LncRNA OIP5-AS1/miR-410-3p/Wnt7b axis promotes the proliferation of rheumatoid arthritis fibroblast-like synoviocytes via regulating the Wnt/β-catenin pathway

Abstract LncRNA OIP5-AS1 has a common gene imbalance in various cancers and tumours, which plays an important role in regulating its biological function. However, there are few studies on lncRNA OIP5-AS1 in rheumatoid arthritis (RA). The purpose of the present study was to investigate the role of lncRNA OIP5-AS1 in the pathogenesis of RA. In the present study, we established an adjuvant arthritis (AA) rat model to obtain primary fibroblast-like synoviocytes (FLSs);The subcellular localisation of lncRNA OIP5-AS1 was detected by fluorescence in situ hybridisation (FISH) assay; Cell proliferation of FLSs was determined by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide(MTT) assay;IL-1β, IL-6 and TNF-α concentrations were measured by enzyme-linked immunosorbent assay (ELISA);Quantitative real-time PCR (qRT-PCR), Western blots(WB) and immunofluorescence were used to detect the expression of lncRNA OIP5-AS1/miR-410-3p/wnt7b signal axis and Wnt/β-catenin signal pathway related indicators in FLSs. FISH assay confirmed the presence of lncRNA OIP5-AS1 in the cytoplasm, suggesting that it acts as a competing endogenous RNA (ceRNA). qRT-PCR showed that the expression of lncRNA OIP5-AS1 was upregulated in FLSs, while the expression of miR-410-3p was downregulated in FLSs. We also found that lncRNA OIP5-AS1 knockdown inhibited the proliferation and inflammation of FLSs. Moreover, the expression of Wnt7b, the downstream target gene of miR-410-3p, and the activation of the Wnt/β-catenin signalling pathway were also inhibited by lncRNA OIP5-AS1 knockdown. These results suggested that lncRNA OIP5-AS1 promotes the activation of the Wnt/β-catenin signalling pathway by regulating the miR-410-3p/Wnt7b signalling axis, thereby participating in the occurrence and development of RA.


Introduction
Rheumatoid arthritis (RA) is a common chronic autoimmune-mediated inflammatory disease characterised by persistent synovitis, systemic inflammation, and joint destruction [1].Due to the high rate of disability, easy recurrence, and long treatment cycle of RA, which causes severe inconvenience and heavy economic burden on the life of patients, there is an urgent need to develop effective methods to treat RA [2].At present, the pathogenesis of RA is not clear, but immune genetics and environment are considered to be the main causes of RA.Accumulating evidence suggests that fibroblast-like synoviocytes (FLSs) play an important role in the pathogenesis of RA.Under an inflammatory environment, FLSs are continuously activated to exhibit tumour-like hyperplasia and transform into an aggressive inflammatory and invasive phenotype [3], and the activation of FLSs releases a variety of inflammatory cytokines and chemokines, including interleukin-6 (IL-6), tumour necrosis factor-α (TNF-α), and matrix metalloproteinases (MMP), which stimulate joint destruction, leading to bone invasion and articular cartilage damage [4][5][6].
Long noncoding RNAs (LncRNAs) are RNA transcripts with a length of more than 200 nucleotides without protein-coding function [7].LncRNAs were initially regarded as "transcriptional noise" and have received little attention [8].In recent years, it has been found that lncRNAs are widely involved in the biological processes of many diseases.Studies have found that lncRNAs not only regulate cell proliferation, differentiation, and apoptosis but also mediate inflammatory and immune processes in diseases.LncRNA OIP5-AS1 is ubiquitously expressed in mammals, highly conserved during vertebrate evolution, and highly expressed in various diseases [9].Many studies have focussed on lncRNA OIP5-AS1 in cancer and reported that it regulates proliferation, apoptosis, migration, and invasion of cancer cells [10,11].The pathogenesis of RA is mainly characterised by excessive proliferation of FLSs.In recent years, it has been proposed that lncRNA OIP5-AS1 plays an important role in the regulation of cell proliferation, apoptosis, and inflammation in osteoarthritis [12,13].Therefore, we focussed on the potential mechanism of lncRNA OIP5-AS1 in the pathogenesis of RA.
MicroRNAs (miRNAs) are small non-coding RNAs with a length of 20-24 nucleotides, and miRNAs can block or promote the translation or degradation of their targeted mRNAs after binding to their targeted mRNAs [14].Competing endogenous RNA (ceRNA) is a novel regulatory mechanism of RNA-RNA interaction.miR-410-3p has been studied as a tumour suppressor in cancer, and it has been shown that upregulation of miR-410-3p expression promotes apoptosis and inhibits cell proliferation [15].Recent studies have found that miR-410-3p also plays an important role in cell proliferation, apoptosis, and anti-inflammatory in RA [16][17][18].A previous study has demonstrated that lncRNA OIP5-AS1, miR-410-3p, and Wnt7b have direct binding effects with each other according to a dual-luciferase reporter assay [19].Wnt7b is upstream of the Wnt/β-catenin signalling pathway, and upregulation of Wnt7b activates the Wnt/β-catenin signalling pathway [20,21].The Wnt/β-catenin signalling pathway regulates cell differentiation, proliferation, migration, and invasion [22,23].Various studies have demonstrated that the Wnt/β-catenin signalling pathway is involved in the pathogenesis of RA [24,25].
The present study focussed on lncRNA OIP5-AS1.We elucidated the molecular mechanism of lncRNA OIP5-AS1 as a sponge that competitively binds to miR-410-3p, resulting in the upregulation of its target gene, Wnt7b, thereby regulating the downstream related factors of the Wnt/β-catenin signalling pathway and ultimately participating in the occurrence and development of RA.

