Abstract:Objective To analyze the effects of microRNA-335-5p (miR-335-5p) on the proliferation, invasion and apoptosis of rheumatoid arthritis synovial fibroblasts (RASFs). Methods Synovial tissue samples were collected from 50 patients with rheumatoid arthritis (RA) and 50 patients with joint trauma who underwent joint replacement surgery from March 2018 to March 2019, and the synovial fibroblasts were isolated and cultured. The expressions of miR-335-5p and Dickkopf-1 (DKK1) in synovial tissue and cells were detected by quantitative real-time polymerase chain reaction (qRT-PCR). Luciferase reporter assay was used to evaluate the effect of miR335-5p on luciferase activity of DKK1. RASFs were transfected with miR-335-5p mimics, si-DKK1 and pcDNADKK1, and cell proliferation, invasion and apoptosis were detected by BrdU assay, transwell assay and flow cytometry, respectively. Results Compared with the control tissues and cells, miR-335-5p was significantly downregulated in RA tissues and RASFs (P < 0.05), while DKK1 was significantly up-regulated in RA tissues and RASFs (P < 0.05). Dual-luciferase reporter assay showed that miR-335-5p could specifically bind to the 3'- untranslated regions (3'-UTR) of DKK1 gene and significantly inhibit the luciferase activity (P < 0.05). In addition, miR-335-5p significantly reduced DKK1 expression (P < 0.05), and overexpression of miR-335-5p or DKK1 knockout suppressed the proliferation and invasion of RASFs and induced RASFs apoptosis (P < 0.05). Furthermore, overexpression of DKK1 reversed the effects of miR-335-5p on RASFs (P < 0.05). Conclusion MiR-335-5p can directly target the expression of DKK1 to inhibit the proliferation and invasion of RASFs and to induce RASFs apoptosis.