Integrative analysis reveals a lineage-specific circular RNA landscape for adipo-osteogenesis of human mesenchymal stem cells

Background The balance between osteogenesis and adipogenesis of mesenchymal stem cells (MSCs) is critical to skeletal development and diseases. As a research hotspot, circular RNAs (circRNAs) have expanded our understanding of a hidden layer of the transcriptome. Yet, their roles during adipo-osteogenesis remain poorly described. Methods The identity of human MSCs derived from bone marrow and adipose were first determined by flow cytometry, cellular staining, and quantitative polymerase chain reaction (qPCR). Multi-strategic RNA-sequencing was performed using Poly A, RiboMinus and RiboMinus/RNase R methods. Integrative analysis was performed to identify lineage-specific expressed circRNAs. The structural and expressional characteristics were identified by Sanger sequencing and qPCR, respectively. The regulatory effects of adipogenesis-specific circ-CRLF1 were confirmed using siRNA transcfection and qPCR. Results We generated a whole transcriptome map during adipo-osteogenesis based on 10 Poly A, 20 RiboMinus and 20 RiboMinus/ RNase R datasets. A total of 31,326 circRNAs were identified and quantified from ~ 3.4 billion paired-end reads. Furthermore, the integrative analysis revealed that 1166 circRNA genes exhibited strong lineage-specific expression patterns. Their host genes were enriched in distinct biological functions, such as cell adhesion, cytokine signaling, and cell division. We randomly selected and validated the back-spliced junction sites and expression patterns of 12 lineage-specific circRNAs. Functional analysis indicated that circ-CRLF1 negatively regulated adipogenesis. Conclusions Our integrative analysis reveals an accurate and generally applicable lineage-specific circRNA landscape for adipo-osteogenesis of MSCs and provides a potential therapeutic target, circ-CRLF1, for the treatment of skeleton-related disease. Supplementary Information The online version contains supplementary material available at 10.1186/s13287-022-02792-5.

requires the balance of osteogenesis and adipogenesis of MSCs, the imbalance of which has been linked to pathophysiologic processes of bone such as aging, obesity, osteopenia, and osteoporosis [2][3][4]. Therefore, clarifying the adipo-osteogenesis of MSCs will facilitate the application of MSC in regenerative medicine, especially for bone-related diseases.
Although the roles of circRNAs in the lineage determination of MSCs have been becoming more evident, only a few publications have reported the expressions with potential functions of circRNAs at a genome-wide level during adipo-osteogenesis in humans. For instance, the circRNA expression levles during osteogenesis have been reported in BMSCs using microarray or RNase R-treated RNA-sequencing (RNA-seq) [17,18], and in AMSCs and stem cells from the periodontal ligament and apical papilla using RiboMinus-treated RNA-seq [14,19,20]. Adipogenesis-related circRNAs have been reported in human visceral and subcutaneous fat tissue and mouse pre-adipocytes using RiboMinus-treated RNAseq [21]. However, due to their low abundance compared with linear RNAs, a limited number of circRNAs were detected by only removing ribosomal RNAs during RiboMinus-treated RNA-seq [22], and a biased estimation of circRNA levles may be generated during RNase R treatment and multiple purification steps during RNase R-treated RNA-seq [23]. Integrative analysis of multistrategic RNA-seq data using appropriate algorithms could improve the accuracy of circRNA identification and quantification with a significantly reduced false discovery rate [24].
In the present study, we produced 50 high-quality RNA-seq datasets, using RiboMinus, Poly A, and RiboMinus/RNase R methods, at five time points during adipo-osteogenesis of human BMSCs and AMSCs. Our integrative analysis identified 31,326 circRNAs shared by MSCs from different tissues, 1,166 host genes of which displayed strong lineage-specific expression patterns. Twelve circRNAs were further validated by both quantitative polymerase chain reaction (qPCR) and Sanger sequencing. Moreover, we found that levels of the cir-cRNA, circ-CRLF1, which is derived from the CRLF1 locus, were markedly increased during adipogenesis, but not osteogenesis. Moreover, the knock-down of circ-CRLF1 significantly promoted adipogenesis. These datasets will be useful for further investigation of the roles of circRNAs during bone development and dysfunction.

