“…For example, the RNA-sequencing of osteogenic exosomes from human MSCs suggests that exosomes include upregulated osteogenic miRNAs (Hsa-miR-146a-5p, Hsa-miR-503-5p, Hsa-miR-483-3p, and Hsa-miR-129-5p) or downregulated anti-osteogenic miRNAs (Hsa-miR-32-5p, Hsa-miR-133a-3p, and Hsa-miR-204-5p), which activate the PI3K/Akt and MAPK signaling pathways ( Zhai et al, 2020 ). In addition, MSC-released exosomal miR-1260a ( Wu et al, 2021 ); miR-335 ( Cao et al, 2021 ); miR-140 and miR-375 ( Chen et al, 2019 ); miR-26a, miR-199a, miR-21, and miR-23a-3p ( Hu et al, 2020 ); let-7a-5p, let-7c-5p, miR-328a-5p, and miR-31a-5p ( Liu A. et al, 2021 ); and miR-150-5p ( Jing et al, 2022 ) have been reported to promote osteogenesis. The exosomes promoting osteogenesis involve many pathways, such as BMP/Smad, Wnt/β-catenin, PTEN/PI3K/Akt, and Hippo signaling pathways ( Cao et al, 2021 ; Cui et al, 2016 ; Hu et al, 2020 ; Zhang et al, 2016 ).…”