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© The Author(s) 2025. This work is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the "License"). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.

Abstract

In vitro-transcribed and circularized RNAs (ivcRNAs) represent a robust platform for sustained protein translation, offering promising potential for localized therapeutic delivery in joint diseases. Osteoarthritis (OA), the most prevalent degenerative joint disorder, remains a major clinical challenge due to its progressive nature and the lack of disease-modifying treatments. In this study, we identify Musashi2 (Msi2) deficiency in articular chondrocytes as a key contributor to OA pathogenesis. To evaluate the efficacy of ivcRNA-mediated protein replacement therapy, we developed a localized delivery strategy that enables high-yield and prolonged protein expression in chondrocytes. Using a destabilization of the medial meniscus (DMM) mouse model, we demonstrate that intra-articular delivery of ivcRNA encoding MSI2 effectively mitigates OA progression in male mice. Furthermore, therapeutic supplementation of SOX5, a downstream effector of MSI2, via ivcRNA delivery further validates this approach. Our findings establish ivcRNA-based protein replacement as a potential RNA therapeutic strategy for osteoarthritis.

In vitro transcribed circular RNAs (ivcRNAs) offer a stable and efficient platform for protein replacement therapy. Here, the authors show that localized ivcRNA delivery restores MSI2 and SOX5 expression in chondrocytes, mitigating osteoarthritis progression in mice.

Details

Title
Circular RNA-based protein replacement therapy mitigates osteoarthritis in male mice
Author
Suo, Jinlong 1   VIAFID ORCID Logo  ; Li, Ling 2 ; Tan, Wuyuan 3 ; Yin, Xubin 4 ; Wang, Jinghui 4 ; Shao, Rui 1 ; Sun, Shaokun 4 ; Guo, Si-Kun 4 ; Feng, Jingyi 4 ; Gao, Bao-Qing 5 ; Wang, Ying 4 ; Wei, Meng-Yuan 4 ; Wang, Lijun 6   VIAFID ORCID Logo  ; Feng, Heng 4 ; Gao, Xiang 7 ; Hu, Ping 8 ; Zheng, Xianyou 1 ; Chen, Ling-Ling 9   VIAFID ORCID Logo  ; Lei, Guanghua 10   VIAFID ORCID Logo  ; Huang, Youkui 4   VIAFID ORCID Logo  ; Zou, Weiguo 11   VIAFID ORCID Logo 