Osteogenic and adipogenic differentiation
MSCs were orientally induced under passage 8 when they reached 80% confluence. For osteogenic induction, the cells were washed with 1 × dPBS and then cultured with OsteoMAX-XF Differentiation Medium (catalog number SCM121, EMD Millipore, MD, USA) supplemented with 1% penicillin-streptomycin. The osteogenic medium was half-changed on day 2, 4, 7, 9, and 11, according to the previous study [25]. MesenCult Adipogenic Differentiation Kit (catalog number 05412, STEMCELL Technologies, Vancouver, Canada) supplemented with 1% penicillin-streptomycin was used for adipogenic induction, and all the culture medium was replaced at the same time point mentioned above. The samples were collected on day 0, 7, and 14 for the experiments.

Alizarin Red S and oil Red O staining
The cells were fixed in 4% paraformaldehyde for 20 min at room temperature and then washed twice with 1 × dPBS. To detect the matrix mineralization during osteogenesis, the cells were stained with 1% Alizarin Red S (pH 4.2; catalog number G1452, Solarbio, Beijing, China) for 15 min. To visualize the intracellular lipid deposits, the cells were incubated with 60% isopropanol for 5 min, then stained with Oil Red O solution (catalog number G1262, Solarbio, Beijing, China) for 15 min. The stained cells were examined by light microscope (EVOS XL Core, 10 × magnification, Life Technology, PA, USA).

Immunofluorescence assay
Cells grown in 6-well plates were washed 3 times with PBS, and fixed for 15 min in 4% paraformaldehyde at room temperature and treated with 0.1% Triton X-100 for 15 min and then blocked for 60 min with 5% goat serum in PBS. After that, cells were incubated with rabbit anti-RUXN2 (catalog number 12556, Cell Signaling Technology, MA, USA; dilution 1:800) or rabbit anti-CEBPA (catalog number 8178, Cell Signaling Technology, MA, USA; dilution 1:200) primary antibody at 4 °C overnight and secondary antibodies (Alexa Fluor 488, catalog number 4412, Cell Signaling Technology, MA, USA; dilution 1:500) for one h at room temperature, followed by washing and staining with DAPI (2 μg/ml, catalog number D8417, Sigma-Aldrich, MO, USA) for 5 min. Then stained cells were washed two times with PBS, and images were taken using a Leica microscope (Leica, DMi8, Wetzlar, Germany) with its software LAS X. The average optical density (AOD) of immunoreactivity were normalized by AOD of DAPI in the same field using Image J.

RNA isolation and quantitative PCR
Total RNA was isolated using TRIzol (Catalog Number 15596026, Invitrogen, CA, USA) and RNeasy Mini Kit (Catalog Number 74104, QIAGEN, CA, USA) according to manufacturers' instructions. For RNase R treatment, 2 μg of total RNA were incubated with or without 3 U/μg RNase R (Catalog Number RNR07250, Epicentre Technologies, WI, USA) for 20 min at 37 ℃, for 5 min at 70 ℃. Subsequently, complementary DNA was produced using the PrimeScript RT Reagent Kit with gDNA Eraser (catalog number RR047A, Takara, Shiga, Japan), and quantitative real-time reverse transcription polymerase chain reaction (qPCR) was performed using the Real-Time PCR detection system (Thermo Scientific SteponePlus, MA, USA) with TB Green Premix Ex Taq ™ II kit (catalog number RR820A, Takara, Shiga, Japan). Relative mRNA expression was calculated using the delta threshold cycle (ΔΔCT) method and normalized to GADPH expression [26]. The PCR primers are listed in Additional file 7: Table S6. In addition, the PCR products for circRNAs were performed with sanger sequencing to validate the back-spliced junction sequences.