Establishment of the animal model
Male Sprague Dawley (SD) rats of specific pathogen-free (SPF) grade were selected for the experiment, and the adjuvant arthritis (AA) rat model was induced by Freund's complete adjuvant (Sigma, USA).Normal control rats were injected with an equal volume of physiological saline under the same condition [26].Twenty days after inflammation, rats were anaesthetised with 3% pentobarbital sodium and sacrificed by removing blood from the abdominal aorta.This study was under the approval and guidance of the Medical Research Ethics Committee of Anhui University of Chinese Medicine.

Cell preparation and culture
FLSs were cultured using the tissue block adherent method [27].Synovial tissue was removed from the knee joints of AA rats, and the tissue blocks were washed with PBS buffer (Gibco, USA).Synovial tissue was cut into pieces of approximately 1-2 mm 3 and placed into DMEM (Gibco, USA) containing 20% foetal bovine serum (Lonsera, Uruguay) and 1% double antibiotics (100 U/mL penicillin and 100 g/mL streptomycin) (Beyotime, China), and the synovial tissue pieces were spread on one side of the cell culture bottle.The cell culture bottles were placed in a humidified incubator at 37 °C with 5% CO 2 for 4-6 h with the synovial tissue piece side facing up and 3 mL of culture solution on the bottom of the bottle.After the cells adhered, 3-5 mL of complete medium (DMEM, 15% FBS, and 1% double antibiotics) was added to bottom of the cell culture bottle, and the cell culture bottle was placed in an incubator for additional culture.The culture medium was replaced every 2-3 d.An inverted fluorescence microscope was utilised to observe the migration of cells out of the tissue block, and the synovial tissue blocks were removed when the spindle cells detached from the tissue block.Fresh medium was added to continue the culture.When the FLSs reached 80% confluency on the bottom of the cell culture bottle, they were passaged.Primary FLSs from passages 3 to 5 were utilised for subsequent experiments.Synovial tissues from healthy SD rats were cultured using the same method as synovial cells in the normal control group.An inverted fluorescence microscope was used to observe the morphology of the cells.Immunofluorescence staining of vimentin was used to identify FLSs.

Cell transfection and siRNA
The NCBI database was searched to identify primers for lncRNA OIP5-AS1, and siRNA sequences were designed according to the full-length sequence information for rat OIP5-AS1 (NR_130141.1).The design and synthesis of lncRNA OIP5-AS1 siRNAs were completed by China Hefei Deir Spectrum Biotechnology Co., Ltd.
The lncRNA OIP5-AS1 siRNA sequences are shown in Table 1.
When FLSs reached 40% confluency, they were transfected with siRNAs using Lipo3000 reagent (Thermo Fisher, USA) according to the manufacturer's protocol.After 48 h, quantitative real-time polymerase chain reaction (qRT-PCR) was conducted to examine gene expression levels.

