Lu Yaojuan, Ding Ming, Li Na, Wang Qian, Li Jun, Li Xin, Gu Junxia, Im Hee-Jeong, Lei Guanghua, Zheng Qiping
Department of Hematology and Hematological Laboratory Science, Jiangsu Key Laboratory of Medical Science and Laboratory Medicine, School of Medicine, Jiangsu University Zhenjiang 212013, China ; Department of Anatomy and Cell Biology, Rush University Medical Center Chicago, IL 60612, USA.
Department of Anatomy and Cell Biology, Rush University Medical Center Chicago, IL 60612, USA.
Am J Transl Res. 2014 Nov 22;6(6):736-45. eCollection 2014.
Osteoarthritis (OA) is the most common joint disease affecting close to 27 million Americans. The pathological change of OA joint is characterized by cartilage degradation and osteophyte formation that have been associated with OA initiation and progression respectively. Upon OA progression, articular chondrocytes undergo hypertrophic differentiation, a process usually occurs only in growth plate chondrocytes during endochondral ossification, suggesting a role of chondrocyte hypertrophy in OA pathogenesis. However, how altered chondrocyte hypertrophy, i.e. accelerated or delayed chondrocyte hypertrophy, influences OA development has not been fully elucidated. We have previously generated transgenic (TG) mice over-expressing Runx2, an essential transcription factor for chondrocyte hypertrophy, using hypertrophic chondrocyte-specific mouse type X collagen gene (Col10a1) control elements. These Col10a1-Runx2 TG mice show delayed chondrocyte hypertrophy and apoptosis in long bone sections of embryonic and new-born mice compared to their wild-type (WT) littermates. Here, we report further analysis of the skeletal phenotypes of these mice at postnatal stages. We have performed histological analysis of 1-month old TG and WT mice. Delayed chondrocyte hypertrophy was also observed in growth plate of TG mice. In addition, μCT analysis showed that the femur length was significantly shorter in TG mice (p = 0.033). Thinner cortical bone and markedly decreased BV/TV were also detected in TG mice compared to their WT littermates (p = 0.027), suggesting that delayed chondrocyte hypertrophy affects postnatal long bone development. Interestingly, histological analysis detected less articular cartilage absorption, while immunohistochemistry assay detected upregulated Sox9 expression in TG mouse joints compared to WT controls, implying that delayed chondrocyte hypertrophy may be OA protective. Indeed, we have performed Tgf-β1 injection and enforced uphill treadmill running (TTR model) to induce OA in TG and WT littermates. The results showed that WT littermates displayed characteristic pathology of fibrotic remodeling at the joint margins and focal cartilage erosion, while the joints in TG mice were essentially protected from remodeling responses, demonstrating that mice with delayed chondrocyte hypertrophy are not susceptible to developing OA. Further translational studies characterizing the role of chondrocyte hypertrophy during OA progression will facilitate identification of therapeutic targets to stop or slow down this degenerative and progressive human joint disease.
骨关节炎(OA)是最常见的关节疾病,影响着近2700万美国人。OA关节的病理变化特征为软骨降解和骨赘形成,分别与OA的起始和进展相关。随着OA的进展,关节软骨细胞经历肥大分化,这一过程通常仅在软骨内骨化过程中的生长板软骨细胞中发生,提示软骨细胞肥大在OA发病机制中起作用。然而,软骨细胞肥大的改变,即加速或延迟的软骨细胞肥大,如何影响OA的发展尚未完全阐明。我们之前使用肥大软骨细胞特异性的小鼠X型胶原基因(Col10a1)控制元件,生成了过表达Runx2(软骨细胞肥大的关键转录因子)的转基因(TG)小鼠。与野生型(WT)同窝小鼠相比,这些Col10a1-Runx2 TG小鼠在胚胎和新生小鼠的长骨切片中显示出延迟的软骨细胞肥大和凋亡。在此,我们报告了对这些小鼠出生后阶段骨骼表型的进一步分析。我们对1月龄的TG和WT小鼠进行了组织学分析。在TG小鼠的生长板中也观察到了延迟的软骨细胞肥大。此外,μCT分析显示TG小鼠的股骨长度明显较短(p = 0.033)。与WT同窝小鼠相比,TG小鼠的皮质骨也更薄,骨体积分数(BV/TV)明显降低(p = 0.027),表明延迟的软骨细胞肥大影响出生后的长骨发育。有趣的是,组织学分析检测到TG小鼠关节的关节软骨吸收较少,而免疫组织化学分析检测到与WT对照相比,TG小鼠关节中Sox9表达上调,这意味着延迟的软骨细胞肥大可能对OA有保护作用。事实上,我们进行了Tgf-β1注射并强制进行上坡跑步机跑步(TTR模型)以在TG和WT同窝小鼠中诱导OA。结果表明,WT同窝小鼠在关节边缘表现出纤维化重塑和局灶性软骨侵蚀的典型病理特征,而TG小鼠的关节基本上免受重塑反应的影响,表明软骨细胞肥大延迟的小鼠不易发生OA。进一步的转化研究将阐明软骨细胞肥大在OA进展过程中的作用,这将有助于确定治疗靶点,以阻止或减缓这种退行性和进行性人类关节疾病。