Multi-strategic RNA-seq
For RiboMinus-treated RNA-seq, the ribosomal RNAs were removed by Epicentre Ribo-zero rRNA Removal Kit (Epicentre, WI, USA). For Poly A-treated RNA-seq, the poly-T oligo-attached beads were used to purify poly A-containing RNAs. For RiboMinus/RNase R RNA-seq, the rRNA-depleted RNAs were digested with RNase R (Epicentre, WI, USA) to remove linear RNAs. Whereafter, the strand-specific libraries were performed with the treated RNAs using the rRNA-depleted RNA by NEB-Next Ultra Directional RNA Library Prep Kit for Illumina (NEB, MA, USA) following the manufacturer's recommendations. The sequencing was carried out using the Illumina HiSeq X Ten instrument by the commercial service of Novogene Co., Ltd. (Tianjin, China).

Bioinformatic analysis
Low-quality sequencing reads and the reads with adapters or with > 10% of ploy-N bases were filtered out. After filtering, the clean reads were used to calculate gene expression values and identify circular RNAs. The read count and TPM (transcripts per million) values of each type of gene were determined using the fast pseudoaligner Kallisto (v0.46.0) [27], which pseudoaligned reads to reference gene models (GENCODE v35) [28]. Then, the read counts and TPMs at the transcript level were summarized to the gene level. Differentially expressed genes (DEGs) were identified using the DESeq2 method [29]. DEGs with fold-change more than two and adjusted P value less than 0.01 were retained and used in the following analysis. Gene Ontology (GO) enrichment analysis was performed using DAVID bioinformatics resources 6.8 [30]. According to RNA-seq data and reference gene models, circRNAs were identified using CIRI2 [31]. The expression levels of circRNAs were estimated by CIRIquant with RNase R effect correction model based on RNase R treated and untreated samples [24]. CircAltas 2.0 database was used as the source of the reference circular RNAs [32].

Oligonucleotides transfection
A predesigned siRNA targeting human circ-CRLF1 (si-circRNA) and negative control (scramble siRNA, siscramble) were purchased from GenePharma Co., Ltd. (Shanghai, China). The sequences used are listed in Additional file 7: Table S6. MSCs were transfected with siRNA at a final concentration of 20 nM on day 0, 2 and 4 during adipogenesis, using Lipofectamine RNAiMAX (Invitrogen, Cat.No. 13778075), according to the manufacturer's protocol. Cells were harvested on day 7 post-transfection.

Statistical analysis
Prism software 5.01 (GraphPad Software, Inc., San Diego, USA) were used to for statistical analysis. A twotailed Student's t-test was used to compare mean values between two groups. The statistical significance in the comparison of multiple sample sets versus control was performed with Bonferroni's multiple comparisons test after one-way ANOVA test.

Adipo-osteogenic characteristics of inducted human BMSCs
Human BMSCs were expanded and induced using osteogenic or adipogenic medium for 14 days to establish an adipo-osteogenesis system. The expanded BMSCs maintained the typical expression pattern of their surface markers: high CD73, CD105 and CD166 expression levels, and low CD14, CD34 and CD45 expression levels ( Fig. 1b; Additional file 1: Fig. S1a). Histological staining indicated the accumulation of extracellular matrix mineralization during osteogenesis and the accumulation of intracellular lipid droplets during adipogenesis (Fig. 1a). Expression levels of osteogenic marker genes, including RUNX2, ALPL, and MMP1, and adipogenic marker genes, including PPARG , CEBPA, and FABP4, were significantly increased during osteogenesis and adipogenesis, respectively (Fig. 1c, d). Therefore, human BMSCs displayed typical adipogenic and osteogenic lineage characteristics after oriented induction.

