在实验性骨关节炎期间,通过腺病毒介导的转化生长因子β/骨形态发生蛋白抑制剂的过表达减少骨赘形成和滑膜增厚。

Reduction of osteophyte formation and synovial thickening by adenoviral overexpression of transforming growth factor beta/bone morphogenetic protein inhibitors during experimental osteoarthritis.

作者信息

Scharstuhl Alwin, Vitters Elly L, van der Kraan Peter M, van den Berg Wim B

机构信息

University Medical Center Nijmegen, Nijmegen, The Netherlands.

出版信息

Arthritis Rheum. 2003 Dec;48(12):3442-51. doi: 10.1002/art.11328.

Abstract

OBJECTIVE

Osteoarthritis (OA) is a joint disease characterized by osteophyte development, fibrosis, and articular cartilage damage. Effects of exogenous transforming growth factor beta (TGFbeta) isoforms and bone morphogenetic proteins (BMPs) suggest a role for these growth factors in the pathogenesis of OA. The aim of this study was to elucidate the role of endogenous TGFbeta and BMP during papain-induced OA-like changes in mice.

METHODS

We used adenoviral overexpression of TGFbeta and BMP antagonists to block growth factor signaling. An adenovirus expressing a secreted, pan-specific TGFbeta antagonist called murine latency-associated peptide 1 (mLAP-1) was used. In addition, we used intracellular inhibitory Smad6 as a BMP antagonist and Smad7 as a TGFbeta/BMP inhibitor. Papain was injected into the knee joints of C57BL/6 mice to induce osteophyte development, synovial thickening, and articular cartilage proteoglycan (PG) loss.

RESULTS

Intraarticular injection of papain caused increased protein expression of several TGFbeta and BMP isoforms in synovium and cartilage. Adenovirus transfection into the joint resulted in a strong expression of the transgenes in the synovial lining. Overexpression of mLAP-1, Smad6, and Smad7 led to a significant reduction in osteophyte formation compared with that in controls. Smad6 and Smad7 overexpression also significantly decreased synovial thickening. Furthermore, the secreted TGFbeta inhibitor mLAP-1 increased articular cartilage PG loss.

CONCLUSION

Our results indicate a pivotal role of endogenous TGFbeta in the development of osteophytes and synovial thickening, implicating endogenous TGFbeta in the pathogenesis of OA. In contrast, the prevention of cartilage damage by endogenous TGFbeta signifies the protective role of TGFbeta in articular cartilage. This is the first study to demonstrate that endogenous BMPs are involved in osteophyte formation and synovial thickening in experimental OA.

摘要

目的

骨关节炎(OA)是一种以骨赘形成、纤维化和关节软骨损伤为特征的关节疾病。外源性转化生长因子β(TGFβ)亚型和骨形态发生蛋白(BMP)的作用表明这些生长因子在OA发病机制中发挥作用。本研究旨在阐明内源性TGFβ和BMP在木瓜蛋白酶诱导的小鼠OA样改变过程中的作用。

方法

我们使用腺病毒介导的TGFβ和BMP拮抗剂过表达来阻断生长因子信号传导。使用了一种表达分泌型、泛特异性TGFβ拮抗剂鼠潜伏相关肽1(mLAP-1)的腺病毒。此外,我们使用细胞内抑制性Smad6作为BMP拮抗剂,Smad7作为TGFβ/BMP抑制剂。将木瓜蛋白酶注射到C57BL/6小鼠的膝关节中,以诱导骨赘形成、滑膜增厚和关节软骨蛋白聚糖(PG)丢失。

结果

关节内注射木瓜蛋白酶导致滑膜和软骨中几种TGFβ和BMP亚型的蛋白表达增加。腺病毒转染到关节中导致转基因在滑膜衬里中强烈表达。与对照组相比,mLAP-1、Smad6和Smad7的过表达导致骨赘形成显著减少。Smad6和Smad7的过表达也显著降低了滑膜增厚。此外,分泌型TGFβ抑制剂mLAP-1增加了关节软骨PG丢失。

结论

我们的结果表明内源性TGFβ在骨赘形成和滑膜增厚过程中起关键作用,提示内源性TGFβ参与OA的发病机制。相比之下,内源性TGFβ对软骨损伤的预防表明TGFβ在关节软骨中的保护作用。这是第一项证明内源性BMP参与实验性OA中骨赘形成和滑膜增厚的研究。

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