Evidence map›Paper›PMID 42866720›Full record

ArticleFrontiers in genetics2026

HOTAIR regulates osteogenic-adipogenic differentiation imbalance through the miR-217/DKK1-mediated Wnt/β-catenin pathway in SONFH-BMSCs.

Min Yi, Feifei Lin, Zhenwu Du, Qingyu Wang

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Article in Frontiers in genetics, 2026. 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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4 · The record

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5 · Who and what money

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4 authors.

Min YiDepartment of Orthopedics, The Second Hospital of Jilin University, Jilin University, Changchun, Jilin, China.
Feifei LinDepartment of Orthopedics, The Second Hospital of Jilin University, Jilin University, Changchun, Jilin, China.
Zhenwu DuDepartment of Orthopedics, The Second Hospital of Jilin University, Jilin University, Changchun, Jilin, China.
Qingyu WangDepartment of Orthopedics, The Second Hospital of Jilin University, Jilin University, Changchun, Jilin, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Steroid-induced osteonecrosis of the femoral head (SONFH) is characterized by disrupted osteogenic and adipogenic differentiation of bone marrow mesenchymal stem cells (BMSCs). The long noncoding RNA HOTAIR is aberrantly upregulated in SONFH-BMSCs, yet its functional role in the differentiation imbalance remains incompletely understood. In this study, we investigated whether HOTAIR silencing could restore the differentiation balance in SONFH-BMSCs and clarify the underlying regulatory mechanism. Methods: HOTAIR was knocked down in SONFH-BMSCs using small interfering RNA (si-HOTAIR). Osteogenic differentiation was assessed using alkaline phosphatase (ALP) and Alizarin Red S (ARS) staining, while adipogenic differentiation was evaluated using Oil Red O staining. Expression of lineage-specific markers and Wnt pathway components was measured using qRT-PCR and Western blotting. The interactions among HOTAIR, miR-217, and DKK1 were validated through dual-luciferase reporter and rescue experiments. Results: HOTAIR silencing significantly enhanced osteogenic differentiation, as evidenced by increased ALP activity, mineralization, and upregulation of RUNX2, BMP2, and Osterix, while concurrently suppressing adipogenic differentiation, with reduced lipid droplet formation and downregulation of PPARγ, C/EBPα, and Adipsin. Mechanistically, HOTAIR acted as a candidate competing endogenous RNA (ceRNA) by sponging miR-217, thereby relieving miR-217-mediated repression of DKK1 and inhibiting Wnt/β-catenin signaling. HOTAIR knockdown restored miR-217 availability, decreased DKK1 expression, and enhanced β-catenin expression. Conclusion: HOTAIR inhibition rebalances osteogenic and adipogenic differentiation of SONFH-BMSCs via the miR-217/DKK1/Wnt/β-catenin axis. These findings identify HOTAIR as an important molecular regulator of BMSC fate determination and provide mechanistic insights into ceRNA-mediated regulation in SONFH pathogenesis.

Indexed as

DKK1HOTAIRmesenchymal stem cellsmiR-217osteogenesissteroid-induced osteonecrosis of the femoral headWnt/β-catenin signaling

Identifiers

PMID42866720
PMCPMC13657433

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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.