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. 2025 Oct 7;82(1):351. doi: 10.1007/s00018-025-05887-3

Mechanistic insights into miR-584-5p-mediated Inhibition of PDLSCs osteogenic differentiation through H2AFZ upregulation and RUNX2 suppression

Chengze Wang 1, Xiaoyan Miao 1, Yongzheng Li 1, Lingfei Ren 1, Bo Zheng 1, Zhiwei Jiang 1, Ying Wang 1, Guoli Yang 1,2,✉
PMCID: PMC12504162  PMID: 41055656

Abstract

Periodontal ligament stem cells (PDLSCs) hold promise for bone regeneration, but their osteogenic differentiation is tightly regulated by various molecular mechanisms. MicroRNAs are key regulators of this process, and miR-584-5p has been identified as a potential modulator of osteogenesis. In this study, we investigated the role of miR-584-5p in the osteogenic differentiation of PDLSCs. Our findings show that overexpression of miR-584-5p inhibits osteogenic differentiation in vitro, as evidenced by reduced alkaline phosphatase activity, diminished mineralized nodule formation, and decreased expression of osteogenic markers, including ALPL, SP7, and RUNX2. In animal models, suppression of miR-584-5p enhances bone formation in both ectopic bone formation and rat calvarial defect models. Mechanistically, we demonstrate that miR-584-5p upregulates the histone variant H2AFZ, leading to its increased nuclear localization and binding to osteogenic gene promoters, including ALPL, SP7, and RUNX2, thereby repressing their expression. Furthermore, miR-584-5p directly targets RUNX2 mRNA, further suppressing its expression. Rescue experiments confirmed that knockdown of H2AFZ or overexpression of RUNX2 mitigates the suppressive effects of miR-584-5p on osteogenesis. Our study reveals that miR-584-5p inhibits osteogenic differentiation of PDLSCs through dual mechanisms: H2AFZ upregulation and RUNX2 suppression, offering novel insights into the epigenetic regulation of bone formation and potential therapeutic strategies for bone regeneration.

Supplementary Information

The online version contains supplementary material available at 10.1007/s00018-025-05887-3.

Keywords: MiR-584-5p, H2AFZ, Osteogenic differentiation, Periodontal ligament stem cells, Epigenetic regulation

Introduction

Periodontal ligament stem cells (PDLSCs) play a critical role in maintaining periodontal tissue health due to their ability to differentiate into osteoblasts, facilitating the repair and regeneration of periodontal bone tissue [1–3]. The osteogenic differentiation of PDLSCs is governed by complex mechanisms, including epigenetic modifications such as microRNAs (miRNAs) and histone acetylation [4, 5]. MiRNAs regulate osteogenesis by modulating the expression of key osteogenic genes through targeting specific messenger RNAs (mRNAs) [6], while histone acetylation influences chromatin structure and promoter acetylation, thereby affecting gene transcription [7–9].

Several studies have underscored the critical role of miRNAs in regulating PDLSC osteogenic differentiation. For example, miR-21 targets Smad5, modulating osteogenesis, and inhibition of miR-21 increases alkaline phosphatase (ALP) activity and mineralization levels [10]. Liao et al. demonstrated that the long non-coding RNA LINC00968 promotes osteogenic differentiation through the miR-3658/RUNX2 axis, providing new insights into dental pulp stem cell differentiation [11]. Additionally, overexpression of miR-143-3p or silencing of Krüppel-like factor 5 (KLF5) suppresses osteogenic marker expression and mineralized nodule formation in PDLSCs by inactivating the Wnt/β-catenin pathway, an effect that can be reversed by pathway activation [12]. In our previous study, bioinformatics analysis identified miR-584-5p as a potential regulator of osteogenic differentiation, although the precise mechanisms remain unclear [13]. Histone modifications also significantly impact PDLSC osteogenesis. PDLSCs derived from periodontitis patients show impaired differentiation, linked to downregulation of histone acetyltransferase (HAT) GCN5. GCN5 deficiency reduces osteogenesis by regulating DKK1 expression through histone H3 lysine acetylation [14]. Additionally, decreased levels of GCN5 and MORF under periodontitis conditions inhibit PDLSC differentiation into osteoblasts [15]. Li et al. showed that enhancing HAT levels can reverse impaired osteogenic differentiation, highlighting the inhibitory role of histone deacetylase 9 (HDAC9) [16].

H2AFZ, also known as H2A.Z, is a variant of histone H2A and a crucial component of chromatin [17]. It replaces standard H2A in nucleosomes, influencing chromatin structure and gene regulation at promoters and enhancers [18]. While H2A.Z is implicated in various biological processes and diseases, its role in osteogenic differentiation remains unexplored.

In this study, we investigate the role of miR-584-5p in regulating osteogenesis in PDLSCs. Our results show that miR-584-5p negatively modulates the enrichment of acetylated H2AFZ (acH2AFZ) at the promoters of key osteogenic genes, including RUNX2, SP7, and ALPL, leading to reduced transcription of these genes. Furthermore, we demonstrate that miR-584-5p directly interacts with RUNX2, inhibiting its expression and impairing osteogenic differentiation and new bone formation in PDLSCs.

Materials and methods

Antibodies and reagents

Rabbit antibodies against RUNX2 (ab92336), ALPL (ab305305), and SP7 (ab209484) were purchased from Abcam Inc. Rabbit antibodies against H2AFZ (#50722) and acetylated H2AFZ (H2AFZac, K4/K7/K11) (#75336) were obtained from Cell Signaling Technology. Rabbit-derived HDAC1 antibody (10197-1-AP) was from Proteintech (Wuhan, China). GAPDH and H3 antibodies were procured from Boster Biological Technology (Wuhan, China). Goat anti-rabbit and goat anti-mouse HRP-conjugated secondary antibodies were sourced from Cell Signaling Technology (Beverly, MA, USA). Alexa Fluor 488 and 594-conjugated secondary antibodies were purchased from Invitrogen. The ChIP assay kit was acquired from ABclonal. Dexamethasone, ascorbic acid, and β-glycerophosphate were obtained from Sigma-Aldrich Corporation (St. Louis, MO, USA).

Isolation and characterization of human PDLSCs

The study was approved by the Institutional Animal Care and Use Committee of Zhejiang University, with written informed consent from all patients. PDLSCs were isolated from three healthy human premolars extracted for orthodontic reasons. Periodontal ligament tissue was gently scraped from the middle third of the root surfaces and processed as previously described [13, 18, 19]. Individual cell colonies were isolated, trypsinized, and expanded. We performed multi-lineage differentiation characterization of the isolated PDLSCs (Fig. S5). All experiments were independently repeated at least three times.