Fluorescence in situ hybridisation (FISH)
Synoviocytes were seeded in 24-well plates containing climbing slices and allowed to reach 70% confluency.Cells were then fixed with 4% paraformaldehyde (Solarbio, China) for 20 min.After circles were drawn on the cell climbing slices using a gene pen, cells were digested with 10× proteinase K (at a concentration of 20 μg/mL; Solarbio, China) and washed with ultrapure water.A prehybridization solution (Sangon Biotech, China) was then added followed by incubation at 37 °C for 1 h.After discarding the prehybridization solution, the hybridisation solution was added dropwise followed by incubation at 4 °C overnight.The SSC eluate (Sangon Biotech, China) was washed away from the hybridisation solution, and DAPI staining solution (Solarbio, China) was added to the cell climbing slices followed by incubation for 8 min in the dark.Cells were then washed, and an anti-fluorescence quenching blocking agent (Beyotime, China) was added to the slices, which were observed and imaged using a fluorescence microscope (Nikon, Japan).

MTT essay
Synovial cells were seeded into 96-well plates, digested with trypsin, and incubated in a 5% CO 2 incubator at 37 °C.After 24 h, the synoviocytes were treated according to the experimental groups.After 24, 48, and 72 h of treatment, 10 μL of MTT (Beyotime, China) and 100 μL of fresh medium were added to each well and incubated for 4 h in the dark.The medium was removed, and 100 μL of formazan solution was added to each well.When all the purple crystals were dissolved, the optical density at a wavelength of 570 nm was measured using an enzyme metre.

Enzyme-linked immunosorbent assay
FLS Cells were inoculated and cultured in 96-well plates and treated according to different groups.After 48h, the cell supernatant was taken and centrifuged.The concentration of inflammation-related indicators in serum were detected using the commercial enzyme-linked immunosorbent assay kit (ELISA,LAB, China) following the manufacturer's protocols.

qRT-PCR
Synoviocytes were seeded in 6-well plates, and total cellular RNA was extracted using a total RNA extraction kit (Sangon Biotech, China) according to the manufacturer's protocol.The extracted RNA was reverse transcribed into cDNA using a one-step reverse transcription kit (Invitrogen, Carlsbad, CA, USA), and the Poly (A) tailing method (Sangon Biotech, China) was used perform the tailing reaction of miR-410-3p and the synthesis of cDNA at the same time.TB green premix (Takara, Japan) was used for β-actin and U6 for internal standards.The expression levels of lncRNA OIP5-AS1 and miR-410-3p were detected using a LightCycler480 II System.Wnt7b and Wnt pathway-related components were evaluated according to the procedure used for lncRNA OIP5-AS1.The design and synthesis of primers were completed by China Hefei Deir Spectrum Biotechnology Co., Ltd.The primer sequences are shown in Table 2.The downstream primers and U6 primers of miR-410-3p were provided with the miRNA Poly (A) tailing kit.

Immunofluorescence assay
Cells were divided into four groups as follows: normal group, model group, lncRNA OIP5-AS1 siRNA group, and lncRNA OIP5-AS1 siRNA + NC group.After transfection, the medium was replaced with fresh medium, and cells were incubated at 37 °C with 5% CO 2 for 24 h.Cells were then fixed with 4% paraformaldehyde (Solarbio, China) in the dark for 20 min, and cells were then washed with PBS and permeabilized with 0.5% Triton X-100 (Solarbio, China) for 20 min at room temperature.Cells were then blocked with goat serum for 30 min, and 1 mL of 5% BSA (Solarbio, China) was added to each well followed by incubation for 30 min.The blocking solution was removed by blotting with filter paper.Cells were incubated in a wet box overnight in the dark at 4 °C with the following diluted primary antibodies: Wnt7b (1:500), β-catenin (1:200), c-Myc (1:50), cyclin D1 (1:50), p-glycogen synthesis kinase 3β (p-GSK-3β) (Ser9) (1:400), and SFRP4 (1:500).The primary antibody solution was discarded, and cells were then incubated in a wet box at 37 °C for 1 h with diluted fluorescent-labelled goat anti-rabbit IgG (H&L, 1:1000; ZSGB Biotech, China).Nuclei were stained with 10 μg/mL DAPI (1:100; Solarbio, China) for 5 min, and cells were then sealed with an anti-fluorescence quenching agent (Beyotime, China).Cells were observed and imaged using a fluorescence microscope.
After washing three times, the membranes were incubated