Advantages of multi-strategic RNA-seq analysis of induced BMSCs
To generate the comprehensive RNA landscape of induced BMSCs, we sequenced 30 samples from five time points during adipo-osteogenesis of human BMSCs, using three RNA-seq library types: (1) RiboMinus-treated library for total RNA detection, (2) Poly(A) enrichment library as standard RNA-seq library, (3) RiboMinus/ RNase R-treated library for circRNA detection (10 libraries for each type) ( Fig. 2a; Additional file 2: Table S1). For the three types of RNA-seq libraries, an average of 62 million clean reads were obtained, 94% of which were mapped to the human genome (version hg38) (Additional file 1: Fig S2a; Additional file 2: Table S1). The expression profiles of both protein-coding and lncRNA genes of two replicates from each library type and time point exhibited high correlations, indicating excellent repeatability of our experiments (Additional file 1: Fig S2b, c). The expressional changes of adipo-osteogenic marker genes showed similar trends when detected by RNA-seq or qPCR ( Fig. 1c; Additional file 1: Fig S2d). Furthermore, we found that an average of 87% of protein-coding genes and 68% of lncRNA genes annotated by the GENCODE database were detected in RiboMinus data, whereas these proportions were 80% and 44% in Poly A data, 74% and 34% in RiboMinus/RNase R data (Fig. 2b). An average of 97% of the detected genes in Poly A data belonged to protein-coding genes, whereas the proportions were 54% in RiboMinus data, and 47% in RiboMinus/RNase R data (Fig. 2c). In addition, the highest portions of backspliced junction (BSJ) reads were detected in RiboMinus/ RNase R data (Additional file 1: Fig S2e; Additional file 2: Table S1). Therefore, both RiboMinus-and RiboMinus/ RNase R-treated RNA-seq methods preserved the balanced RNA proportions of protein-coding and lncRNA genes, while the RiboMinus method detected slightly more annotated genes and the RiboMinus/RNase R method detected extraordinarily more BSJ reads, which is valuable for circRNA identification. The Poly A data displayed a strong bias for the enrichment of RNAs from protein-coding genes. These results demonstrated that the three library types exhibited distinct advantages in providing an overall RNA landscape during adipo-osteogenesis of human BMSCs.

Integrative identification of circRNAs in inducted BMSCs
To improve the accuracy of circRNA identification, an integrative pipeline was performed to utilize the advantages of multiple dataset types. The predicted circRNAs were detected using the CIRI2 tool for each library type, while predicted circRNAs from Poly A-treated libraries were considered as false-positive signals and filtered out. The expression values of the remaining circRNAs in the RiboMinus and RiboMinus/RNase R data were corrected for RNase R efficiency using the CIRIquant tool (Fig. 3a). According to the circRNA identification results, at least eight times more circRNAs were identified in each RiboMinus/RNase R data set (16,767 circRNAs) than those in RiboMinus data (2,063 circRNAs), while an average of 14 circRNAs were identified and filtered from the Poly A data (Fig. 3b). After correction and merging, a total of 48,152 circRNAs were obtained from 7366 genes (Additional file 3: Table S2), of which 30% were identified in more than five samples and thus may be considered conserved circRNAs (Fig. 3c). Among these circRNAs, 96.2% were matched with circAtlas 2.0 annotation, 95.9% were generated from protein-coding genes, and 88.5% were from exonic regions (Fig. 3d-f ). Next, we evaluated the relationship between host gene characteristics and their circRNA numbers. The results showed that there was a higher correlation between the number of host gene exons and the number of their cir-cRNAs than between the host gene expression levels and the numbers of their circRNAs ( Fig. 3g; Additional file 1: Fig. S2f   analysis, based on the expression levels of 7,366 host genes, showed a high correlation between two replicates at each time point from each type of library and among different lineages. This suggested that circRNA-related genes exhibited lineage-specific expression characteristics (Fig. 3h).

