LncRNA LINC01123-mediated impaired fracture healing through miR-134-5p/XIAP axis

Abstract Background The prolonged recovery and heightened discomfort associated with delayed fracture healing present substantial clinical challenges. Investigations into lncRNA-mediated pathways may provide novel biological targets for enhancing osseous regeneration and improving clinical outcomes....

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Main Authors: Song Zhou, ZeWen Zheng, ChuanKai Zhang, Liang Hao, Qiang Chen, Ke Sun, Min Cai
Format: Article
Language:English
Published: BMC 2025-08-01
Series:Journal of Orthopaedic Surgery and Research
Subjects:
Online Access:https://doi.org/10.1186/s13018-025-06167-3
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author Song Zhou
ZeWen Zheng
ChuanKai Zhang
Liang Hao
Qiang Chen
Ke Sun
Min Cai
author_facet Song Zhou
ZeWen Zheng
ChuanKai Zhang
Liang Hao
Qiang Chen
Ke Sun
Min Cai
author_sort Song Zhou
collection DOAJ
description Abstract Background The prolonged recovery and heightened discomfort associated with delayed fracture healing present substantial clinical challenges. Investigations into lncRNA-mediated pathways may provide novel biological targets for enhancing osseous regeneration and improving clinical outcomes. Aim The focus of this study is to elucidate the role and molecular mechanism of lncRNA LINC01123 (LINC01123) dysregulation in the osteogenic differentiation of osteoblasts. Methods Real-time quantitative polymerase chain reaction (RT-qPCR) determined LINC01123, miR-134-5p and XIAP levels in samples, alongside an assessment of osteogenic marker mRNA expression. The targeting relationships were verified by luciferase activity assay. The biological behavioural competence of the cells was assessed by cell counting kit-8 (CCK-8), flow cytometry, alizarin red staining assay, and western blot assay. Receiver operating characteristic (ROC) curve was applied to analyse the potential of LINC01123 in the diagnosis of delayed fracture healing. Results LINC01123 was overexpressed in patients experiencing delayed fractures and was sensitive in predicting the occurrence of delayed healing. As osteoblast differentiation progressed, the expression of LINC01123 and XIAP diminished, while the levels of miR-134-5p and ALP, OCN, RUNX2 mRNA were notably upregulated. Upregulation of LINC01123 reduced the levels of osteogenic biomarkers while suppressing cell viability and accelerating apoptosis, while miR-134-5p mimic partially reversed the inhibitory effect of LINC01123. Knockdown of XIAP partially mitigated the negative impact of silencing miR-134-5p on osteoblast differentiation and proliferation. Conclusion Elevated LINC01123 expression promotes delayed fracture healing through the miR-134-5p/XIAP pathway, positioning it as a candidate prognostic marker for progression of fracture healing response. Clinical trial number Not applicable.
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spelling doaj-art-74bc639f75dd4f32b93425f8ac7645b12025-08-24T11:40:23ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2025-08-0120111110.1186/s13018-025-06167-3LncRNA LINC01123-mediated impaired fracture healing through miR-134-5p/XIAP axisSong Zhou0ZeWen Zheng1ChuanKai Zhang2Liang Hao3Qiang Chen4Ke Sun5Min Cai6Department of Orthopedics and Joint Surgery, Xuzhou Renci HospitalDepartment of Orthopedic Surgery, Qinzhou Second People’s HospitalDepartment of Orthopedics and Joint Surgery, Xuzhou Renci HospitalDepartment of Orthopedics and Joint Surgery, Xuzhou Renci HospitalDepartment of Orthopedics and Joint Surgery, Xuzhou Renci HospitalDepartment of Orthopedic and Sports Medicine Surgery, The People’s Hospital of Guangxi Zhuang Autonomous RegionDepartment of Orthopedic and Sports Medicine Surgery, The People’s Hospital of Guangxi Zhuang Autonomous RegionAbstract Background The prolonged recovery and heightened discomfort associated with delayed fracture healing present substantial clinical challenges. Investigations into lncRNA-mediated pathways may provide novel biological targets for enhancing osseous regeneration and improving clinical outcomes. Aim The focus of this study is to elucidate the role and molecular mechanism of lncRNA LINC01123 (LINC01123) dysregulation in the osteogenic differentiation of osteoblasts. Methods Real-time quantitative polymerase chain reaction (RT-qPCR) determined LINC01123, miR-134-5p and XIAP levels in samples, alongside an assessment of osteogenic marker mRNA expression. The targeting relationships were verified by luciferase activity assay. The biological behavioural competence of the cells was assessed by cell counting kit-8 (CCK-8), flow cytometry, alizarin red staining assay, and western blot assay. Receiver operating characteristic (ROC) curve was applied to analyse the potential of LINC01123 in the diagnosis of delayed fracture healing. Results LINC01123 was overexpressed in patients experiencing delayed fractures and was sensitive in predicting the occurrence of delayed healing. As osteoblast differentiation progressed, the expression of LINC01123 and XIAP diminished, while the levels of miR-134-5p and ALP, OCN, RUNX2 mRNA were notably upregulated. Upregulation of LINC01123 reduced the levels of osteogenic biomarkers while suppressing cell viability and accelerating apoptosis, while miR-134-5p mimic partially reversed the inhibitory effect of LINC01123. Knockdown of XIAP partially mitigated the negative impact of silencing miR-134-5p on osteoblast differentiation and proliferation. Conclusion Elevated LINC01123 expression promotes delayed fracture healing through the miR-134-5p/XIAP pathway, positioning it as a candidate prognostic marker for progression of fracture healing response. Clinical trial number Not applicable.https://doi.org/10.1186/s13018-025-06167-3LINC01123miR-134-5pXIAPDifferentiationDelayed healing
spellingShingle Song Zhou
ZeWen Zheng
ChuanKai Zhang
Liang Hao
Qiang Chen
Ke Sun
Min Cai
LncRNA LINC01123-mediated impaired fracture healing through miR-134-5p/XIAP axis
Journal of Orthopaedic Surgery and Research
LINC01123
miR-134-5p
XIAP
Differentiation
Delayed healing
title LncRNA LINC01123-mediated impaired fracture healing through miR-134-5p/XIAP axis
title_full LncRNA LINC01123-mediated impaired fracture healing through miR-134-5p/XIAP axis
title_fullStr LncRNA LINC01123-mediated impaired fracture healing through miR-134-5p/XIAP axis
title_full_unstemmed LncRNA LINC01123-mediated impaired fracture healing through miR-134-5p/XIAP axis
title_short LncRNA LINC01123-mediated impaired fracture healing through miR-134-5p/XIAP axis
title_sort lncrna linc01123 mediated impaired fracture healing through mir 134 5p xiap axis
topic LINC01123
miR-134-5p
XIAP
Differentiation
Delayed healing
url https://doi.org/10.1186/s13018-025-06167-3
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