Hu Xueyu, Feng Gangning, Meng Zhiqiang, Ma Long, Jin Qunhua
Ningxia Medical University, The General Hospital of Ningxia Medical University, Yinchuan, Ningxia, 750004, P.R. China.
Orthopedics Ward 3, The General Hospital of Ningxia Medical University, 804 Shengli South Street, Yinchuan, 750004, Ningxia, P.R. China.
BMC Musculoskelet Disord. 2021 Jul 27;22(1):642. doi: 10.1186/s12891-021-04516-x.
Osteoarthritis (OA) is a chronic degenerative disease that suppresses middle-aged and older people worldwide. Silent information regulator 1(SIRT-1) is associated with several age-related diseases, such as cardiovascular diseases, neurodegenerative diseases and tumors, etc. The protective role of SIRT-1 in bone and joint diseases has become increasingly well known.
To explore the relationship between SIRT-1 and its related factors in OA.
Fresh tibial plateau specimens were collected from 30 patients with knee OA who underwent total knee arthroplasty. According to the results of Safranin O Fast Green Staining, hematoxylin-eosin staining and the OARSI grade developed by the International Association for the Study of Osteoarthropathy, the specimens were divided into the mild group, moderate group and severe group, and the damage of cartilage was evaluated. SIRT-1 protein levels in cartilage samples were analyzed by immunohistochemistry. Then, take 60 8-week-old female C57BL/6 J mice and apply the Destabilization of the medial meniscus (DMM) to induce OA. Mice were randomly divided into normal group (sham), model group (model), and post-modeling drug administration group (srt), and each group was further divided into 2 weeks after modeling (2 W) and 8 weeks after modeling (8 W) according to the time after surgery. The degenerative degree of a knee joint in mouse knee cartilage samples was evaluated using Safranin O Fast Green Staining and OARSI grade. Immunohistochemical techniques assessed the protein levels of SIRT-1, β-catenin, LEF-1, MMP-13 and Collagen II in cartilage samples. The protein levels of β-catenin, LEF-1 and MMP-13 in the samples were assessed by the immunohistofluorescence technique. The mRNA expression of SIRT-1 and LEF-1 in mouse cartilage samples was evaluated by real-time quantitative polymerase chain reaction (qPCR).
In the human cartilage samples, according to the results of Safranin O Fast Green Staining, compared with the mild group, the moderate group and the severe group showed damage cartilage layer structure, the number of chondrocytes decreased, the cell hypertrophic, the cartilage surface discontinuous, and the OARSI grade increased. The severe group had severe cartilage injury and the highest OARSI grade. In the mice cartilage samples, according to immunohistochemical analysis, the protein levels of β-catenin, LEF-1 and MMP-13 in cartilage specimens of model 2 W and model 8 W groups were significantly increased than the sham 2 W and sham 8 W groups. The protein levels of SIRT-1 and Collagen II were significantly decreased (P < 0.05), the results of srt 2 W and srt 8 W groups were between the sham group and the model group. According to immunofluorescence analysis, the protein levels of β-catenin, LEF-1 and MMP-13 in model 2 W and model 8 W groups were significantly increased than sham 2 W and sham 8 W groups. The results of srt 2w and srt 8w groups were between the sham group and the model group. According to the real-time qPCR results: Compared with sham 2 W and sham 8 W groups, the mRNA expression of SIRT-1 in model 2 W and model 8 W groups was significantly decreased, while the mRNA expression of LEF-1 was significantly increased. In contrast, the results of srt 2 W and srt 8 W groups were between the sham group and the model group.
SRT-1720, as a specific activator of SIRT-1, does increase the protein level of SIRT-1. SIRT-1 may play a protective role in cartilage by regulating the expression of LEF-1 and related inflammatory factors in OA.
骨关节炎(OA)是一种慢性退行性疾病,困扰着全球的中老年人。沉默信息调节因子1(SIRT-1)与多种与年龄相关的疾病有关,如心血管疾病、神经退行性疾病和肿瘤等。SIRT-1在骨和关节疾病中的保护作用已日益为人所知。
探讨骨关节炎中SIRT-1与其相关因子之间的关系。
收集30例行全膝关节置换术的膝骨关节炎患者的新鲜胫骨平台标本。根据番红O固绿染色、苏木精-伊红染色结果及国际骨关节炎研究协会制定的OARSI分级,将标本分为轻度组、中度组和重度组,评估软骨损伤情况。采用免疫组织化学法分析软骨样本中SIRT-1蛋白水平。然后,取60只8周龄雌性C57BL/6 J小鼠,采用内侧半月板失稳(DMM)法诱导骨关节炎。将小鼠随机分为正常组(假手术)、模型组(模型)和建模后给药组(srt),每组根据术后时间进一步分为建模后2周(2W)和建模后8周(8W)。采用番红O固绿染色和OARSI分级评估小鼠膝关节软骨样本的退变程度。采用免疫组织化学技术评估软骨样本中SIRT-1、β-连环蛋白、LEF-1、MMP-13和胶原蛋白II的蛋白水平。采用免疫荧光技术评估样本中β-连环蛋白、LEF-1和MMP-13的蛋白水平。采用实时定量聚合酶链反应(qPCR)评估小鼠软骨样本中SIRT-1和LEF-1的mRNA表达。
在人软骨样本中,根据番红O固绿染色结果,与轻度组相比,中度组和重度组软骨层结构破坏,软骨细胞数量减少,细胞肥大,软骨表面不连续,OARSI分级增加。重度组软骨损伤严重,OARSI分级最高。在小鼠软骨样本中, 根据免疫组织化学分析,模型2W组和模型8W组软骨标本中β-连环蛋白、LEF-1和MMP-13的蛋白水平显著高于假手术2W组和假手术8W组。SIRT-1和胶原蛋白II的蛋白水平显著降低(P < 0.05),srt 2W组和srt 8W组的结果介于假手术组和模型组之间。根据免疫荧光分析,模型2W组和模型8W组中β-连环蛋白、LEF-1和MMP-13的蛋白水平显著高于假手术2W组和假手术8W组。srt 2w组和srt 8w组的结果介于假手术组和模型组之间。根据实时qPCR结果:与假手术2W组和假手术8W组相比,模型2W组和模型8W组中SIRT-1的mRNA表达显著降低,而LEF-1的mRNA表达显著增加。相比之下,srt 2W组和srt 8W组的结果介于假手术组和模型组之间。
SRT-1720作为SIRT-1的特异性激活剂,确实提高了SIRT-1的蛋白水平。SIRT-1可能通过调节骨关节炎中LEF-1及相关炎症因子的表达对软骨起到保护作用。