Lineage-specific expression of circRNA genes during adipo-osteogenesis of BMSCs
The efficient differentiation of MSCs requires genomewide gene-specific expression at different developmental stages. To characterize the distinct patterns of circRNA expression more comprehensively, we performed differential gene expression analysis, using the circRNAs we identified as a reference, during adipo-osteogenesis of BMSCs. In total, 2,077 circRNA genes were found to be significantly differentially expressed (adjusted P value < 0.05 & |log2 FoldChange|> 1) and were further grouped into three distinct expression patterns (Additional file 4: Table S3). Especially, 969 circRNA genes were significantly up-or down-regulated during adipogenic process and were classified as pattern I (AD-specific), represented by PTK2B [33], TGFBR3 [34], LEPR [35] and AEBP1 [36], whose host genes were key regulators of adipogenesis (Additional file 4: Table S3; Fig. 4).
On the other hand, 635 circRNA genes with significantly different expression levels during osteogenesis were classified as pattern II (OS-specific), represented by COL4A [37], SULF1 [38], SLC39A8 [39], IGFBP5 [40], HOMER2 [41] and ALCAM [42], whose host genes were involved in osteogenesis (Additional file 4: Table S3; Fig. 4). Besides, 1173 significantly changed circRNA genes in BMSCs were classified as pattern III (BMSC-specific), represented by LPAR1 [43] and EPAS1 [44], whose host genes were related to the maintenance of MSC homeostasis (Additional file 4: Table S3; Fig. 4). For those representative circRNA genes detected by RiboMinus/RNase R method, their corresponding RNAs detected by RiboMinus and Poly A methods showed similar expressional trends (Fig. 4). Taken together, the results suggested that the circRNAs identified for each pattern may be orchestrated and served as the functional program to regulate MSC differentiation.

Comparison analysis of circRNAs between induced BMSCs and AMSCs
AMSCs are important source for stem cell therapies in addition to BMSCs [45,46]. The universal clinical application of MSCs from diverse sources requires an understanding of their common mechanisms. Therefore, we established an adipo-osteogenesis system of AMSCs using the same induction medium as the medium used for BMSCs (Additional file 1: Fig. S3). Subsequently, we sequenced 20 samples from differentiated AMSCs at five time points using RiboMinus-and RiboMinus/RNase R-treated methods. We generated an average of 77 million clean reads, of which 92% were precisely mapped to the human genome. BSJ reads were highly abundant in RiboMinus/RNase R data ( Fig. 5a; Additional file 1: Fig. S4; Additional file 2: Table S1). After a comparison analysis, 31,326 circRNAs were collectively identified in AMSC-and BMSC-derived datasets, among which 1,166 circRNA genes were significantly changed among different lineages and grouped into AD-specific (613 genes), OS-specific (326 genes) and MSC-specific patterns (168 genes) ( Fig. 5b; Additional file 4: Table S3; Additional file 5: Table S4). Gene Ontology functional analysis showed that the host genes in AD-specific pattern were related to cell adhesion [47], glucose [48,49] and lipid metabolism [50,51], which are crucial for adipogenesis. The host genes in OS-specific pattern were involved in cytokine signaling [52], cell migration [53] and growth factor signaling [54], which are important in the regulation of bone formation. The host genes in the MSC-specific pattern were mainly related to cell division related processes [55], which are important for controlling the pluripotency and differentiation of stem cells ( Fig. 5d; Additional file 6: Table S5). Thus, a considerable number of lineage-specific circRNA genes were shared by MSCs from both bone marrow and adipose, and their host genes were involved in distinct functional sets related to differentiation and stemness, which provided the potential common regulators of adipo-osteogenesis processes.

Validation of circRNAs during adipo-osteogenesis of MSCs
To validate the integrative analysis results of multi-strategic RNA-seq data for human BMSCs and AMSCs, we performed qPCR for twelve lineage-specific circRNAs, including osteogenesis-specific (circ-CYP24A1 and circ-SLC39A8, etc.) and adipogenesis-specific circRNAs (circ-SETBP1 and circ-TTC39C, etc.). Divergent primer pairs were designed to amplify regions that included BSJ sites (Additional file 7: Table S6). The GAPDH was used as a reference gene for data normalization. The relative expression results of those twelve circRNAs in induced BMSCs and AMSCs showed similar trends when detected by qPCR or RNA-seq, which indicated that the integrative expression analysis of RNA-seq data was of high quality ( Fig. 6; Additional file 1: Fig. S5). Besides, the PCR products were further purified and performed with Sanger sequencing to conform the circRNA sequences. As showed in Fig. 6, the sequencing results precisely matched the BSJ sites of those circRNAs. Therefore, the expression data of circRNA during adipo-osteogenesis of human MSCs were reliable and may be used as a resource for studying the balance between the osteogenesis and adipogenesis of human MSCs.

