Tetlow L C, Woolley D E
University Department of Medicine, Manchester Royal Infirmary, Oxford Road, Manchester, M13 9WL, UK.
Osteoarthritis Cartilage. 2001 Jul;9(5):423-31. doi: 10.1053/joca.2000.0408.
To examine the in situ distributions of vitamin D receptors (VDR) and matrix metalloproteinases (MMPs) in osteoarthritic cartilage for comparison with non-arthritic, normal cartilage; and to assess the in vitro effects of 1alpha,25 dihydroxyvitaminD(3)(1alpha,25(OH)(2)D(3)) on MMPs-1, -3 and -9 and prostaglandin E(2)(PGE(2)) production by cultures of human articular chondrocytes (HAC) shown to be VDR-positive.
Using immunohistochemistry VDR expression in different specimens of osteoarthritic cartilage (N=11) was compared to that in normal cartilage (N=6), along with the immunodetection of MMPs-1, -3 and -9. The effects of 1alpha25(OH)(2)D(3)on MMP and PGE(2)production by HAC in vitro, with and without stimulation by TNFalpha or phorbol myristate acetate (PMA), was evaluated using ELISA methodology.
VDR was demonstrated in HAC of all specimens of osteoarthritic cartilage, especially the superficial zone, whereas only two of five normal cartilage specimens were VDR(+)for a minor proportion of HAC. Immunolocalization of MMPs-1, -3 and -9 was often seen in areas where chondrocytes were VDR(+), and dual immunolocalization has demonstrated individual chondrocytes positive for both VDR and MMP-3 in situ. In vitro, 1alpha25(OH)(2)D(3)alone had no effect on MMP-1, -9 and PGE(2)production by HAC, but MMP-3 production was up-regulated by 1alpha25(OH)(2)D(3)either with or without stimulation with TNFalpha or PMA. By contrast the increased production of MMP-9 and PGE(2)induced by PMA was significantly suppressed by concomitant treatment with 1alpha25(OH)(2)D(3).
The demonstration of VDR expression by HAC in osteoarthritic cartilage was often associated with sites where MMP expression was prevalent, observations in contrast to their virtual absence in normal age-matched cartilage. Together with HAC in vitro studies, the data suggests that 1alpha25(OH)(2)D(3)contributes to the regulation of MMP and PGE(2)production by HAC in osteoarthritic cartilage.
研究骨关节炎软骨中维生素D受体(VDR)和基质金属蛋白酶(MMPs)的原位分布,并与非关节炎的正常软骨进行比较;评估1α,25-二羟基维生素D3(1α,25(OH)2D3)对人关节软骨细胞(HAC)培养物中MMP-1、-3和-9以及前列腺素E2(PGE2)产生的体外影响,这些软骨细胞已被证明VDR呈阳性。
采用免疫组织化学方法,将骨关节炎软骨不同标本(n = 11)中的VDR表达与正常软骨标本(n = 6)进行比较,并对MMP-1、-3和-9进行免疫检测。使用酶联免疫吸附测定(ELISA)方法评估1α,25(OH)2D3对HAC体外MMP和PGE2产生的影响,无论有无肿瘤坏死因子α(TNFα)或佛波酯(PMA)刺激。
在所有骨关节炎软骨标本的HAC中均检测到VDR,尤其是表层区域,而在五个正常软骨标本中,只有两个标本的一小部分HAC呈VDR阳性。MMP-1、-3和-9的免疫定位常见于软骨细胞VDR阳性的区域,双重免疫定位显示个别软骨细胞在原位同时呈VDR和MMP-3阳性。在体外,单独使用1α,25(OH)2D3对HAC产生MMP-1、-9和PGE2没有影响,但无论有无TNFα或PMA刺激,1α,25(OH)2D3均可上调MMP-3的产生。相比之下,PMA诱导的MMP-9和PGE2产生增加在同时用1α,25(OH)2D3处理时被显著抑制。
骨关节炎软骨中HAC的VDR表达通常与MMP表达普遍的部位相关,这一观察结果与年龄匹配的正常软骨中几乎不存在VDR形成对比。结合HAC的体外研究数据表明,1α,25(OH)2D3有助于调节骨关节炎软骨中HAC的MMP和PGE2产生。