Abstract:Objective To investigate the protective effects of bone marrow mesenchymal stem cells (BMMSC) over-expressing miR-224 on sciatic nerve injury in rats and the possible mechanisms. Methods Sprague Dawley rats were divided into sham group, model group, BMMSC group (sciatic nerve injury + BMMSC), LVBMMSC group (sciatic nerve injury + LV-BMMSC) and miR-224-BMMSC group (sciatic nerve injury + miR-224- BMMSC). The sciatic nerve injury was modeled and BMMSC, LV-BMMSC and miR-224-BMMSC were injected respectively into the latter three groups. The Basso, Beattie, Bresnahan Locomotor Rating Scale (BBB) score and sciatic function index (SFI) were measured on the day of operation, and 12 days and 24 days after operation. Western blotting was used to detect the expression of brain-derived neurotrophic factor (BDNF), myelin basic protein (MBP) and growth associated protein 43 (GAP-43), and the neuronal apoptosis of sciatic nerve in rats in each group was detected by flow cytometry. Results The BBB scores and SFI were different among the groups and altered at different time points (on the day of operation, and 12 days and 24 days after operation) with distinct changing trends (P < 0.05). The BBB score of the model group was lower than that of the sham group, while the SFI of the model group was higher than that of the sham group (P < 0.05). The BBB score of the BMMSC group was higher than that of the model group, while the SFI of the BMMSC group was lower than that of the model group (P < 0.05). The BBB score of the miR-224-BMMSC group was higher than that of the BMMSC group, while the SFI of the miR224-BMMSC group was lower than that of the BMMSC group (P < 0.05). The expression of BDNF, MAP and GAP43 in the miR-224-BMMSC group was higher than that in model group and BMMSC group (P < 0.05). The neuronal apoptosis rate of sciatic nerve in the miR-224-BMMSC group was lower than that in model group and BMMSC group (P < 0.05). Conclusion The miR-224 overexpression can enhance the therapeutic effect of BMMSC on sciatic nerve injury, and its mechanism is related to the inhibition of BMMSC apoptosis.