“…Then they found that BMSC-derived exosomal let-7a-5p, let-7c-5p, miR-328a-5p, and miR-31a-5p could activate the phosphorylation of Smad1/5/9 and activate BMP/Smad signaling pathway by targeting Acvr2b to mediate osteogenic differentiation and repair bone defects ( Figure 2B ). Besides, other BMSC-derived exosomal miRNAs, such as miR-122-5p ( Liao et al, 2019 ), miR-15b ( Li Y. et al, 2020 ), miR-206 ( Huang et al, 2021d ), miR-19b ( Huang et al, 2021c ), miR-146a ( Liu L. et al, 2021 ), miR-877 ( Liang et al, 2021 ), miR-218 ( Hassan et al, 2012 ), and miR-128-3p ( Xu et al, 2020 ) also played significant roles in stimulating osteogenesis and angiogenesis. Briefly, BMSCs-derived exosomal miRNAs could participate in various pathways to promote bone formation, suggesting BMSC may be a key cell in maintaining bone metabolism.…”