Cell culture and transfection

Based on the effects of different concentrations of miR-584-5p inhibitor on PDLSC proliferation and ALP activity, we selected 25 nM miR-584-5p inhibitor for subsequent experiments (Fig. S4B-D). For miRNA transfection, cells were transfected with miR-584-5p mimics or inhibitors at 25 nM using jetPRIME® transfection reagent at a 1:2 ratio (miRNA: transfection reagent), following the manufacturer’s protocol. For H2AFZ knockdown, PDLSCs were transfected with 25 nM siRNA targeting H2AFZ or negative control siRNA using the same transfection reagent. The sequences of the miRNAs and siRNAs are provided in Table S1. For RUNX2 overexpression, PDLSCs were transduced with lentiviral particles carrying RUNX2 or control lentivirus at an MOI of 30, with 8 µg/ml polybrene to enhance transduction efficiency. After 3 days, puromycin selection (1 µg/ml) was applied for 7 days to establish stable overexpression.

ALP and Alizarin red staining assays

PDLSCs were seeded into 12-well plates at densities of 1.5 × 105 cells/well for ALP staining and 1.5 × 105 cells/well for Alizarin Red staining. Cells were cultured in osteogenic differentiation medium (ODM) consisting of α-MEM supplemented with 10% FBS, 50 µM ascorbic acid, 10 µM dexamethasone, and 10 mM β-glycerophosphate. ALP activity was measured using an Alkaline Phosphatase Activity Detection Kit (Yeasen, China). ALP staining was performed using an alkaline phosphatase kit (Beyotime, China), and Alizarin Red staining was conducted with a 2% Alizarin Red S solution (ScienCell, USA). Calcium deposition was quantified by dissolving the mineralized matrix in 10% cetylpyridinium chloride and measuring absorbance at 562 nm.

Protein extraction and Western blot analysis

Cells were lysed in RIPA buffer on ice for 30 min. Lysates were centrifuged at 12 000 rpm for 30 min at 4 °C to collect supernatants. Protein samples (20 µg) were separated on 10% SDS-PAGE gels and transferred to PVDF membranes. Membranes were blocked with TBST containing 5% non-fat dry milk for 1 h at room temperature, then incubated overnight at 4 °C with primary antibodies against RUNX2, SP7, ALPL, H2AFZ, and GAPDH at specified dilutions. After washing, membranes were incubated with HRP-conjugated secondary antibodies (1:10 000) for 1 h. Bands were visualized using an enhanced chemiluminescence system (Bio-Rad, USA) and quantified using ImageJ software.

Co-immunoprecipitation

PDLSCs were seeded in 10 cm dishes and subjected to osteogenic induction for 3 days. Cells were harvested and lysed in co-IP buffer. For co-immunoprecipitation, cell lysates were incubated with either HDAC1 antibody or H2AFZ antibody overnight at 4 °C, followed by incubation with magnetic beads for 2 h at 4 °C with rotation. The immunocomplexes were captured using a magnetic separator and washed three times with wash buffer. Bound proteins were eluted by boiling in SDS loading buffer and subjected to standard Western blot analysis to detect protein-protein interactions between HDAC1 and H2AFZ during early osteogenic differentiation.

RNA isolation and real-time qPCR analysis

Total RNA was extracted using Trizol® reagent per the manufacturer’s instructions and reverse-transcribed into cDNA. Quantitative real-time PCR (RT-qPCR) was performed with SYBR® Premix Ex Taq™ on a Bio-Rad CFX96 system. Each sample was analyzed in triplicate, and experiments were repeated independently three times. Relative gene expression was calculated using the 2−ΔΔCT method. Primer sequences are listed in Table S2.

Immunofluorescence assay

Glass coverslips (8 mm diameter) were placed into 48-well plates, and PDLSCs were seeded at 3 × 103 cells per well, cultured for three days. Cells were fixed, washed with PBS, and blocked with 2% bovine serum albumin at room temperature for 30 min. Cells were incubated overnight at 4 °C with primary antibody against H2AFZ (1:200 dilution). After washing, cells were incubated with an Alexa Fluor 488-conjugated secondary antibody for 1 h at room temperature. Nuclei were stained with DAPI. For tissue samples from in vivo experiments, standard procedures of sectioning, deparaffinization, and rehydration were performed. Since both SP7 and H2AFZ primary antibodies are rabbit-derived, tyramide signal amplification (TSA) technology was employed to avoid cross-reactivity and enable simultaneous detection.

ChIP-qPCR

PDLSCs 1 × 107 cells were cultured under specific conditions. ChIP assays were conducted to investigate H2AFZ and acH2AFZ binding to genomic regions. Cells were cross-linked with 1% formaldehyde for 10 min, quenched with glycine for 5 min, harvested, lysed, and sonicated to fragment chromatin to 200–500 bp. Chromatin was immunoprecipitated overnight at 4 °C with antibodies specific to H2AFZ and acH2AFZ. Protein-DNA complexes were captured using protein A/G agarose beads, eluted, and reverse cross-linked. DNA was purified and analyzed by qPCR using specific primers (Table S2). Relative enrichment was calculated using the 2−ΔΔCT method.

Animal models

All animal experiments were conducted in accordance with the guidelines set by the Institutional Animal Care and Use Committee of Zhejiang University (No. ZJU20210530). For the rat cranial defect model, 48 male Sprague-Dawley rats (age: 6–8 weeks, body Weight: 200–250 g) were randomly divided into four groups: miR-584-5p inhibitor, NC inhibitor, siNC, and siH2AFZ. Each group contained 12 animals. Bilateral cranial defects (5 mm diameter) were created using a trephine drill at 800 rpm with saline irrigation [20, 21]. Collagen scaffolds containing transfected PDLSCs were placed in defects. Surgical incisions were closed with absorbable sutures. Animals were housed under stable conditions and euthanized at 4 and 8 weeks post-operation for sample collection and micro-CT analysis.

For the subcutaneous ectopic ossification model, 20 BALB/c nude mice received implants of bone-inductive calcium phosphate bioceramics seeded with transfected PDLSCs. After incubation in osteogenic induction medium for 7 days, scaffolds were implanted subcutaneously. Mice were monitored postoperatively, and implants were harvested at 8 weeks for histological and micro-CT analysis.

