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健康和骨关节炎滑膜成纤维细胞产生整联蛋白和金属蛋白酶与血小板反应蛋白基序 4、5、7 和 12:IL-1β 和纤维连接蛋白诱导及其对软骨损伤的贡献。

Healthy and Osteoarthritic Synovial Fibroblasts Produce a Disintegrin and Metalloproteinase with Thrombospondin Motifs 4, 5, 7, and 12: Induction by IL-1β and Fibronectin and Contribution to Cartilage Damage.

机构信息

Department of Cell Biology, Faculty of Biology, Complutense University of Madrid, Madrid, Spain.

Traumatology Service, Hospital Universitario de La Princesa, Medical Research Institute, Madrid, Spain.

出版信息

Am J Pathol. 2016 Sep;186(9):2449-61. doi: 10.1016/j.ajpath.2016.05.017. Epub 2016 Jul 20.

Abstract

Current description of osteoarthritis includes the involvement of synovial inflammation. Studies contributing to understanding the mechanisms of cross-talk and feedback among the joint tissues could be relevant to the development of therapies that block disease progression. During osteoarthritis, synovial fibroblasts exposed to anomalous mechanical forces and an inflammatory microenvironment release factors such as a disintegrin and metalloproteinase with thrombospondin motifs (ADAMTS) metalloproteinases that mediate tissue damage and perpetuate inflammation. We therefore studied the production of ADAMTS by synovial fibroblasts and their contribution to cartilage degradation. Moreover, we analyzed the implication of two mediators present in the osteoarthritis joint, IL-1β as proinflammatory cytokine, and 45-kDa fibronectin fragments as products of matrix degradation. We reported that synovial fibroblasts constitutively express and release ADAMTS 4, 5, 7, and 12. Despite the contribution of both mediators to the stimulation of Runx2 and Wnt/β-catenin signaling pathways, as well as to ADAMTS expression, promoting the degradation of aggrecan and cartilage oligomeric matrix protein from cartilage, fibronectin fragments rather than IL-1β played the major pathological role in osteoarthritis, contributing to the maintenance of the disease. Moreover, higher levels of ADAMTS 4 and 7 and a specific regulation of ADAMTS-12 were observed in osteoarthritis, suggesting them as new potential therapeutic targets. Therefore, synovial fibroblasts provide the biochemical tools to the chronicity and destruction of the osteoarthritic joints.

摘要

目前对骨关节炎的描述包括滑膜炎症的参与。有助于理解关节组织之间串扰和反馈机制的研究可能与开发阻止疾病进展的治疗方法有关。在骨关节炎中,暴露于异常机械力和炎症微环境中的滑膜成纤维细胞释放诸如解整合素和金属蛋白酶(ADAMTS)金属蛋白酶等因子,这些因子介导组织损伤并使炎症持续存在。因此,我们研究了滑膜成纤维细胞产生 ADAMTS 的情况及其对软骨降解的贡献。此外,我们分析了两种存在于骨关节炎关节中的介质的影响,IL-1β作为促炎细胞因子,以及 45kDa 纤维连接蛋白片段作为基质降解的产物。我们报告说,滑膜成纤维细胞持续表达并释放 ADAMTS4、5、7 和 12。尽管这两种介质都有助于刺激 Runx2 和 Wnt/β-连环蛋白信号通路以及 ADAMTS 的表达,从而促进软骨中聚集蛋白和软骨寡聚基质蛋白的降解,但纤维连接蛋白片段而不是 IL-1β在骨关节炎中发挥了主要的病理作用,有助于维持疾病。此外,在骨关节炎中观察到 ADAMTS4 和 7 的水平升高和 ADAMTS-12 的特异性调节,表明它们是新的潜在治疗靶点。因此,滑膜成纤维细胞为骨关节炎关节的慢性和破坏提供了生化工具。

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