Cell culture
HUVECs were obtained from Cyagen Biotechnology (USA) and were subjected to culturing Dulbecco's Modified Eagle's Medium (DMEM high glucose, Sigma, USA) rich in glucose. In the medium, penicillin-streptomycin (1%, Gibco, USA) and bovine serum (10%, FBS; VivaCell, Shanghai, China) were added to form a complete medium. RAW 264.7 cells were acquired from the American Type Culture Collection (USA), which were then cultured in a complete DMEM medium. Both cell lines were cultivated at 37°C with 5% CO2.
Exosome isolation
Exosome isolation and characterization were performed following the previously reported method [11]. Briefly, HUVEC cells were cultivated in complete media with EV-free FBS (SBI) for over 24 h. The supernatant containing HUVEC-Exos was subjected to centrifugation at 3,000 rpm for 40 min, followed by 20,000 rpm for 60 min. The supernatant was filtered out and subsequently centrifuged at 120,000 × g for 70 min and rinsed with PBS. Finally, suspended HUVEC-Exos in PBS were kept at -4°C for future use.
Exosome identification
The properties of HUVEC-Exosomes, including shape, particle size, and markers, were determined by utilizing transmission electron microscopy (TEM), western blotting (WB), and nanoparticle tracking analysis (NTA), which were performed as previously described[11].
Western blot experiment
The Beyotime protein extraction kit was employed to extract the total proteins from the collected cells. The equal volume of protein samples was loaded, separated using SDS-PAGE, and then moved onto polyvinylidene difluoride (PVDF) membranes measuring 0.22-µm in diameter. The membranes underwent an overnight treatment with specific antibodies after being blocked with 5% skim milk. The primary antibodies employed were GAPDH (1:1000), HSP70 (1:1000), CD9 (1:1000), and CD63 (1:1000), all sourced from Abcam. After that, the membranes were exposed to secondary antibodies labeled with horseradish peroxidase (HRP) for an hour at the ambient temperature.
Osteoclast differentiation in vitro
In a 96-well plate, the RAW 264.7 cells were cultivated (1 × 105 cells/well) to stimulate osteoclast differentiation. Following this, the cultured cells in complete DMEM media were supplemented with 30 ng/mL M-CSF (PeproTech) and 100 ng/mL soluble RANKL (PeproTech) for 7 days, with the medium being changed every 2 days. On Day 7, TRAP staining was conducted via a commercial kit (Sigma). Quantitive positive TRAP staining cells analysis was used by ImageJ software.
Real-time PCR
The extractraction of total RNA from cells was carried out after their harvesting and treatment with Trizol reagent. The concentration of RNA was determined while employing a Thermo Fisher Scientific NanoDrop-2000 spectrophotometer. Subsequently, a stem-loop reverse transcriptase primer kit (Ribobio, Guangzhou, China) was used to reverse-transcribe miRNA samples. SYBR Prime Script kit (Takara Bio Inc., Shiga, Japan) was used to conduct a triplicate quantitative reverse transcription polymerase chain reaction (qRT-PCR). The relative expression variation was determined using the comparative Ct (2− ΔΔCt) method. The primers used for real-time PCR are listed in Table 1.
Animals
The General Hospital of the Southern Theatre Command of the PLA, located in Guangzhou, China, provided the female C57BL/6 mice. Within the animal center's specific pathogen-free (SPF) facilities, each mouse was kept. The Experimental Animal Centre of the General Hospital of the Southern Theatre Command of the PLA, Guangzhou, China, approved all animal care procedures and tests performed in this study. We constructed the osteoporosis (OP) model by bilateral removal of mice ovaries after adaptive feeding for one week. Following this, OVX mice were injected with HUVEC-Exos or PBS intravenously via the tail vein once weekly for 6 weeks (n = 8 in each group).
Micro-CT experiment
The SkyScan1178 apparatus and related software (Bruker MicroCT, Kontich, Belgium) were used to perform micro-CT scanning and femur analysis. With an energy setting of 35 kV and an intensity of 220 mA, images with a voxel size of 14 microns were acquired. DataViewer and CTVox were used to execute the two- and three-dimensional reconstructions, respectively. As the region of interest (ROI), the trabecular bone at the distal femur's metaphysis under the growth plate was selected. Using CTAn software, the following parameters were found: trabecular number (Tb. N), trabecular thickness (Tb. Th), trabecular separation (Tb. Sp), trabecular bone volume percentage (BV/TV), and bone mineral density (BMD).
TRAP-Staining in vivo
Samples of femur bones from different groups were kept for 24 h in ice-cold 4% paraformaldehyde. For three weeks, bone specimens were decalcified with 10% ethylene diamine tetraacetic acid (EDTA). Following a previous methodology, bone samples were sectioned into 10-µm slices and stained for TRAP [12].
Statistical analysis
GraphPad Prism 8 was used to examine the data, which were then presented as the mean ± standard deviation. It used a one-way analysis of variance or the Student's t-test to assess group data. When the p-value was less than 0.05, the data was deemed statistically significant.