Micro-CT analysis

Excised tissues were fixed and scanned using high-resolution micro-CT (Skyscan1176). Data were reconstructed and analyzed using software such as NRecon, CTAn, Dataviewer, and Mimics for three-dimensional reconstruction and morphological analysis.

For rat cranial defect samples, images were reoriented using Dataviewer to align coronal and horizontal planes perpendicular to the trephine drill direction. Images were exported and analyzed in CTAn. A circular region of interest (ROI) with a 5 mm diameter was defined at the defect site. Density thresholds from 152 to 210 were set to include bone tissue, and bone parameters were calculated.

Immunohistochemistry

Fixed tissues were dehydrated, cleared in xylene, and embedded in paraffin. Sections were deparaffinized, rehydrated, and antigen retrieval was performed by heating. Sections were outlined with a hydrophobic barrier pen and blocked with goat serum. They were incubated with specific primary antibodies at appropriate dilutions, followed by species-specific HRP-conjugated secondary antibodies. Visualization was achieved using DAB chromogen, resulting in a brown precipitate at antigen sites. Nuclei were counterstained to enhance contrast. Sections were dehydrated, cleared, and mounted using neutral resin. Images were captured using a light microscope.

Luciferase reporter assay

293 T cells were seeded in 12-well plates at 2.5 × 10^5^ cells/well and culture

d for 24 h. For miR-584-5p targeting validation, cells were co-transfected with 1.0 µg RUNX2 3’UTR dual-luciferase reporter plasmid and 6 µL miR-584-5p mimic (20 µM) or negative control using jetPrime transfection reagent (Table S3). Cells were harvested at 24 and 48 h for luciferase analysis (Dual Luciferase Reporter Gene Assay Kit, Yeasen, Shanghai, China).

For promoter activity analysis, three dual-luciferase reporter plasmids were constructed: pALPL-FLuc-SV40-hRLuc, pRUNX2-FLuc-SV40-hRLuc, and pSP7-FLuc-SV40-hRLuc (Table S3). Cells were co-transfected with each reporter plasmid (1.0 µg) and either pCDH-hRUNX2, pCDH-hSP7, or pCDH-EGFP control vector (1.0 µg each). Transfection mixtures were prepared in 500 µL serum-free DMEM with jetPrime reagent, incubated for 20 min at room temperature, then added to cells. After 5 h, medium was replaced with complete DMEM. Cells were harvested 48 h post-transfection for dual-luciferase analysis.

Statistical analysis

Statistical analysis was performed using GraphPad Prism 6.0 (GraphPad Software, USA). The data were analyzed using Student’s t-test for comparisons between two groups, and one-way ANOVA followed by Tukey’s post hoc test for multiple comparisons. A P-value less than 0.05 was considered statistically significant.

Results

MiR-584-5p Inhibits Osteogenic Differentiation of PDLSCs In Vitro

We investigated miR-584-5p’s role in the osteogenic differentiation of PDLSCs by modulating its expression with specific mimics and inhibitors. Quantitative PCR (qPCR) confirmed significant overexpression or inhibition of miR-584-5p in transfected cells (Fig. 1 A-B). Overexpression resulted in reduced ALP staining and decreased mineralized nodule formation, whereas inhibition enhanced these indicators of osteogenic differentiation (Fig. 1 C-E). Expression levels of osteogenic markers—ALPL, SP7, and RUNX2—were decreased at both mRNA and protein levels upon miR-584-5p overexpression and increased upon its inhibition (Fig. 1 F-K). These results indicate that miR-584-5p functions as a negative regulator of osteogenic differentiation in PDLSCs in vitro.

Fig. 1.

Fig. 1

miR-584-5p inhibits osteogenic differentiation of PDLSCs in vitro. A, B Quantitative PCR (qPCR) analysis of miR-584-5p expression in PDLSCs after transfection with miR-584-5p mimics or inhibitors, confirming overexpression and knockdown efficiency. C ALP staining on day 7 and ARS staining on day 14 of osteogenic induction in PDLSCs transfected with miR-584-5p mimics or inhibitors; representative images are shown. D, E Quantitative analysis of ALP activity (D) and ARS staining (E) demonstrating decreased osteogenic differentiation with miR-584-5p overexpression and enhanced differentiation upon inhibition. F, G qPCR analysis of mRNA levels of osteogenic markers ALPL, SP7, OCN, and RUNX2 in PDLSCs after modulation of miR-584-5p expression. H–K Western blot analysis (H) and quantification (I–K) of osteogenic proteins ALPL, RUNX2, and SP7, showing reduced protein levels with miR-584-5p overexpression and increased levels upon inhibition. Data are presented as mean ± SD from at least three independent experiments; *p < 0.05, **p < 0.01, ***p < 0.001, ****p < 0.0001; ns nonsignificant

Figure 2 miR-584-5p inhibits osteogenic differentiation of PDLSCs in vitro. A, B Quantitative PCR (qPCR) analysis of miR-584-5p expression in PDLSCs after transfection with miR-584-5p mimics or inhibitors, confirming overexpression and knockdown efficiency. C ALP staining on day 7 and ARS staining on day 14 of osteogenic induction in PDLSCs transfected with miR-584-5p mimics or inhibitors; representative images are shown. D, E Quantitative analysis of ALP activity (D) and ARS staining (E) demonstrating decreased osteogenic differentiation with miR-584-5p overexpression and enhanced differentiation upon inhibition. F, G qPCR analysis of mRNA levels of osteogenic markers ALPL, SP7, OCN, and RUNX2 in PDLSCs after modulation of miR-584-5p expression. H–K Western blot analysis (H) and quantification (I–K) of osteogenic proteins ALPL, RUNX2, and SP7, showing reduced protein levels with miR-584-5p overexpression and increased levels upon inhibition. Data are presented as mean ± SD from at least three independent experiments; *p < 0.05, **p < 0.01, ***p < 0.001, ****p < 0.0001; ns nonsignificant.

Fig. 2.

