Moritake Akihiro, Kawao Naoyuki, Okada Kiyotaka, Tatsumi Kohei, Ishida Masayoshi, Okumoto Katsumi, Matsuo Osamu, Akagi Masao, Kaji Hiroshi
Department of Orthopaedic Surgery, Kindai University Faculty of Medicine, Osakasayama, Japan.
Department of Physiology and Regenerative Medicine, Kindai University Faculty of Medicine, 377-2 Ohnohigashi, Osakasayama, Osaka, 589-8511, Japan.
BMC Musculoskelet Disord. 2017 Sep 11;18(1):392. doi: 10.1186/s12891-017-1752-5.
Subchondral osteopenia is important for the pathophysiology of osteoarthritis (OA). Although previous studies suggest that plasminogen activator inhibitor-1 (PAI-1), an inhibitor of fibrinolysis, is related to bone metabolism, its role in OA remains unknown. We therefore investigated the roles of PAI-1 in the subchondral bone in OA model mice.
Wild type (WT) and PAI-1-deficient (KO) mice were ovariectomized (OVX), and then destabilization of the medial meniscus (DMM) surgery was performed.
DMM and OVX significantly decreased the trabecular bone mineral density of the subchondral bone evaluated by quantitative computed tomography in PAI-1 KO mice. The effects of OVX and/or PAI-1 deficiency on the OARSI score for the evaluation of the progression of knee degeneration were not significant. PAI-1 deficiency significantly augmented receptor activator nuclear factor κB ligand mRNA levels enhanced by IL-1β in mouse primary osteoblasts, although it did not affect osteoblast differentiation. Moreover, PAI-1 deficiency significantly increased osteoclast formation from mouse bone marrow cells.
We showed that PAI-1 deficiency accelerates the subchondral osteopenia after induction of OA in mice. PAI-1 might suppress an enhancement of bone resorption and subsequent subchondral osteopenia after induction of OA in mice.
软骨下骨量减少对骨关节炎(OA)的病理生理学很重要。尽管先前的研究表明纤溶酶原激活物抑制剂-1(PAI-1),一种纤维蛋白溶解抑制剂,与骨代谢有关,但其在OA中的作用仍不清楚。因此,我们研究了PAI-1在OA模型小鼠软骨下骨中的作用。
将野生型(WT)和PAI-1缺陷型(KO)小鼠进行卵巢切除术(OVX),然后进行内侧半月板不稳定(DMM)手术。
通过定量计算机断层扫描评估,DMM和OVX显著降低了PAI-1 KO小鼠软骨下骨的小梁骨矿物质密度。OVX和/或PAI-1缺乏对评估膝关节退变进展的OARSI评分的影响不显著。PAI-1缺乏显著增加了小鼠原代成骨细胞中由IL-1β增强的核因子κB受体激活剂配体mRNA水平,尽管它不影响成骨细胞分化。此外,PAI-1缺乏显著增加了小鼠骨髓细胞的破骨细胞形成。
我们表明,PAI-1缺乏会加速小鼠OA诱导后的软骨下骨量减少。PAI-1可能会抑制小鼠OA诱导后骨吸收增强和随后的软骨下骨量减少。