Department of Medicine, Division of Rheumatology, NYU School of Medicine, 550 First Avenue, New York, NY, 10016, USA.
Department of Medicine, Division of Translational Medicine, NYU School of Medicine, 550 First Avenue, New York, NY, 10016, USA.
Sci Rep. 2021 Jan 13;11(1):968. doi: 10.1038/s41598-020-80244-x.
Autophagy, a homeostatic pathway upregulated during cellular stress, is decreased in osteoarthritic chondrocytes and this reduction in autophagy is thought to contribute to the development and progression of osteoarthritis (OA). The adenosine A2A receptor (A2AR) is a potent anti-inflammatory receptor and deficiency of this receptor leads to the development of OA in mice. Moreover, treatment using liposomally conjugated adenosine or a specific A2AR agonist improved joint scores significantly in both rats with post-traumatic OA (PTOA) and mice subjected to a high fat diet obesity induced OA. Importantly, A2AR ligation is beneficial for mitochondrial health and metabolism in vitro in primary and the TC28a2 human cell line. An additional set of metabolic, stress-responsive, and homeostatic mediators include the Forkhead box O transcription factors (FoxOs). Data has shown that mouse FoxO knockouts develop early OA with reduced cartilage autophagy, indicating that FoxO-induced homeostasis is important for articular cartilage. Given the apparent similarities between A2AR and FoxO signaling, we tested the hypothesis that A2AR stimulation improves cartilage function through activation of the FoxO proteins leading to increased autophagy in chondrocytes. We analyzed the signaling pathway in the human TC28a2 cell line and corroborated these findings in vivo in a metabolically relevant obesity-induced OA mouse model. We found that A2AR stimulation increases activation and nuclear localization of FoxO1 and FoxO3, promotes an increase in autophagic flux, improves metabolic function in chondrocytes, and reduces markers of apoptosis in vitro and reduced apoptosis by TUNEL assay in vivo. A2AR ligation additionally enhances in vivo activation of FoxO1 and FoxO3 with evidence of enhanced autophagic flux upon injection of the liposome-associated A2AR agonist in a mouse obesity-induced OA model. These findings offer further evidence that A2AR may be an excellent target for promoting chondrocyte and cartilage homeostasis.
自噬是一种在细胞应激时上调的稳态途径,在骨关节炎软骨细胞中减少,这种自噬的减少被认为有助于骨关节炎(OA)的发展和进展。腺苷 A2A 受体(A2AR)是一种有效的抗炎受体,该受体的缺乏会导致小鼠发生 OA。此外,使用脂结合的腺苷或特定的 A2AR 激动剂治疗可显著改善创伤后 OA(PTOA)大鼠和高脂肪饮食诱导 OA 小鼠的关节评分。重要的是,A2AR 连接在体外对原代和 TC28a2 人细胞系的线粒体健康和代谢有益。另一组代谢、应激响应和稳态介质包括叉头框 O 转录因子(FoxOs)。数据表明,FoxO 敲除小鼠发生早期 OA,软骨自噬减少,表明 FoxO 诱导的稳态对关节软骨很重要。鉴于 A2AR 和 FoxO 信号之间的明显相似性,我们测试了 A2AR 刺激通过激活 FoxO 蛋白改善软骨功能从而增加软骨细胞自噬的假设。我们分析了人 TC28a2 细胞系中的信号通路,并在代谢相关肥胖诱导的 OA 小鼠模型中体内证实了这些发现。我们发现,A2AR 刺激增加 FoxO1 和 FoxO3 的激活和核定位,促进自噬流增加,改善软骨细胞的代谢功能,并减少体外凋亡标志物和体内 TUNEL 测定的凋亡减少。A2AR 连接还增强了体内 FoxO1 和 FoxO3 的激活,并在肥胖诱导的 OA 小鼠模型中注射脂结合的 A2AR 激动剂时证明了自噬流的增强。这些发现进一步证明 A2AR 可能是促进软骨细胞和软骨稳态的理想靶点。