Fig. 2

miR-584-5p inhibition promotes bone formation in vivo. A Schematic diagram of the ectopic bone formation model: PDLSCs transfected with miR-584-5p inhibitors or negative control were implanted subcutaneously into nude mice. B The nude mouse model images are shown (scale bar: 20 mm). Micro-CT images showing increased BMD in the miR-584-5p inhibitor group compared to controls. C–E Quantitative analysis of new bone volume (C), BMD (D), and trabecular thickness (E) from micro-CT data. F, G Masson’s trichrome staining of tissue sections displaying enhanced collagen deposition and new bone formation in the inhibitor group (scale bar: 100 μm). H Micro-CT images show three-dimensional reconstructed images of the rat calvarial defect models in different groups. I Micro-CT images analysis illustrating increased new bone formation in the inhibitor-treated group. J, K Quantitative analysis of bone volume fraction (J) and trabecular number (K) in calvarial defects. L Hematoxylin and eosin (HE) and Masson’s trichrome staining of calvarial sections showing more mature bone structures in the inhibitor group. Data represent mean ± SD; *p < 0.05, **p < 0.01, ***p < 0.001, ****p < 0.0001; ns nonsignificant

Inhibition of miR-584 Expression Promotes New Bone Formation In Vivo

To validate our in vitro findings, we employed ectopic bone formation and rat calvarial defect models (Fig. 2A-B). In the ectopic model, PDLSCs transfected with miR-584-5p inhibitors formed more bone tissue, evidenced by higher bone mineral density (BMD) in micro-CT scans and increased collagen deposition in Masson-stained sections (Fig. 2C-G). In the calvarial defect model, local administration of PDLSCs with miR-584-5p inhibitors significantly enhanced bone regeneration within critical-sized defects (Fig. 2H). Micro-CT imaging showed increased new bone formation, and quantitative analysis demonstrated higher new bone volume and BMD in the inhibitor-treated group compared to controls (Fig. 2I-L). These in vivo results confirm that suppression of miR-584-5p promotes bone regeneration, aligning with our in vitro observations.

MiR-584-5p upregulates H2AFZ expression and nuclear localization

Using miRNA target gene prediction databases, we identified potential interactions between miR-584-5p and both H2AFZ and RUNX2 (Fig. S3). Considering miRNAs often regulate downstream genes, we examined the relationship between miR-584-5p and the histone variant H2AFZ (H2A.Z). QPCR and Western blot analyses showed that H2AFZ mRNA and protein levels decreased during osteogenic induction of PDLSCs (Fig. 3A-C). Overexpression of miR-584-5p increased H2AFZ expression, while its inhibition led to decreased H2AFZ levels (Fig. 3D-E). Immunofluorescence staining revealed enhanced nuclear localization of H2AFZ in cells overexpressing miR-584-5p compared to controls (Fig. 3F-G). In vivo, the miR-584-5p inhibitor group exhibited increased expression of the osteogenic marker SP7 and reduced H2AFZ expression in calvarial defect tissues (Fig. 3H-I). These findings suggest that miR-584-5p upregulates H2AFZ expression and promotes its nuclear accumulation, influencing osteogenic differentiation.

Fig. 3.

Fig. 3

miR-584-5p regulates H2AFZ expression during osteogenic differentiation. A–C qPCR (A) and Western blot (B) analyses showing that H2AFZ mRNA and protein levels decrease during osteogenic induction of PDLSCs over time (C). D, E Western blot analysis (D) and quantification (E) indicating that miR-584-5p overexpression increases H2AFZ protein levels, while inhibition decreases them. F, G Immunofluorescence staining (F) and quantitative fluorescence intensity analysis (G) demonstrating enhanced nuclear localization of H2AFZ in PDLSCs transfected with miR-584-5p mimics compared to controls (scale bar: 10 μm). H, I Immunohistochemistry (H) and immunofluorescence staining (I) of calvarial defect tissues showing increased expression of the osteogenic marker SP7 and reduced H2AFZ expression in the miR-584-5p inhibitor group versus control. *p < 0.05, ***p < 0.001, ****p < 0.0001; ns nonsignificant

H2AFZ mediates miR-584-5p-induced inhibition of osteogenic differentiation

To determine H2AFZ’s role in osteogenesis, we knocked down its expression using specific siRNAs, which effectively reduced H2AFZ mRNA and protein levels (Fig. 4A-B). H2AFZ knockdown led to significant upregulation of osteogenic markers SP7, RUNX2, and ALPL (Fig. 4C-F). ALP and ARS staining confirmed that silencing H2AFZ enhanced ALP activity and promoted mineralized nodule formation (Fig. 4G-H). In vivo, PDLSCs with H2AFZ knockdown demonstrated increased BMD, collagen deposition, and new bone formation in both ectopic bone formation (Fig. 4I-N) and calvarial defect models (Fig. S1), promoting bone repair.

Fig. 4.

Fig. 4

Knockdown of H2AFZ enhances osteogenic differentiation of PDLSCs. A, B qPCR (A) and Western blot (B) analyses confirming efficient knockdown of H2AFZ mRNA and protein levels in PDLSCs using two specific siRNAs. C–F Western blot analysis (C) and quantification (D–F) showing that H2AFZ knockdown leads to upregulation of osteogenic proteins SP7, RUNX2, and ALPL, with greater effects observed with lower H2AFZ expression. G ALP staining on day 7 and ARS staining on day 14 indicating enhanced osteogenic differentiation upon H2AFZ knockdown. H Quantitative analysis of ARS staining confirming increased osteogenesis. I–N In a subcutaneous ectopic bone formation model (I), micro-CT images (J), quantitative analysis of bone parameters (K–L), and Masson’s trichrome staining and analysis (M, N) show that H2AFZ-silenced PDLSCs promote bone formation and collagen deposition (scale bar: 100 μm). *p < 0.05, **p < 0.01, ***p < 0.001, ****p < 0.0001; ns nonsignificant

Rescue experiments showed that H2AFZ knockdown restored the expression levels of osteogenic proteins RUNX2, ALPL, and SP7 in miR-584-5p overexpressing cells (Fig. 5A-D). Functionally, ALP activity and mineralization were also restored upon H2AFZ knockdown in the presence of elevated miR-584-5p levels (Fig. 5E-H). Immunofluorescence confirmed that H2AFZ nuclear accumulation induced by miR-584-5p overexpression was reduced when H2AFZ was knocked down (Fig. 5I-J).

Fig. 5.

