Merck Sharpe & Dohme Corp,, Bone Biology Group, West Point, PA 19486, USA.
BMC Musculoskelet Disord. 2011 Aug 24;12:197. doi: 10.1186/1471-2474-12-197.
Osteoarthritis (OA) is a debilitating, progressive joint disease.
Similar to the disease progression in humans, sequential events of early cartilage degradation, subchondral osteopenia followed by sclerosis, and late osteophyte formation were demonstrated in the anterior cruciate ligament transection (ACLT) or ACLT with partial medial meniscectomy (ACLT + MMx) rat OA models. We describe a reliable and consistent method to examine the time dependent changes in the gene expression profiles in articular cartilage and subchondral bone.
Local regulation of matrix degradation markers was demonstrated by a significant increase in mRNA levels of aggrecanase-1 and MMP-13 as early as the first week post-surgery, and expression remained elevated throughout the 10 week study. Immunohistochemistry confirmed MMP-13 expression in differentiated chondrocytes and synovial fibroblasts at week-2 and cells within osteophytes at week-10 in the surgically-modified-joints. Concomitant increases in chondrocyte differentiation markers, Col IIA and Sox 9, and vascular invasion markers, VEGF and CD31, peaked around week-2 to -4, and returned to Sham levels at later time points in both models. Indeed, VEGF-positive cells were found in the deep articular chondrocytes adjacent to subchondral bone. Osteoclastic bone resorption markers, cathepsin K and TRAP, were also elevated at week-2. Confirming bone resorption is an early local event in OA progression, cathepsin K positive osteoclasts were found invading the articular cartilage from the subchondral region at week 2. This was followed by late disease events, including subchondral sclerosis and osteophyte formation, as demonstrated by the upregulation of the osteoanabolic markers runx2 and osterix, toward week-4 to 6 post-surgery.
In summary, this study demonstrated the temporal and cohesive gene expression changes in articular cartilage and subchondral bone using known markers of OA progression. The findings here support genome-wide profiling efforts to elucidate the sequential and complex regulation of the disease.
骨关节炎(OA)是一种使人虚弱且呈进行性发展的关节疾病。
类似于人类疾病的进展过程,在前交叉韧带切断(ACLT)或 ACLT 联合内侧半月板部分切除术(ACLT + MMx)大鼠 OA 模型中,我们观察到了早期软骨降解、软骨下骨骨质疏松继而出现硬化以及晚期骨赘形成的连续事件。我们描述了一种可靠且一致的方法来检测关节软骨和软骨下骨中基因表达谱的时间依赖性变化。
术后第一周,软骨降解标志物的局部调节导致 aggrecanase-1 和 MMP-13 的 mRNA 水平显著增加,并且在整个 10 周研究期间表达水平一直升高。免疫组织化学在手术修饰关节中于第 2 周证实了 MMP-13 在分化的软骨细胞和滑膜成纤维细胞中的表达,并于第 10 周在骨赘内的细胞中证实了其表达。软骨细胞分化标志物 Col IIA 和 Sox 9 以及血管侵袭标志物 VEGF 和 CD31 的表达同时增加,于第 2 至 4 周达到高峰,随后在两种模型中均恢复至 Sham 水平。事实上,在靠近软骨下骨的关节软骨深层中发现了 VEGF 阳性细胞。破骨细胞骨吸收标志物组织蛋白酶 K 和 TRAP 也于第 2 周升高。破骨细胞骨吸收是 OA 进展的早期局部事件,因此证实了第 2 周时在软骨下区域可见破骨细胞侵犯关节软骨。随后出现了包括软骨下硬化和骨赘形成在内的晚期疾病事件,这些事件由骨形成标志物 runt 相关转录因子 2(runx2)和骨钙素(osterix)的上调所证实,这一上调发生于术后第 4 至 6 周。
总之,本研究使用 OA 进展的已知标志物证明了关节软骨和软骨下骨中存在时间和协调的基因表达变化。这些发现支持全基因组分析以阐明疾病的连续和复杂调节。