foundation for the early detection and targeted intervention of DFH.

method208 femoral neck fracture patients were divided into NFH (normal fracture healing group, n = 115) and DFH (n = 93) groups. The serum level of miR-455-5p and QKI was measured using qRT-PCR(quantitative reverse transcription-polymerase chain reaction). Pearson correlation analysis was performed to assess the correlation. ROC and logistic regression analyses were performed. In vitro experiments with MC3T3-E1 cells explored its role and target via transfection and dual-luciferase assay.

resultsSerum miR-455-5p was downregulated in DFH (P < 0.01), with diagnostic AUC 0.747, and was an independent risk factor. It increased time-dependently during osteogenic induction. Its inhibition reduced osteogenic markers and suppressed proliferation. QKI has been identified as a target gene of miR-455-5p and exhibits a negative correlation with its expression. The synergistic effect between QKI and miR-455-5p contributes to improved diagnostic performance.

conclusionsmiR-455-5p promotes osteogenesis by targeting QKI and shows potential as a biomarker and therapeutic target for DFH.

Indexed as

Femoral Neck FracturesFracture HealingMicroRNAsAdultAgedAnimalsCell DifferentiationCell ProliferationDown-RegulationFemaleHumansMaleMiceMiddle AgedOsteogenesisMicroRNAsMIRN455 microRNA, humanBiomarkerDelayed fracture healingmiR-455-5pOsteogenic differentiationQKI

Identifiers

PMID41163026
PMCPMC12574016

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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.