Fig. 5

H2AFZ knockdown rescues the inhibitory effects of miR-584-5p on osteogenesis. A–D Western blot analysis (A) and quantification (B–D) demonstrating that knockdown of H2AFZ restores the expression of osteogenic proteins RUNX2, ALPL, and SP7 in PDLSCs overexpressing miR-584-5p. E, F ALP staining (E) and ALP activity assay (F) indicating that H2AFZ knockdown reverses the decreased osteogenic activity caused by miR-584-5p overexpression. G, H ARS staining (G) and quantification (H) showing restoration of mineralization upon H2AFZ knockdown despite elevated miR-584-5p levels. I, J Immunofluorescence staining (I) and fluorescence intensity analysis (J) confirming reduced nuclear accumulation of H2AFZ when knocked down in the presence of miR-584-5p overexpression (scale bar: 10 μm). *p < 0.05, **p < 0.01, ***p < 0.001, ****p < 0.0001; ns nonsignificant

We queried relevant databases and analyzed H2AFZ ChIP-seq data using IGV software, finding that in multiple cell lines, H2AFZ shows enrichment peaks at the promoter regions of ALPL, SP7, and RUNX2 (Fig. 6A). Chromatin immunoprecipitation followed by qPCR (ChIP-qPCR) demonstrated that H2AFZ binds to the promoters of ALPL, SP7, and RUNX2 in PDLSCs (Fig. 6B-E). Osteogenic induction significantly increased the enrichment of acetylated H2AFZ (acH2AFZ) at these promoters (Fig. 6F, I, L). Overexpression of miR-584-5p decreased acH2AFZ enrichment at these promoters, while H2AFZ knockdown increased it (Fig. 6G-N). The acetylation status of H2AFZ influenced its promoter binding and the transcriptional activity of these genes. Through co-immunoprecipitation experiments, we found that HDAC1 can bind to H2AFZ. However, further experiments are needed to determine whether HDAC1 can influence the acetylation level of H2AFZ (Fig. S4A). These data indicate that miR-584-5p inhibits osteogenic differentiation by upregulating H2AFZ, which binds to and represses osteogenic gene promoters.

Fig. 6.

Fig. 6

H2AFZ binds to osteogenic gene promoters and modulates their transcription. A Integrated Genome Viewer (IGV) analysis of H2AFZ ChIP-seq data showing enrichment peaks at the promoter regions of ALPL, SP7, and RUNX2 in multiple cell lines. B–E Chromatin immunoprecipitation followed by qPCR (ChIP-qPCR) demonstrating that H2AFZ is enriched at the promoters of ALPL, SP7, and RUNX2 in PDLSCs. F, I, L ChIP-qPCR results showing that osteogenic induction increases the enrichment of acH2AFZ at the promoters of ALPL (F), SP7 (I), and RUNX2 (L). G, J, M Overexpression of miR-584-5p decreases acH2AFZ enrichment at these promoters. H, K, N Knockdown of H2AFZ enhances acH2AFZ binding to the promoters of ALPL (H), SP7 (K), and RUNX2 (N). *p < 0.05, **p < 0.01, ***p < 0.001, ****p < 0.0001; ns nonsignificant

MiR-584-5p inhibits osteogenic differentiation by targeting RUNX2

To gain further insights into H2AFZ’s role, RNA sequencing (RNA-seq) analysis after H2AFZ knockdown revealed upregulation of osteogenesis-related genes (Fig. 7A). Gene Ontology enrichment indicated involvement in bone development and mineralization processes (Fig. 7B). Gene Set Enrichment Analysis (GSEA) showed activation of the Wnt signaling pathway upon H2AFZ knockdown (Fig. S2), suggesting H2AFZ may suppress osteogenesis by inhibiting this pathway.

Fig. 7.

Fig. 7

miR-584-5p directly targets RUNX2 and affects osteogenic gene regulation. A Volcano plot from RNA sequencing analysis of PDLSCs after H2AFZ knockdown, highlighting significantly upregulated osteogenesis-related genes. B Gene Ontology (GO) enrichment analysis indicating involvement of differentially expressed genes in bone development and mineralization. C Schematic of the predicted binding site of miR-584-5p in the 3’UTR of RUNX2 mRNA. D Luciferase reporter assay showing that miR-584-5p overexpression decreases Luciferase activity of the wild-type RUNX2 3’UTR construct but not the mutant, confirming direct binding. E–H Functional assays demonstrating that overexpression of RUNX2 rescues the inhibitory effects of miR-584-5p on osteogenesis: ALP staining (E), ARS staining (F), ALP activity (G), and ARS staining quantification (H). I–L Western blot analysis (I) and quantification (J–L) confirming restoration of osteogenic protein levels upon RUNX2 overexpression despite miR-584-5p overexpression. M Diagram of dual-luciferase reporter constructs containing 2000 bp promoter regions of ALPL, RUNX2, and SP7. N Dual-luciferase reporter assays showing that RUNX2 enhances SP7 promoter activity but not that of ALPL or its own promoter, while SP7 activates the promoters of ALPL and RUNX2. *p < 0.05, **p < 0.01, ***p < 0.001, ****p < 0.0001; ns nonsignificant

Bioinformatic analysis predicted that miR-584-5p targets the 3’ untranslated region (3’UTR) of RUNX2 mRNA (Fig. 7C). Luciferase reporter assays confirmed direct binding of miR-584-5p to the RUNX2 3’UTR, resulting in decreased luciferase activity in the wild-type construct but not in the mutant (Fig. 7D). Overexpression of RUNX2 in miR-584-5p overexpressing PDLSCs restored ALP activity, mineralization, and expression of osteogenic proteins ALPL and SP7 (Fig. 7E-L).

Dual-luciferase reporter assays demonstrated that RUNX2 enhances the promoter activity of SP7 but not that of ALPL or its own promoter. Conversely, SP7 activated the promoters of ALPL and RUNX2 but not its own, suggesting a positive feedback loop that promotes osteogenic differentiation (Fig. 7M-N). These findings indicate that miR-584-5p inhibits osteogenesis by directly targeting RUNX2 and upregulating H2AFZ, which together suppress osteogenic gene expression. A schematic diagram summarizes the main findings (Fig. 8).

Fig. 8.

