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"Additionally, the silencing of FOXC1 ameliorated the therapeutic effect of oe-USP15/Exo on LPS-injured chondrocytes.In summary, our research findings elucidates that USP15-modified ADMSCs-derived Exos induces macrophage polarization towards the M2 phenotype by promoting FOXC1 deubiquitination, thereby effectively reducing the degree of chondrocyte damage in OA."