Fibronectin fragments elevate nitric oxide (NO) and inducible NO synthetase (iNOS) levels in bovine cartilage and iNOS inhibitors block fibronectin fragment mediated damage and promote repair.

OBJECTIVE AND DESIGN

To determine whether fibronectin fragments (Fn-f) upregulate nitric oxide (NO) and inducible NO synthetase (iNOS) levels in explants and whether iNOS inhibitors block Fn-f mediated cartilage damage or promote repair.

MATERIAL

Bovine cartilage explants were studied.

TREATMENT

Explants were cultured with Fn-f and involvement of NO pathway investigated.

METHODS

Induction of iNOS was tested by RT-PCR. Upregulation of iNOS protein was visualized by Western blotting. Proteoglycan (PG) content of cartilage treated with iNOS inhibitors was tested by dye binding assays of cartilage digests.

RESULTS

Fn-fs elevated NO release in explants and upregulated iNOS protein and mRNA while native Fn had only weak activity. Three different iNOS inhibitors blocked Fn-f mediated PG depletion from explants and facilitated restoration of PG in pre-damaged cartilage.

CONCLUSIONS

The Fn-f cartilage damaging pathway involves upregulation of iNOS. Interestingly, iNOS inhibitors not only blocked damage but repaired damaged cartilage. This may be the first report of reparative activities of iNOS inhibitors.