Fig. 8

Schematic diagram summarizing the regulatory mechanisms of miR-584-5p in osteogenesis. MiR-584-5p inhibits osteogenic differentiation of PDLSCs by upregulating H2AFZ, which binds to and represses osteogenic gene promoters (ALPL, RUNX2, SP7), and by directly targeting RUNX2 mRNA to reduce its expression. H2AFZ modulates chromatin structure through its acetylation status, influencing gene transcription. RUNX2 and SP7 form a positive feedback loop to promote osteogenesis. The diagram illustrates the dual inhibitory mechanisms of miR-584-5p and highlights potential therapeutic targets for enhancing bone regeneration

Discussion

Our study reveals a novel mechanism by which miR-584-5p inhibits the osteogenic differentiation of PDLSCs. We demonstrated that miR-584-5p acts as a negative regulator through a dual mechanism: upregulating the histone variant H2AFZ and directly targeting RUNX2 mRNA. This dual action represses osteogenic gene expression, highlighting the intricate interplay between epigenetic modifications and post-transcriptional regulation in stem cell differentiation.

The identification of miR-584-5p as a potent inhibitor adds to the growing evidence that microRNAs are crucial modulators of stem cell fate [22]. Previous studies have shown that miRNAs like miR-21 and miR-143-3p influence PDLSC differentiation through various pathways [10–12]. Our findings expand this repertoire by introducing miR-584-5p as a new target for therapeutic intervention in bone biology.

H2AFZ, known for its role in chromatin remodeling and gene regulation [15, 23–25], was identified as a downstream mediator of miR-584-5p. We found that H2AFZ binds to the promoters of key osteogenic genes (ALPL, RUNX2, SP7), and its acetylation status affects this binding and transcriptional activity. Upregulation of H2AFZ by miR-584-5p leads to decreased enrichment of acetylated H2AFZ at these promoters, repressing gene transcription. This aligns with the concept that histone modifications [26] like acetylation are pivotal in regulating gene expression during differentiation [5, 7].

RNA sequencing after H2AFZ knockdown revealed upregulation of osteogenesis-related genes and activation of the Wnt signaling pathway [19, 27, 28], suggesting that H2AFZ may suppress osteogenesis by inhibiting this pathway. Additionally, we identified RUNX2, a master transcription factor in osteogenesis [29–33], as a direct target of miR-584-5p. Luciferase assays confirmed that miR-584-5p binds to the 3’UTR of RUNX2 mRNA, reducing its expression. Overexpression of RUNX2 rescued the inhibitory effects of miR-584-5p, underscoring its critical role.

Our investigation into the interplay between RUNX2 and SP7 revealed that RUNX2 enhances the promoter activity of SP7, while SP7 activates the promoters of ALPL and RUNX2, suggesting a positive feedback loop that amplifies osteogenic gene expression. This regulatory network emphasizes the complexity of transcriptional control in osteogenesis [34, 35].

The therapeutic implications are significant. PDLSCs are promising candidates for regenerative therapies due to their accessibility and osteogenic potential [1]. Understanding the molecular mechanisms that inhibit their differentiation is crucial for developing strategies to enhance bone regeneration. Targeting miR-584-5p or modulating H2AFZ expression could offer new avenues for treating bone defects and periodontal diseases. Moving toward clinical translation, several concrete steps could facilitate the therapeutic application of miR-584-5p inhibitors. Potential delivery systems include exosomes, nanoparticles, and biocompatible hydrogels that could provide controlled release within the periodontal microenvironment [36–38]. Targeted delivery approaches might involve local injection of miR-584-5p inhibitors directly into periodontal ligament tissues following scaling and root planing procedures [39, 40]. Furthermore, combination strategies could incorporate miR-584-5p inhibitors into bone substitute materials during guided bone regeneration (GBR) procedures in periodontal surgery, potentially enhancing the regenerative outcomes. However, several challenges remain, including the development of safe and effective delivery systems, optimization of dosing regimens, and comprehensive evaluation of potential off-target effects before clinical implementation [41]. Given our finding that miR-584-5p knockdown promotes osteogenic differentiation of PDLSCs, an intriguing clinical question arises: do PDLSCs isolated from periodontally diseased teeth exhibit abnormally elevated miR-584-5p expression, which could impair their differentiation capacity? Periodontal disease is characterized by chronic inflammation and altered cellular environments that may dysregulate miRNA expression profiles [42]. Future clinical studies comparing miR-584-5p levels between PDLSCs from healthy and diseased periodontal tissues could provide valuable insights into whether miR-584-5p upregulation contributes to the reduced regenerative potential observed in periodontal disease contexts. Such findings could help explain the compromised healing responses in periodontitis patients and support the therapeutic rationale for miR-584-5p inhibition in clinical applications.

However, our study has Limitations. Our study was Limited to relatively short-term observations, and extending the experimental timeline to 12 weeks or longer could provide deeper insights into the long-term effects of miR-584-5p modulation on PDLSC osteogenic differentiation. Such extended studies would help determine whether miR-584-5p continues to influence late-stage bone maturation processes, including mineralization quality and bone remodeling dynamics, both in vitro and in vivo. MiR-584-5p may have other targets contributing to its inhibitory effects on osteogenesis. Future research should explore these potential targets and delve deeper into how H2AFZ acetylation status affects chromatin structure and gene expression [14]. Investigating the enzymes responsible for H2AFZ acetylation and interactions with other signaling pathways like Wnt/β-catenin may uncover additional mechanisms influencing osteogenesis [43].

Conclusion

In summary, miR-584-5p inhibits the osteogenic differentiation of PDLSCs through a dual mechanism: upregulating H2AFZ to suppress osteogenic gene transcription and directly targeting RUNX2 mRNA to reduce its expression. These insights deepen our understanding of the epigenetic regulation of bone formation and suggest that targeting miR-584-5p and H2AFZ may offer promising strategies for enhancing bone regeneration.

Supplementary Information

Below is the link to the electronic supplementary material.

Acknowledgements

We thank Jingyao Chen and Wei Yin from the Core Facilities, Zhejiang University School of Medicine for their technical support.

