Blaney Davidson E N, Scharstuhl A, Vitters E L, van der Kraan P M, van den Berg W B
Experimental Rheumatology and Advanced Therapeutics, St Radboud University Medical Centre Nijmegen, Geert Grooteplein 26, 6525 GA Nijmegen, The Netherlands.
Arthritis Res Ther. 2005;7(6):R1338-47. doi: 10.1186/ar1833. Epub 2005 Sep 30.
Osteoarthritis (OA) is a common joint disease, mainly effecting the elderly population. The cause of OA seems to be an imbalance in catabolic and anabolic factors that develops with age. IL-1 is a catabolic factor known to induce cartilage damage, and transforming growth factor (TGF)-beta is an anabolic factor that can counteract many IL-1-induced effects. In old mice, we observed reduced responsiveness to TGF-beta-induced IL-1 counteraction. We investigated whether expression of TGF-beta and its signaling molecules altered with age. To mimic the TGF-beta deprived conditions in aged mice, we assessed the functional consequence of TGF-beta blocking. We isolated knee joints of mice aged 5 months or 2 years, half of which were exposed to IL-1 by intra-articular injection 24 h prior to knee joint isolation. Immunohistochemistry was performed, staining for TGF-beta1, -2 or -3, TGF-betaRI or -RII, Smad2, -3, -4, -6 and -7 and Smad-2P. The percentage of cells staining positive was determined in tibial cartilage. To mimic the lack of TGF-beta signaling in old mice, young mice were injected with IL-1 and after 2 days Ad-LAP (TGF-beta inhibitor) or a control virus were injected. Proteoglycan (PG) synthesis (35S-sulfate incorporation) and PG content of the cartilage were determined. Our experiments revealed that TGF-beta2 and -3 expression decreased with age, as did the TGF-beta receptors. Although the number of cells positive for the Smad proteins was not altered, the number of cells expressing Smad2P strongly dropped in old mice. IL-1 did not alter the expression patterns. We mimicked the lack of TGF-beta signaling in old mice by TGF-beta inhibition with LAP. This resulted in a reduced level of PG synthesis and aggravation of PG depletion. The limited response of old mice to TGF-beta induced-IL-1 counteraction is not due to a diminished level of intracellular signaling molecules or an upregulation of intracellular inhibitors, but is likely due to an intrinsic absence of sufficient TGF-beta receptor expression. Blocking TGF-beta distorted the natural repair response after IL-1 injection. In conclusion, TGF-beta appears to play an important role in repair of cartilage and a lack of TGF-beta responsiveness in old mice might be at the root of OA development.
骨关节炎(OA)是一种常见的关节疾病,主要影响老年人群。OA的病因似乎是随着年龄增长而出现的分解代谢和合成代谢因子失衡。白细胞介素-1(IL-1)是一种已知可诱导软骨损伤的分解代谢因子,而转化生长因子(TGF)-β是一种可以抵消许多IL-1诱导效应的合成代谢因子。在老年小鼠中,我们观察到对TGF-β诱导的IL-1拮抗作用的反应性降低。我们研究了TGF-β及其信号分子的表达是否随年龄而改变。为了模拟老年小鼠中TGF-β缺乏的情况,我们评估了TGF-β阻断的功能后果。我们分离了5个月或2岁小鼠的膝关节,其中一半在膝关节分离前24小时通过关节内注射暴露于IL-1。进行免疫组织化学,对TGF-β1、-2或-3、TGF-βRI或-RII、Smad2、-3、-4、-6和-7以及Smad-2P进行染色。在胫骨软骨中测定染色阳性细胞的百分比。为了模拟老年小鼠中TGF-β信号传导的缺乏,给年轻小鼠注射IL-1,2天后注射Ad-LAP(TGF-β抑制剂)或对照病毒。测定软骨的蛋白聚糖(PG)合成(35S-硫酸盐掺入)和PG含量。我们的实验表明,TGF-β2和-3的表达随年龄下降,TGF-β受体也如此。虽然Smad蛋白阳性细胞的数量没有改变,但在老年小鼠中表达Smad2P的细胞数量大幅下降。IL-1没有改变表达模式。我们通过用LAP抑制TGF-β来模拟老年小鼠中TGF-β信号传导的缺乏。这导致PG合成水平降低和PG消耗加剧。老年小鼠对TGF-β诱导的IL-1拮抗作用的有限反应不是由于细胞内信号分子水平降低或细胞内抑制剂上调,而是可能由于内在缺乏足够的TGF-β受体表达。阻断TGF-β会扭曲IL-1注射后的自然修复反应。总之,TGF-β似乎在软骨修复中起重要作用,老年小鼠中TGF-β反应性缺乏可能是OA发生的根源。