Statistical analysis
All experiments were performed at least three times.SPSS 23.0 (SPSS Inc., Chicago, IL, USA) was used for statistical analysis, and the measured data are expressed as mean ± standard deviation (SD) ( x ±s).An independent sample t-test was used for comparison between the two groups.One-way analysis of variance (ANOVA) was used for the comparison among multiple groups.The difference was statistically significant when p < 0.05.

Identification of FLSs
To verify that the cells used in the experiment are FLSs, the morphology and activity of the cells were observed using a fluorescence inverted microscope and vimentin immunofluorescence.Primary synovial cells were obtained by the tissue block adherence method, and most of the tissue blocks were adherent after 24 h as indicated by observation using an inverted phase contrast microscope.In approximately 2 to 3 days, a few spindle cells migrated along the edge of the tissue mass.After 5-6 days of continuous culture, the number of cells gradually increased and showed colony-like growth.After approximately 12 days, the cells grew rapidly and reached 80% confluency on the bottom of the culture bottle in 2-3 weeks.The morphology of synovial cells showed a short spindle shape at the initial stage and a long fusiform shape after three passages, and the nucleus was significant (Figure 1A).After passaging, the synoviocytes were vimentin-positive and were spindle-shaped.The nuclei were located centrally in the cells and were oval or oval in shape (Figure 1B).

LncRNA OIP5-AS1 knockdown inhibits the proliferation of FLSs
To select the best siRNA targeting sequence for lncRNA OIP5-AS1, we used qRT-PCR to evaluate the knockdown efficiency.Compared to the model group and NC group, the mRNA expression level of lncRNA OIP5-AS1 decreased to varying degrees after transfection with the three siRNA sequences.siRNA2 resulted in the most significant decrease in lncRNA OIP5-AS1 with a knockdown efficiency more than 50% (Figure 2A).Therefore, lncRNA OIP5-AS1 siRNA2 was utilised in subsequent experiments.
To test the effect of lncRNA OIP5-AS1 knockdown on the proliferation ability of FLSs isolated from AA rats, an MTT assay was performed at three different time points (24,48, and 72 h).As shown in Figure 2B, lncRNA OIP5-AS1 knockdown had a weak inhibitory effect on FLS proliferation in AA rats after 24 h.After 48 h, the inhibition rate of FLS proliferation was the highest at 50%, and it decreased by 72 h.Therefore, 48 h was selected as the optimal time for the inhibitory effect of lncRNA OIP5-AS1 knockdown on cell proliferation.

LncRNA OIP5-AS1 is located in the cytoplasm
To determine the localisation of lncRNA OIP5-AS1 in FLSs from AA rats, FISH assays were performed.As shown in Figure 3, CY3 labelled the cytoplasm of synoviocytes, whereas DAPI labelled the nuclei.The merged plot for the mRNA in situ hybridisation assay indicated positivity in the cytoplasm, which indicated that lncRNA OIP5-AS1 was mainly distributed in the cytoplasm.

LncRNA OIP5-AS1 knockdown inhibits the inflammation of RA
Inflammation runs through the whole pathogenesis of RA, and can cause joint redness, deformity and even disability in RA patients [28].ELISA assay was used to detect the effect of siRNA LncRNA OIP5-AS1 on inflammatory factors in the supernatant of RA-FLSs.As shown in Figure 4, compared with the normal group, the expression of IL-6, IL-1β and TNF-α in the model group increased significantly, indicating that inflammation is involved in the pathogenesis of RA.Compared with the model group, the expression of IL-6, IL-1β and TNF-α in OIP5-AS1 siRNA group decreased significantly, The expression of IL-6, IL-1β and TNF-α was significantly reduced in the OIP5-AS1 siRNA group compared with the model group, indicating that the release of inflammatory factors in RA-FLSs was inhibited by the interfered OIP5-AS1.

