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创伤后骨关节炎:软骨细胞加速衰老的作用。

Post-traumatic osteoarthritis: the role of accelerated chondrocyte senescence.

作者信息

Martin James A, Brown Thomas, Heiner Anneliese, Buckwalter Joseph A

机构信息

Department of Orthopaedics, University of Iowa, Iowa City, IA 52242, USA.

出版信息

Biorheology. 2004;41(3-4):479-91.

Abstract

Joint injuries frequently lead to progressive joint degeneration that causes the clinical syndrome of post-traumatic osteoarthritis. The pathogenesis of osteoarthritis remains poorly understood, but patient age is a significant risk factor for progressive joint degeneration. We have found that articular cartilage chondrocytes show strong evidence of senescence with increasing age, including synthesis of smaller more irregular aggrecans; increased expression of lysosomal beta-galactosidase and telomere erosion; and decreased proteoglycan synthesis, response to the anabolic cytokine IGF-I, proliferative capacity, and mitochondrial function. These observations help explain the strong association between age and joint degeneration, but they do not explain how joint injury increases the risk of joint degeneration in younger individuals. We hypothesized that excessive loading of articular surfaces due to acute joint trauma or post-traumatic joint instability, incongruity or mal-alignment increases release of reactive oxygen species, and that the increased oxidative stress on chondrocytes accelerates chondrocyte senescence thereby decreasing the ability of the cells to maintain or restore the tissue. To test this hypothesis, we exposed human articular cartilage chondrocytes from young adults to mechanical and oxidative stress. We found that shear stress applied to cartilage explants in a triaxial pressure vessel increased release of reactive oxygen species and oxidative stress induced chondrocyte senescence (as measured by expression of lysosomal beta-galactosidase, nuclear and mitochondrial DNA damage and decreased mitochondrial function). These observations support the hypothesis that joint injury accelerates chondrocyte senescence and that this acceleration plays a role in the joint degeneration responsible for post-traumatic osteoarthritis.

摘要

关节损伤常常导致进行性关节退变,进而引发创伤后骨关节炎的临床综合征。骨关节炎的发病机制仍未完全明确,但患者年龄是进行性关节退变的一个重要风险因素。我们发现,随着年龄增长,关节软骨软骨细胞呈现出明显的衰老迹象,包括合成更小且更不规则的聚集蛋白聚糖;溶酶体β - 半乳糖苷酶表达增加以及端粒侵蚀;蛋白聚糖合成减少、对合成代谢细胞因子胰岛素样生长因子 -I(IGF -I)的反应减弱、增殖能力下降以及线粒体功能降低。这些观察结果有助于解释年龄与关节退变之间的紧密关联,但无法解释关节损伤如何增加年轻个体关节退变的风险。我们推测,急性关节创伤或创伤后关节不稳定、不协调或排列不齐所导致的关节表面过度负荷会增加活性氧的释放,而软骨细胞上增加的氧化应激会加速软骨细胞衰老,从而降低细胞维持或修复组织的能力。为了验证这一假设,我们将来自年轻成年人的人关节软骨软骨细胞暴露于机械和氧化应激环境中。我们发现,在三轴压力容器中对软骨外植体施加剪切应力会增加活性氧的释放,并且氧化应激会诱导软骨细胞衰老(通过溶酶体β - 半乳糖苷酶的表达、核和线粒体DNA损伤以及线粒体功能降低来衡量)。这些观察结果支持了以下假设:关节损伤会加速软骨细胞衰老,并且这种加速在导致创伤后骨关节炎的关节退变中起作用。

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