靶向软骨细胞钙敏感受体预防啮齿动物颞下颌关节损伤性骨关节炎

Prevention of Injury-Induced Osteoarthritis in Rodent Temporomandibular Joint by Targeting Chondrocyte CaSR.

机构信息

State Key Laboratory of Military Stomatology, Department of Oral Anatomy and Physiology and TMD, School of Stomatology, the Fourth Military Medical University, Xi'an, China.

Endocrine Research Unit, Department of Veterans Affairs Medical Center and Department of Medicine, University of California San Francisco, San Francisco, CA, USA.

出版信息

J Bone Miner Res. 2019 Apr;34(4):726-738. doi: 10.1002/jbmr.3643. Epub 2019 Jan 7.

Abstract

Traumatic joint injuries produce osteoarthritic cartilage manifesting accelerated chondrocyte terminal differentiation and matrix degradation via unknown cellular and molecular mechanisms. Here we report the ability of biomechanical stress to increase expression of the calcium-sensing receptor (CaSR), a pivotal driver of chondrocyte terminal differentiation, in cultured chondrogenic cells subjected to fluid flow shear stress (FFSS) and in chondrocytes of rodent temporomandibular joint (TMJ) cartilage subjected to unilateral anterior cross-bite (UAC). In cultured ATDC5 cells or TMJ chondrocytes, FFSS induced Ca loading and CaSR localization in endoplasmic reticulum (ER), casually accelerating cell differentiation that could be abrogated by emptying ER Ca stores or CaSR knockdown. Likewise, acute chondrocyte-specific Casr knockout (KO) prevented the UAC-induced acceleration of chondrocyte terminal differentiation and matrix degradation in TMJ cartilage in mice. More importantly, local injections of CaSR antagonist, NPS2143, replicated the effects of Casr KO in preventing the development of osteoarthritic phenotypes in TMJ cartilage of the UAC-treated rats. Our study revealed a novel pathological action of CaSR in development of osteoarthritic cartilage due to aberrant mechanical stimuli and supports a therapeutic potential of calcilytics in preventing osteoarthritis in temporomandibular joints by targeting the CaSR. © 2018 American Society for Bone and Mineral Research.

摘要

创伤性关节损伤会导致骨关节炎软骨形成,通过未知的细胞和分子机制表现出软骨细胞终末分化和基质降解的加速。在这里,我们报告了生物力学应激能够增加钙敏感受体(CaSR)的表达,钙敏感受体是软骨细胞终末分化的关键驱动因素,这种作用在经受流体剪切力(FFSS)的培养软骨细胞和经受单侧前牙交叉咬合(UAC)的啮齿动物颞下颌关节(TMJ)软骨中的软骨细胞中都有体现。在培养的 ATDC5 细胞或 TMJ 软骨细胞中,FFSS 诱导 Ca 加载和 CaSR 在内质网(ER)中的定位,偶然加速细胞分化,而排空 ER Ca 储存或 CaSR 敲低可阻断这种分化。同样,急性软骨细胞特异性 Casr 敲除(KO)可防止 UAC 诱导的 TMJ 软骨中软骨细胞终末分化和基质降解的加速。更重要的是,CaSR 拮抗剂 NPS2143 的局部注射可复制 Casr KO 在预防 UAC 处理大鼠 TMJ 软骨中骨关节炎表型发展方面的作用。我们的研究揭示了 CaSR 在异常机械刺激导致骨关节炎软骨形成中的新的病理作用,并支持通过靶向 CaSR,使用钙敏感受体抑制剂在预防颞下颌关节骨关节炎方面的治疗潜力。©2018 美国骨骼与矿物质研究协会。

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