LncRNA OIP5-AS1 interacts with miR-410-3p
Both bioinformatics analysis and a literature review suggested that lncRNA OIP5-AS1 and miR-410-3p interact with each other, and this interaction has been confirmed in glioma [19].qRT-PCR was used to detect the effect of lncRNA OIP5-AS1 knockdown on the mRNA expression levels of lncRNA OIP5-AS1 and miR-410-3p.Compared to the model   group, the expression level of lncRNA OIP5-AS1 was significantly decreased after lncRNA OIP5-AS1 knockdown (Figure 5A).Compared to the model group, the expression level of miR-410-3p was significantly increased after lncRNA OIP5-AS1 knockdown (Figure 5B).

Wnt7b expression is inhibited by lncRNA OIP5-AS1 knockdown
Previous literature has shown that Wnt7b has a target relationship with miR-410-3p [19].Because Wnt7b overexpression is involved in the activation of the Wnt/β-catenin pathway, Wnt7b was selected as the pathway indicator.Immunofluorescence showed that Wnt7b was mainly positively expressed in the cytoplasm (Figure 6A).Compared to the normal group, the protein and mRNA expression levels of Wnt7b were significantly increased in the model group, and the expression of Wnt7b was significantly decreased by lncRNA OIP5-AS1 knockdown (Figure 6).

LncRNA OIP5-AS1 knockdown decreases β-catenin expression
β-catenin is a key component of the Wnt canonical pathway and a marker of Wnt pathway activation [29].The immunofluorescence assay showed positive expression of β-catenin in the nucleus and cytoplasm in the normal group, and the model group showed increased levels of β-catenin in the nucleus  (Figure 7A).The protein and mRNA expression levels of β-catenin were significantly increased in the model group compared to the normal group, but LncRNAOIP5-AS1 knockdown significantly decreased the expression of β-catenin (Figure 7).

c-Myc expression is decreased after lncRNA OIP5-AS1 knockdown
c-Myc is a downstream effector of the Wnt signalling pathway [29].The immunofluorescence assay showed that c-Myc was mainly positively expressed in the nucleus [30] (Figure 8A).The protein and mRNA expression levels of c-Myc were significantly increased in the model group compared to the normal group, and lncRNA OIP5-AS1 knockdown significantly decreased the expression of c-Myc (Figure 8).

Cyclin D1 expression decreases after lncRNA OIP5-AS1 knockdown
Cyclin D1 and c-Myc are important downstream target genes of the Wnt/signalling pathway [31].Immunofluorescence showed that cyclin D1 was mainly expressed in the cytoplasm (Figure 9A).The protein and mRNA expression levels of cyclin D1 were significantly increased in the model group compared to the normal group, and lncRNA OIP5-AS1 knockdown significantly decreased the expression of cyclin D1 (Figure 9).

LncRNA OIP5-AS1 knockdown decreases GSK-3β and p-GSK-3β (Ser9) expression
GSK-3β is inhibited by phosphorylation and interacts with Axin to promote β-catenin phosphorylation [32].The immunofluorescence assay showed that p-GSK-3β was positively expressed in the cell membrane, nucleus, and cytoplasm (Figure 9A).As shown in Figure 10, the mRNA expression levels of GSK-3β were not significantly different between the groups.However, the protein expression of p-GSK-3β/GSK-3β was significantly increased in the model group compared to the normal group, and lncRNA OIP5-AS1 knockdown significantly decreased the protein expression of p-GSK-3β/GSK-3β (Figure 10).

SFRP4 expression is increased after lncRNA OIP5-AS1 knockdown
SFRP4 is an antagonist of the Wnt pathway and negatively regulates the activation of the Wnt signalling pathway [33].The immunofluorescence assay showed that SFRP4 was mainly positively expressed in the cytoplasm (Figure 11A).The protein and mRNA expression levels of SFRP4 were significantly decreased in the model group compared to the normal group, and lncRNA OIP5-AS1 knockdown significantly increased the expression of SFRP4 (Figures 11  and 12).