 Institute of Microsurgery on Extremities, and Department of Orthopedic Surgery Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University, School of Medicine, 200233, Shanghai, China (ROR: https://ror.org/0220qvk04) (GRID: grid.16821.3c) (ISNI: 0000 0004 0368 8293) 
 School of Life Science and Technology, ShanghaiTech University, Shanghai, China (ROR: https://ror.org/030bhh786) (GRID: grid.440637.2) (ISNI: 0000 0004 4657 8879); Key Laboratory of RNA Innovation, Science and Engineering, CAS Center for Excellence in Molecular Cell Science, Shanghai Institute of Biochemistry and Cell Biology, University of Chinese Academy of Sciences, Chinese Academy of Sciences, Shanghai, China (ROR: https://ror.org/034t30j35) (GRID: grid.9227.e) (ISNI: 0000000119573309) 
 Department of Plastic and Aesthetic Surgery, Xiangya Hospital, Central South University, Changsha, China (ROR: https://ror.org/00f1zfq44) (GRID: grid.216417.7) (ISNI: 0000 0001 0379 7164); Key Laboratory of Aging-related Bone and Joint Diseases Prevention and Treatment, Ministry of Education, Xiangya Hospital, Central South University, Changsha, China (ROR: https://ror.org/00f1zfq44) (GRID: grid.216417.7) (ISNI: 0000 0001 0379 7164); National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China (ROR: https://ror.org/00f1zfq44) (GRID: grid.216417.7) (ISNI: 0000 0001 0379 7164) 
 Key Laboratory of RNA Innovation, Science and Engineering, CAS Center for Excellence in Molecular Cell Science, Shanghai Institute of Biochemistry and Cell Biology, University of Chinese Academy of Sciences, Chinese Academy of Sciences, Shanghai, China (ROR: https://ror.org/034t30j35) (GRID: grid.9227.e) (ISNI: 0000000119573309) 
 CAS Key Laboratory of Computational Biology, Shanghai Institute of Nutrition and Health, University of Chinese Academy of Sciences, Chinese Academy of Sciences, Shanghai, China (ROR: https://ror.org/034t30j35) (GRID: grid.9227.e) (ISNI: 0000000119573309) 
 Hainan Institute of Regenerative Orthopedics and Sports Medicine, Hainan Academy of Medical Sciences, Hainan Medical University, Hainan, China (ROR: https://ror.org/004eeze55) (GRID: grid.443397.e) (ISNI: 0000 0004 0368 7493) 
 Key Laboratory of Systems Health Science of Zhejiang Province, School of Life Science, Hangzhou Institute for Advanced Study, University of Chinese Academy of Sciences, Hangzhou, China (ROR: https://ror.org/05qbk4x57) (GRID: grid.410726.6) (ISNI: 0000 0004 1797 8419) 
 Guangzhou Laboratory, Guangzhou International Bio Island, Guangzhou, Guangdong, China (ROR: https://ror.org/03ybmxt82) (ISNI: 0000 0005 0567 8125) 
 School of Life Science and Technology, ShanghaiTech University, Shanghai, China (ROR: https://ror.org/030bhh786) (GRID: grid.440637.2) (ISNI: 0000 0004 4657 8879); Key Laboratory of RNA Innovation, Science and Engineering, CAS Center for Excellence in Molecular Cell Science, Shanghai Institute of Biochemistry and Cell Biology, University of Chinese Academy of Sciences, Chinese Academy of Sciences, Shanghai, China (ROR: https://ror.org/034t30j35) (GRID: grid.9227.e) (ISNI: 0000000119573309); New Cornerstone Science Laboratory, Shenzhen, China 
10  Key Laboratory of Aging-related Bone and Joint Diseases Prevention and Treatment, Ministry of Education, Xiangya Hospital, Central South University, Changsha, China (ROR: https://ror.org/00f1zfq44) (GRID: grid.216417.7) (ISNI: 0000 0001 0379 7164); National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China (ROR: https://ror.org/00f1zfq44) (GRID: grid.216417.7) (ISNI: 0000 0001 0379 7164); Department of Orthopaedics, Xiangya Hospital, Central South University, Changsha, China (ROR: https://ror.org/00f1zfq44) (GRID: grid.216417.7) (ISNI: 0000 0001 0379 7164) 
11  Institute of Microsurgery on Extremities, and Department of Orthopedic Surgery Shanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University, School of Medicine, 200233, Shanghai, China (ROR: https://ror.org/0220qvk04) (GRID: grid.16821.3c) (ISNI: 0000 0004 0368 8293); Key Laboratory of RNA Innovation, Science and Engineering, CAS Center for Excellence in Molecular Cell Science, Shanghai Institute of Biochemistry and Cell Biology, University of Chinese Academy of Sciences, Chinese Academy of Sciences, Shanghai, China (ROR: https://ror.org/034t30j35) (GRID: grid.9227.e) (ISNI: 0000000119573309); Hainan Institute of Regenerative Orthopedics and Sports Medicine, Hainan Academy of Medical Sciences, Hainan Medical University, Hainan, China (ROR: https://ror.org/004eeze55) (GRID: grid.443397.e) (ISNI: 0000 0004 0368 7493) 
Pages
8480
Section
Article
Publication year
2025
Publication date
2025
Publisher
Nature Publishing Group
e-ISSN
20411723
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
3254830822
Copyright
© The Author(s) 2025. This work is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the "License"). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.