Abbreviations

acH2AFZ

acetylated H2AFZ

ALP

alkaline phosphatase

ALPL

alkaline phosphatase, liver/bone/kidney

ARS

alizarin red S

BMD

bone mineral density

ChIP-qPCR

chromatin immunoprecipitation followed by qPCR

DAB

diaminobenzidine

DAPI

4′,6-diamidino-2-phenylindole

GAPDH

glyceraldehyde 3-phosphate dehydrogenase

GCN5

general control non-repressed protein 5

GO

gene ontology

GSEA

gene set enrichment analysis

H2AFZ

histone variant H2AFZ

HAT

histone acetyltransferase

HDAC

histone deacetylase

HE

hematoxylin and eosin

miRNA

microRNA

MOI

multiplicity of infection

OCN

osteocalcin

ODM

osteogenic differentiation medium

PDLSCs

periodontal ligament stem cells

PVDF

polyvinylidene difluoride

qPCR

quantitative polymerase chain reaction

RIPA

radioimmunoprecipitation assay

RNA-seq

RNA sequencing

RUNX2

runt-related transcription factor 2

siRNA

small interfering RNA

SP7

transcription factor SP7

TBST

tris-buffered saline with tween-20

TSA

tyramide signal amplification

Wnt

wingless-related integration site

µCT

micro-computed tomography

Author contributions

All authors contributed to the study’s conception and design. Material preparation, data collection, and analysis were performed by Chengze Wang, Xiaoyan Miao, Yongzheng Li, Lingfei Ren, Bo Zheng, Zhiwei Jiang, and Ying Wang. The first draft of the manuscript was written by Chengze Wang, and Guoli Yang, and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Funding

This work was supported by grants from the National Natural Science Foundation of China (82101061), the Science and Technology Department of Zhejiang Province (Grant No: 2021C03113 and 2024C03194).

Data availability

The authors confirm that the data supporting the findings of this study are available within the supplemental information. Raw data are available from the corresponding authors C. W. and G. Y. upon request.

Declarations

Ethics approval

All animal experiments were approved by the Institutional Animal Care and Use Committee of Zhejiang University (No. ZJU20210530). PDLSCs were isolated from three healthy human premolars extracted for orthodontic reasons. The study was approved by the Institutional Animal Care and Use Committee of Zhejiang University, with written informed consent from all patients.

Conflict of interest

The authors declare that they have no competing interests.