Discussion
RA is an autoimmune disease of unknown aetiology with serious complications that predispose to joint damage.FLS activation is similar to tumour-like hyperplasia with strong invasion and migration ability [4], and it is an important cause of cartilage injury and joint damage [34].In the present study, we showed that the expression of lncRNA OIP5-AS1 was in FLSs from AA rats, and the proliferation of FLSs in RA was suppressed after lncRNA OIP5-AS1 knockdown.In addition, we showed that lncRNA OIP5-AS1 promoted FLS proliferation by targeting the miR-410-3p/Wnt7b signalling axis, which may be related to the activation of the Wnt/β-catenin signalling pathway.
LncRNAs have been shown to be involved in regulating the development of a variety of diseases.LncRNA OIP5-AS1, a tumour suppressor lncRNA first identified in zebrafish, is involved in regulating the pathogenesis of many kinds of cancers [35], and many studies on lncRNA OIP5-AS1 have been published.LncRNA OIP5-AS1, as a ceRNA in  combination with miRNAs, negatively regulates its function to regulate the function of diseases, such as cancer.Wu et al. [36] reported that lncRNA OIP5-AS1 inhibits breast cancer development by inducing the expression of GlO1 through competitively binding with miR-215a-5p.In gastric cancer (GC), miR-186 acts as a direct target of lncRNA OIP5-AS1, and the interaction regulates the process of aerobic glycolysis in GC cells [37] LncRNA OIP5-AS1 has been reported to bind to miR-410-3p as a ceRNA in glioma, regulating glioma cell proliferation and apoptosis [19].MiR-410-3p has also been found to play a role in inhibiting inflammation and proliferation of FLSs in RA  pathogenesis [19].However, there are few studies on lncRNA OIP5-AS1 RA.The targeting relationship of lncRNA OIP5-AS1 and miR-410-3p has been confirmed by dual-luciferase assays [16,17] In the present study, qRT-PCR showed that lncRNA OIP5-AS1 was upregulated and that miR-410-3p was downregulated in RA FLSs.Moreover, lncRNA OIP5-AS1 knockdown significantly decreased proliferation and correspondingly increased miR-410-3p expression.These results demonstrated that lncRNA OIP5-AS1 interacts with miR-410-3p in RA FLSs and has a regulatory effect on the proliferation of RA-FLSs.There have been various reports demonstrating the close relationship between RA and inflammation [38,39].Knockdown of OIP5-AS1 also resulted in significant suppression of the inflammatory response in RA-FLSs, as confirmed by the results of assays for the pro-inflammatory cytokines IL-1β, IL-6, and TNF-α (Figure 4).
Previous studies have demonstrated that miR-410-3p directly acts on Wnt7b and regulates the Wnt signalling pathway [19] Wnt7b, as a Wnt non-transforming family member, is an important agonist of the Wnt/β-catenin signalling pathway and activates the Wnt signalling key effector, β-catenin, which in turn activates the Wnt/β-catenin signalling pathway [40].β-catenin is a key effector of the Wnt/β-catenin signalling pathway, which is involved in physiological processes, such as inflammation in several diseases, including RA, and Wnt/β-catenin signalling plays an important regulatory role in physiological processes, such as cell differentiation, proliferation, and apoptosis.When the Wnt signal is activated, the Wnt protein binds to Frizzle receptor proteins (Frz) and low-density lipoprotein receptor-related protein 5/6 (LRP5/6), thus activating dishevelled (Dvel, a FDZ domain-containing protein) and Axin (an axon protein) [41].Because the activity of GSK-3β is inhibited, β-catenin is not phosphorylated by GSK-3β, and the ubiquitin proteasome cannot recognise GSK-3β and degrade it.A large amount of β-catenin accumulates in the cell and enters the nucleus [42] After interaction with transcriptional cofactor T cell factor (TCF)/lymphoid enhancer factor (LEF), it transactivates the related downstream factors, such as c-Myc and cyclin D1 [43], thus participating in and regulating the occurrence and development of diseases in the body [30,44].β-catenin translocation into the nucleus is considered to be an indicator of Wnt signalling pathway activation and plays a core role in the Wnt signal pathway [6].c-Myc and cyclin D1 are direct downstream targets of the Wnt/β-catenin signalling pathway [45].c-Myc is one of the major proto-oncogenes that regulates gene activation, transcription, and repression [46].Cyclin D1 is an important G1 phase regulator in the cell cycle, and overexpression of cyclin D1 shortens the cell cycle and promotes rapid cell proliferation [47].The present study showed that β-catenin, c-Myc, and cyclin D1 are highly expressed in FLSs and that their expression is significantly downregulated after OIP5-AS1 knockdown.
Glycogen synthesis kinase 3 (GSK-3) is a structurally active serine threonine kinase involved in the regulation of multiple signalling pathways and is currently known to comprise two isoforms, namely, GSK-3α and GSK-3β [48].GSK-3β is upstream of the Wnt/β-catenin signalling pathway, and the level of β-catenin is negatively regulated by GSK-3β-mediated phosphorylation or other degradation pathways [49].When phosphorylation occurs at Ser9, the activity of GSK-3β is inhibited, and the phosphorylation and degradation of β-catenin are blocked, thus positively regulating the Wnt/β-catenin signalling pathway [50].The present study showed that there was no significant difference in GSK-3β in FLSs between the groups; however, the expression of p-GSK-3β (Ser9)/GSK-3β was significantly increased in the model group compared to the normal group, and the expression level of p-GSK-3β (Ser9)/GSK-3β was significantly decreased after lncRNA OIP5-AS1 knockdown.
SFRP4 is considered a negative regulator of the Wnt/β-catenin pathway and plays an important role in the pathogenesis of RA [51].Miao et al. [52] demonstrated that DNMT1 activates the Wnt signal through the SFRP4 antagonist in FLSs from RA model rats.The present study showed that the expression of SFRP4 was low in FLSs, which was consistent with previous studies [53].Of note, the expression level of SFRP4 significantly increased after OIP5-AS1 siRNA treatment.
In summary, the present study demonstrated for the first time in RA FLSs that lncRNA OIP5-AS1 acts as a ceRNA to act on the miR-410-3p/Wnt7b signalling axis to regulate Wnt/β-catenin signalling pathway expression, which inhibits FLS cell proliferation, thereby alleviating the development and progression of RA (Figure 11).Based on the results of the present study, we speculated that the lncRNA OIP5-AS1/ miR-410-3p/Wnt7b signal axis is a potential target for the treatment of RA.Thus, the present study provides a scientific basis for the exploration of the pathogenesis of RA from the perspective of molecular biology.