Circ-CRLF1 was lineage-specially expressed and regulated adipogenesis
To elucidate the roles of lineage-specific circRNAs in adipo-osteogenesis of MSCs, we performed functional validation of the circRNA gene, CRLF1, one of the top ten significantly high-expressed adipogenesisspecific circRNA genes (Fig. 4). Circ-CRLF1 (position, chr19:18596622-18597049; spliced length, 327 nt) was originated from the fifth and sixth exons of the CRLF1 gene (Fig. 7a). The expression levels of CRLF1 mRNA decreased sharply after RNase R treatment, while RNase R failed to degrade circ-CRLF1 (Additional file 1: Fig. S6), which confirmed the stability of circ-CRLF1. To detect circ-CRLF1 and its related mRNA at the same time without interference, divergent primers for circ-CRLF1 were designed to cover the BSJ of the fifth and sixth exons, while convergent primers were designed to cover the exon-spliced junction (ESJ) between the third and fourth exon. The specificity of those primers was successfully validated by Sanger sequencing (Fig. 7a). The qPCR results indicated that the levels of both circ-CRLF1 and its corresponding mRNA were significantly increased during adipogenesis, but not osteogenesis in human BMSCs and AMSCs, which were similar to the RNAseq results (Fig. 7b). Furthermore, we designed a siRNA targeting the BSJ site to knock down circ-CRLF1. After 7 days of adipogenesis induction, circ-CRLF1 expression levels were significantly reduced by the siRNA in both BMSCs and AMSCs, compared with its expression levels after treatment with scramble siRNAs. Meanwhile, the targeted siRNA did not reduce the expression levels of CRLF1 mRNA (Fig. 7c). The knock-down of circ-CRLF1 significantly increased the expression levels of adipogenesis marker genes, including PPARG , CEBPA and FABP4, in human BMSCs and AMSCs after 7 days of adipogenesis induction (Fig. 7d). Taken together, these results indicated that circ-CRLF1 was lineage-specially expressed during adipo-osteogenesis and regulated the adipogenesis process.

