Guo Hu, Lv Zhongyang, Wang Maochun, Li Weitong, Xie Ya, Liu Zizheng, Chen Fufei, Jiang Ruiyang, Liu Yuan, Wu Rui, Li Jiawei, Sun Ziying, Tan Guihua, Shi Dongquan
Division of Sports Medicine and Adult Reconstructive Surgery, Department of Orthopedic Surgery, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.
Department of Orthopedics, Nanjing Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.
J Orthop Translat. 2024 Oct 5;49:96-106. doi: 10.1016/j.jot.2024.08.014. eCollection 2024 Nov.
Osteoarthritis (OA) is the most common degenerative joint disease, with articular cartilage degeneration as primary manifestation. Intra-articular injection of exogenous liposomal adenosine in mice knee has been shown to alleviate OA progression. However, the role of CD73, the rate-limiting enzyme of extracellular adenosine synthesis, in OA is still unknown.
In this work, we explored the expression changes of adenosine-related molecules via bioinformatic analysis. In addition, the expression level of these molecules was detected in OA cartilage. We also conducted a case-control study to investigate the genetic variants of selected SNPs on genes encoded adenosine-related molecules. To further explore the function of CD73 in chondrocytes, we knocked down the expression of CD73 with small interfering RNA and overexpressed CD73 with the use of lentivirus, and detected the expression of markers for anabolism and catabolism in mouse primary chondrocytes with or without IL-1β treatment. We also conducted experiments to explore the role of CD73 in OA.
We found that the expression of CD73 was upregulated in OA, and the variants of SNP rs2229523 (base A to G) on (the encoding gene of CD73) were significantly higher in OA population, which might cause the amino acid encoded by this SNP change from threonine to alanine. The original helix structure in the adjacent region of amino acid encoded by SNP rs2229523 would be deconstructed after its mutation. Furthermore, we found that CD73 promoting the expression of Col2a1 but suppressing the expression of Mmp13 expression in mouse primary chondrocytes under inflammatory environment. The overexpression of CD73 attenuated bone remodeling and alleviated cartilage degeneration in DMM mice. Moreover, the physical activities were also improved in DMM mice overexpressed CD73 with the use of adeno-associated virus.
The variants of SNP rs2229523 (base A to G) on were significantly higher in OA population, and CD73 could alleviate OA by maintaining anabolism and suppressing catabolism of chondrocytes extracellular matrix.
This work showed that CD73 might be one of the biological therapeutic targets of OA, which would provide a reference for future novel treatment strategy of OA.
骨关节炎(OA)是最常见的退行性关节疾病,主要表现为关节软骨退变。已证实向小鼠膝关节内注射外源性脂质体腺苷可缓解OA进展。然而,细胞外腺苷合成的限速酶CD73在OA中的作用仍不清楚。
在本研究中,我们通过生物信息学分析探索腺苷相关分子的表达变化。此外,检测了这些分子在OA软骨中的表达水平。我们还进行了一项病例对照研究,以调查腺苷相关分子编码基因上选定单核苷酸多态性(SNP)的基因变异。为了进一步探究CD73在软骨细胞中的功能,我们用小干扰RNA敲低CD73的表达,并利用慢病毒过表达CD73,检测有无白细胞介素-1β处理的小鼠原代软骨细胞中合成代谢和分解代谢标志物的表达。我们还进行了实验以探究CD73在OA中的作用。
我们发现OA中CD73的表达上调,且OA人群中CD73编码基因上SNP rs2229523(碱基A到G)的变异显著更高,这可能导致该SNP编码的氨基酸从苏氨酸变为丙氨酸。SNP rs2229523编码的氨基酸相邻区域的原始螺旋结构在其突变后会被解构。此外,我们发现炎症环境下CD73促进小鼠原代软骨细胞中Ⅱ型胶原α1(Col2a1)的表达,但抑制基质金属蛋白酶13(Mmp13)的表达。CD73过表达减轻了前交叉韧带切断(DMM)小鼠的骨重塑并缓解了软骨退变。此外,利用腺相关病毒过表达CD73的DMM小鼠的身体活动也得到改善。
OA人群中CD(此处原文可能有误,推测为CD73编码基因)上SNP rs2229523(碱基A到G)的变异显著更高,且CD73可通过维持软骨细胞细胞外基质的合成代谢和抑制分解代谢来缓解OA。
这项研究表明CD73可能是OA的生物治疗靶点之一,这将为未来OA的新型治疗策略提供参考。