Figure 1 .
Figure 1.identification of FLSs.(A) the primary and subcultured synovial cells were observed under a light microscope (a: the primary cells, ×400; b: the third generation of cells, ×200).(B) Synovial cells labelled with vimentin antibody under a fluorescence microscope (×200).

Figure 3 .
Figure 3. LncRnA oiP5-AS1 is localised in the cytoplasm according to the FiSH assay.

Figure 8 .
Figure 8. the changes of c-myc protein and mRnA expression in FLSs from AA rats after lncRnA oiP5-AS1 siRnA.(A) the change of c-myc protein expression was observed by immunofluorescence (×200; a: normal group; b: model group; c: lncRnA oiP5-AS1 siRnA group; and d: lncRnA oiP5-AS1 siRnA + nC group).(B) the change of c-myc mRnA expression was evaluated by qRt-PCR.(C) the change of c-myc protein expression was evaluated by Western blot analysis.(D) Semiquantitative analysis of c-myc protein.## P<0.01 compared to the normal group; *P<0.05 and **P<0.01compared to the model group.normal: normal synovial cells; model: FLSs from AA rats; oiP5-AS1 siRnA: lncRnA oiP5-AS1 siRnA2; oiP5-AS1 siRnA + nC: negative control for siRnA.

Figure 12 .
Figure12.the lncRnA oiP5-AS1/miR-410-3p/Wnt7b axis promotes the proliferation of RA FLSs via regulating the Wnt/β-catenin pathway.When RA occurs, the expression of lncRnA oiP5-AS1 in FLSs increases, and the expression of miR-410-3p decreases after the competition.At the same time, the expression of Wnt7b, β-catenin, c-myc, and cyclin D1 increases, which promotes the phosphorylation of GSK-3β, decreases the expression of SFRP4, activates the Wnt/β-catenin signalling pathway, and promotes FLS proliferation, thereby participating in the pathogenesis of RA.