Footnotes

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

References

  • 1.Seo B-M, Miura M, Gronthos S et al (2004) Investigation of multipotent postnatal stem cells from human periodontal ligament. Lancet 364:149–155. 10.1016/S0140-6736(04)16627-0 [DOI] [PubMed] [Google Scholar]
  • 2.Tamura S, Oka K, Itaya S et al (2016) Effects of fibrillin application on periodontal ligament regeneration in mouse model of tooth replantation. J Hard Tissue Biol 25:295–304 [Google Scholar]
  • 3.Nam OH, Cheon K, Kim MS et al (2019) Evaluation of the periodontal and pulpal healing of replanted rat molars with doxycycline root conditioning. J Periodontal Implant Sci 49:148–157. 10.5051/jpis.2019.49.3.148. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 4.Esteller M (2011) Non-coding RNAs in human disease. Nat Rev Genet 12:861–874. 10.1038/nrg3074 [DOI] [PubMed] [Google Scholar]
  • 5.Portela A, Esteller M (2010) Epigenetic modifications and human disease. Nat Biotechnol 28:1057–1068. 10.1038/nbt.1685 [DOI] [PubMed] [Google Scholar]
  • 6.O’Brien J, Hayder H, Zayed Y, Peng C (2018) Overview of MicroRNA biogenesis, mechanisms of actions, and circulation. Front Endocrinol 9:402. 10.3389/fendo.2018.00402 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 7.Bartel DP (2004) MicroRNAs. Cell 116:281–297. 10.1016/S0092-8674(04)00045-5 [DOI] [PubMed] [Google Scholar]
  • 8.Kouzarides T (2007) Chromatin modifications and their function. Cell 128:693–705. 10.1016/j.cell.2007.02.005 [DOI] [PubMed] [Google Scholar]
  • 9.Yen BL, Wang L-T, Wang H-H et al (2024) Excess glucose alone depress young mesenchymal stromal/stem cell osteogenesis and mitochondria activity within hours/days via NAD+/SIRT1 axis. J Biomed Sci 31:49. 10.1186/s12929-024-01039-0 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 10.Wei F, Yang S, Guo Q et al (2017) Microrna-21 regulates osteogenic differentiation of periodontal ligament stem cells by targeting Smad5. Sci Rep 7:16608. 10.1038/s41598-017-16720-8 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 11.Liao C, Zhou Y, Li M et al (2020) LINC00968 promotes osteogenic differentiation in vitro and bone formation in vivo via regulation of miR-3658/RUNX2. Differentiation 116:1–8. 10.1016/j.diff.2020.09.005 [DOI] [PubMed] [Google Scholar]
  • 12.Wangzhou K, Lai Z, Lu Z et al (2021) MiR-143-3p inhibits osteogenic differentiation of human periodontal ligament cells by targeting KLF5 and inactivating the Wnt/β-catenin pathway. Front Physiol 11:606967. 10.3389/fphys.2020.606967 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 13.Wang C, Dong L, Wang Y et al (2021) Bioinformatics analysis identified miR-584-5p and key miRNA-mRNA networks involved in the osteogenic differentiation of human periodontal ligament stem cells. Front Genet 12:1777. 10.3389/fgene.2021.750827 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 14.Zhang P, Liu Y, Jin C et al (2016) Histone acetyltransferase GCN5 regulates osteogenic differentiation of mesenchymal stem cells by inhibiting NF-κB. J Bone Miner Res 31:391–402. 10.1002/jbmr.2704 [DOI] [PubMed] [Google Scholar]
  • 15.Lu W, Zhang L, Ji K et al (2023) Regulatory mechanisms of GCN5 in osteogenic differentiation of MSCs in periodontitis. Clin Exp Dent Res 9:464–471. 10.1002/cre2.695 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 16.Li L, Liu W, Wang H et al (2018) Mutual Inhibition between HDAC9 and miR-17 regulates osteogenesis of human periodontal ligament stem cells in inflammatory conditions. Cell Death Dis 9:1–11. 10.1038/s41419-018-0480-6 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 17.Zlatanova J, Thakar A (2008) H2A.Z: View from the top. Structure 16:166–179. 10.1016/j.str.2007.12.008 [DOI] [PubMed] [Google Scholar]
  • 18.Wang C, Gu W, Sun B et al (2017) CTHRC1 promotes osteogenic differentiation of periodontal ligament stem cells by regulating TAZ. J Mol Histol 48:311–319. 10.1007/s10735-017-9729-0 [DOI] [PubMed] [Google Scholar]
  • 19.Wang C, Li Y, Yu K et al (2021) HOXA10 inhibit the osteogenic differentiation of periodontal ligament stem cells by regulating β-catenin localization and DKK1 expression. Connect Tissue Res 62:393–401 [DOI] [PubMed] [Google Scholar]
  • 20.Spicer PP, Kretlow JD, Young S et al (2012) Evaluation of bone regeneration using the rat critical size calvarial defect. Nat Protoc 7:1918–1929. 10.1038/nprot.2012.113 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 21.Schmitz JP, Hollinger JO (1986) The critical size defect as an experimental model for craniomandibulofacial nonunions. Clin Orthop 299–308. 10.1097/00003086-198604000-00036 [PubMed]
  • 22.Moura SR, Sousa AB, Olesen JB et al (2024) Stage-specific modulation of multinucleation, fusion, and resorption by the long non-coding RNA DLEU1 and miR-16 in human primary osteoclasts. Cell Death Dis 15:741. 10.1038/s41419-024-06983-1 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 23.Mews P, Van der Zee Y, Gurung A et al (2024) Cell type-specific epigenetic priming of gene expression in nucleus accumbens by cocaine. Sci Adv 10:eado3514. 10.1126/sciadv.ado3514 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 24.Verma N, Singh D, Mittal L et al (2024) MPK4-mediated phosphorylation of PHYTOCHROME INTERACTING FACTOR4 controls thermosensing by regulating histone variant H2A.Z deposition. Plant Cell 36:4535–4556. 10.1093/plcell/koae223 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 25.Li C, Smirnova E, Schnitzler C et al (2024) Structure of the human TIP60-C histone exchange and acetyltransferase complex. Nature 635:764–769. 10.1038/s41586-024-08011-w [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 26.Shan L, Yang X, Liao X et al (2024) Histone demethylase KDM7A regulates bone homeostasis through balancing osteoblast and osteoclast differentiation. Cell Death Dis 15:136. 10.1038/s41419-024-06521-z [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 27.Jiang Z, Wang H, Yu K et al (2017) Light-controlled BMSC sheet-implant complexes with improved osteogenesis via an LRP5/β-catenin/Runx2 regulatory loop. ACS Appl Mater Interfaces 9:34674–34686. 10.1021/acsami.7b10184 [DOI] [PubMed] [Google Scholar]
  • 28.Cheng Y, Cao F, Wu J et al (2017) MicroRNA-374a promotes osteogenic differentiation of periodontal ligament stem cells through directly targeting APC/Wnt/β-catenin signaling pathway. Int J Clin Exp Pathol 10:6444–6452 [Google Scholar]
  • 29.Liu DD, Zhang CY, Liu Y et al (2022) RUNX2 regulates osteoblast differentiation via the BMP4 signaling pathway. J Dent Res 101:1227–1237. 10.1177/00220345221093518 [DOI] [PubMed] [Google Scholar]
  • 30.Qin X, Jiang Q, Komori H et al (2021) Runt-related transcription factor-2 (Runx2) is required for bone matrix protein gene expression in committed osteoblasts in mice. J Bone Miner Res 36:2081–2095. 10.1002/jbmr.4386 [DOI] [PubMed] [Google Scholar]
  • 31.Gomathi K, Akshaya N, Srinaath N et al (2020) Regulation of Runx2 by post-translational modifications in osteoblast differentiation. Life Sci 245:117389. 10.1016/j.lfs.2020.117389 [DOI] [PubMed] [Google Scholar]
  • 32.Narayanan A, Srinaath N, Rohini M, Selvamurugan N (2019) Regulation of Runx2 by MicroRNAs in osteoblast differentiation. Life Sci 232:116676. 10.1016/j.lfs.2019.116676 [DOI] [PubMed] [Google Scholar]
  • 33.Geng B, Chen X, Chi J et al (2023) Platelet membrane-coated alterbrassicene A nanoparticle inhibits calcification of the aortic valve by suppressing phosphorylation P65 NF-κB. Theranostics 13(11):3781–3793. 10.7150/thno.85323 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 34.Komori T (2010) Regulation of bone development and extracellular matrix protein genes by RUNX2. Cell Tissue Res 339:189–195. 10.1007/s00441-009-0832-8 [DOI] [PubMed] [Google Scholar]
  • 35.Komori T (2006) Regulation of osteoblast differentiation by transcription factors. J Cell Biochem 99:1233–1239. 10.1002/jcb.20958 [DOI] [PubMed] [Google Scholar]
  • 36.Tian Y, Song Y, Liu J et al (2025) Nanoparticle-mediated photothermal and photodynamic antibacterial therapy for the treatment of periodontitis. Colloids Surf A Physicochem Eng Asp 708:135988. 10.1016/j.colsurfa.2024.135988 [Google Scholar]
  • 37.Li M, Lv J, Yang Y et al (2022) Advances of hydrogel therapy in periodontal regeneration—a materials perspective review. Gels 8:624. 10.3390/gels8100624 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 38.Liu R, Wu S, Liu W et al (2023) Micrornas delivered by small extracellular vesicles in MSCs as an emerging tool for bone regeneration. Front Bioeng Biotechnol 11:1249860. 10.3389/fbioe.2023.1249860 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 39.Nguyen-Thi T-D, Nguyen-Huynh B-H, Vo-Hoang T-T, Nguyen-Thanh T (2023) Stem cell therapies for periodontal tissue regeneration: a meta-analysis of clinical trials. J Oral Biol Craniofac Res 13:589–597. 10.1016/j.jobcr.2023.07.001 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 40.Zheng C, Chen J, Liu S, Jin Y (2019) Stem cell-based bone and dental regeneration: a view of microenvironmental modulation. Int J Oral Sci 11:23. 10.1038/s41368-019-0060-3 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 41.Martino MTD, Tagliaferri P, Tassone P (2025) Microrna in cancer therapy: breakthroughs and challenges in early clinical applications. J Exp Clin Cancer Res 44:126. 10.1186/s13046-025-03391-x [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 42.Santonocito S, Polizzi A, Palazzo G, Isola G (2021) The emerging role of MicroRNA in periodontitis: pathophysiology, clinical potential and future molecular perspectives. Int J Mol Sci 22:5456. 10.3390/ijms22115456 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 43.Yu C-Y, Kuo H-C (2019) The emerging roles and functions of circular RNAs and their generation. J Biomed Sci 26:29. 10.1186/s12929-019-0523-z [DOI] [PMC free article] [PubMed] [Google Scholar]

Associated Data

This section collects any data citations, data availability statements, or supplementary materials included in this article.

Supplementary Materials

Data Availability Statement

The authors confirm that the data supporting the findings of this study are available within the supplemental information. Raw data are available from the corresponding authors C. W. and G. Y. upon request.


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