Lee Yun Jong, Lee Eun Bong, Kwon Young Ee, Lee Jung Jin, Cho Woo Shin, Kim Hyun A, Song Yeong Wook
Department of Internal Medicine, Clinical Research Institute, Seoul National University College of Medicine, Seoul, Korea.
Rheumatol Int. 2003 Nov;23(6):282-8. doi: 10.1007/s00296-003-0312-5. Epub 2003 Apr 9.
The aim of this study was to evaluate the effect of estrogen on matrix metalloproteinase (MMP)-1, MMP-3, MMP-13, and tissue inhibitor of metalloproteinase (TIMP)-1 in osteoarthritic chondrocytes. Chondrocytes from the knee cartilage of 25 postmenopausal osteoarthritic (OA) patients were cultured under various conditions: 0 pg/mL, 50 pg/mL, 500 pg/mL, and 5,000 pg/mL of 17beta-estradiol, with or without 10-1,000 pg/mL of either interleukin (IL)-1beta or tumor necrosis factor alpha (TNFalpha). MMP-1, MMP-3, MMP-13, and TIMP-1 in the conditioned media were analyzed with immunoblot or enzyme-linked immunosorbent assay (ELISA). Type II collagenolytic activity was measured by fluorogenic type II collagenolytic activity assay. Real-time reverse transcriptase polymerase chain reaction (RT-PCR) using SYBR Green I dye was performed for the quantification of mRNA. Without cytokine stimulation, the secretion of MMP-1 was significantly reduced by 50 pg/mL of 17beta-estradiol (in immunoblot by a median of 12.3%, P=0.007; in ELISA by a median of 18.4%, P=0.001), and 500 pg/mL (in immunoblot by a median of 23.1%, P=0.001; in ELISA by a median of 21.0%, P=0.001). Additionally, under 10 pg/mL TNFalpha, 17beta-estradiol also significantly suppressed the secretion of MMP-1 (in immunoblot by a median of 39.0%, P=0.016; in ELISA by a median of 38.4%, P=0.041). Estrogen did not exert any significant effect on MMP-3, MMP-13, or TIMP-1 expression. With IL-1beta or TNFalpha above 10 pg/mL stimulation, 17beta-estradiol demonstrated no effect on MMP-1, MMP-3, MMP-13, or TIMP-1 secretion. Type II collagenolytic activity in the 50 pg/mL estradiol group decreased by 9.6% (-51.5-5.5%, P>0.05). 17beta-estradiol showed a tendency to decrease in MMP-1 mRNA. Estrogen may improve the imbalance between the amounts of MMPs and TIMP in chondrocytes, and these results suggest that hormone replacement therapy may provide some chondroprotective effect.
本研究的目的是评估雌激素对骨关节炎软骨细胞中基质金属蛋白酶(MMP)-1、MMP-3、MMP-13和金属蛋白酶组织抑制剂(TIMP)-1的影响。对25名绝经后骨关节炎(OA)患者膝关节软骨中的软骨细胞在不同条件下进行培养:添加0 pg/mL、50 pg/mL、500 pg/mL和5000 pg/mL的17β-雌二醇,同时添加或不添加10 - 1000 pg/mL的白细胞介素(IL)-1β或肿瘤坏死因子α(TNFα)。用免疫印迹法或酶联免疫吸附测定(ELISA)分析条件培养基中的MMP-1、MMP-3、MMP-13和TIMP-1。通过荧光法II型胶原酶活性测定来测量II型胶原酶活性。使用SYBR Green I染料进行实时逆转录聚合酶链反应(RT-PCR)以定量mRNA。在没有细胞因子刺激的情况下,50 pg/mL的17β-雌二醇可显著降低MMP-1的分泌(免疫印迹法中降低中位数为12.3%,P = 0.007;ELISA法中降低中位数为18.4%,P = 0.001),500 pg/mL时也有显著降低(免疫印迹法中降低中位数为23.1%,P = 0.001;ELISA法中降低中位数为21.0%,P = 0.001)。此外,在10 pg/mL TNFα存在的情况下,17β-雌二醇也显著抑制MMP-1的分泌(免疫印迹法中降低中位数为39.0%,P = 0.016;ELISA法中降低中位数为38.4%,P = 0.041)。雌激素对MMP-3、MMP-13或TIMP-1的表达没有显著影响。在IL-1β或TNFα高于10 pg/mL的刺激下,17β-雌二醇对MMP-1、MMP-3、MMP-13或TIMP-1的分泌没有影响。50 pg/mL雌二醇组的II型胶原酶活性降低了9.6%(-51.5 - 5.5%,P>0.05)。17β-雌二醇显示出MMP-1 mRNA有降低的趋势。雌激素可能改善软骨细胞中MMPs和TIMP数量之间的失衡,这些结果表明激素替代疗法可能具有一定的软骨保护作用。