Discussion
Recent studies have indicated that epigenomic regulators, including ncRNAs, are essential for MSC homeostasis [56]. Compared with other ncRNAs, circRNAs are resistant to degradation due to their circular structure [57,58]. They have become stable biomarkers and longacting therapeutic targets of various diseases [59,60]. The genome-wide expressional studies of circRNAs in osteogenesis or adipogenesis, using single-strategic highthroughput analysis, have been accumulating and helpful for elucidation of the functional roles of circRNAs in bone tissues [17][18][19][20][21]. In the present study, we systematically analyzed the adipo-osteogenesis of both BMSCs and AMSCs using multi-strategic methods. We provided an accurate and generally applicable transcriptomic profile of circRNAs to allow further studies of bone development and dysfunction.
In adipo-osteogenic differentiated MSCs, RiboMinustreated RNA-seq method generated the highest proportion of coding (87%) and non-coding (68%) transcripts, which were consistent with previous results [61]. Nevertheless, this method could only detect limited numbers of circRNAs, due to the low abundance of circRNAs [24,62]. RNase R treatment could improve the detection of circRNAs by degrading linear RNAs [22]. We detected 16,767 circRNAs per library in differentiated human BMSCs using the RiboMinus/RNase R-treated strategy. This was at least eight times higher than the number of detected circRNAs using the RiboMinus-treated strategy. However, RNase R treatment may generate bias by preferentially preserving highly-expressed circRNAs [23,24]. The integrative analysis of RiboMinus data and RiboMinus/ RNase R data could correct RNase R efficiency to improve the quantification of circRNAs [24]. The Poly A method removes most circRNAs during the Poly A selection step, and these data are often used as a blank background [63]. In the present research, we generated the multi-strategic RNA data from RiboMinus, RiboMinus/ RNase R, and Poly A libraries for differentiated human BMSCs, and performed integrative analysis using CIRI2 Fig. 7 Circ-CRLF1 characteristics during adipo-osteogenesis of MSCs. a The primers for circ-CRLF1 and related mRNA were validated by Sanger sequencing. b Relative expression of circ-CRLF1 and related mRNA by qPCR. c The knock-down efficiency of siRNA for circ-CRLF1 was validated by qPCR. d The mRNA expression levels of the markers PPARG , CEBPA and FABP4 were elevated at adipogenesis day seven by siRNA. In panel b, statistically significant differences of circRNAs between multiple groups verse the highest expressed group were performed with Bonferroni's multiple comparisons test after one-way ANOVA test. In panel c and d, statistically significant expressional differences between si-scramble and si-circRNA were determined using Student's t-test. All data are presented as means ± SD (n = 3). **P < 0.01, ***P < 0.001 and CIRIquant tools. At last, 48,152 circRNAs from 7366 host genes were identified after systemic correction, and 96.2% of them were overlapped with reference circRNAs, which indicated the high reliability of our data. Similar to previous studies [64], most of the circRNAs that we identified in differentiated human BMSCs were from proteincoding genes and their exons. Thus, our integrative data provided high-quality circRNA annotations for differentiated human BMSCs. Public RNA-seq datasets have suggested that circR-NAs are dynamically expressed in spatial-and temporal-specific manners, and may have essential roles in developmental processes [62,65]. Therefore, it is crucial to characterize the expression patterns of circRNAs for studies of bone formation and homeostasis. In the present study, we identified 969 adipogenic, 635 osteogenic and 1,173 BMSC-specific host genes of circRNAs. The top ten up-or down-regulated lineage-specific circRNAs shared similar expressional trends with their corresponding total and linear RNAs. Although the correlation between circRNAs and their related linear RNAs have differed from various studies, this may be due to the different selected clusters of circRNAs [66,67]. Moreover, several host genes of those circRNAs with differential expression levels were involved in lineage-specific activities [33][34][35][36][37][38][39][40][41][42][43][44]. Thus, these lineage-specific circRNAs may provide regulatory candidates of adipo-osteogenesis of human BMSCs.
MSCs are heterogenous populations and differ depending on their tissue origin or the conditions of the donors (e.g., age, diseases, or unknown factors) [68]. Therefore, it is urgent to identify the common regulatory factors of MSCs for their universal application. In the present study, we annotated 31,326 shared circRNAs and identified 613 adipogenic and 326 osteogenic host genes with significantly altered expression levels in both BMSCs and AMSCs. The shared up-regulated host genes in each lineage of MSCs were related to distinct biological processes, including cell adhesion, cytokine signaling, and cell division, which indicated their potential involvement in the regulation of adipo-osteogenesis of MSCs. In particular, the circRNA of CRLF1 was significantly up-regulated during the adipogenesis of both BMSCs and AMSCs. The knock-down of circ-CRLF1 significantly promoted adipogenesis, which suggested that circ-CRLF1 could be a potential target for the prevention or treatment of bone-related diseases induced by an imbalance of adipo-osteogenesis.

Conclusion
In summary, we have annotated over ten thousand of circRNAs, and identified various circRNAs that were lineage-specifically regulated during osteogenesis and adipogenesis of human BMSCs and AMSCs. Their host genes were involved in distinct biological processes, including cell adhesion, cytokine signaling, and cell division. Furthermore, we identified a lineage-specific circRNA, circ-CRLF, that negatively regulates adipogenesis. This study paves the way for further investigation to understand the potential roles of circRNAs in bone development and identify the therapeutic targets of bone diseases.