Department of Physical Medicine and Rehabilitation, University of Texas Southwestern, Dallas, TX, USA.
Department of Orthopaedic Surgery, University of Texas Southwestern, Dallas, TX, USA.
Sci Rep. 2024 Nov 19;14(1):28654. doi: 10.1038/s41598-024-77730-x.
The onset of degenerative joint diseases such as post-traumatic osteoarthritis (PTOA) are associated with joint injury, biomechanical changes, and synovial biochemical anomalies. Sex and reproductive endocrinology have been emerging as potential risk factors, with epidemiological evidence revealing that female's exhibit higher PTOA risk and poorer outcomes post-injury compared to males. Sex hormones, including estradiol, progesterone, and testosterone, have been shown to regulate inflammatory signaling in immune and synovial cells, yet their collective impact on injury-induced joint inflammation and catabolism is poorly understood. Using an in silico kinetic model, we investigated the effects of sex-specific endocrine states on post-injury mechanisms in the human synovial joint. Our model results reveal that heightened estradiol levels in pre-menopausal females during the peri-ovulatory phase increase interleukin (IL)-1β expression and suppress IL-10 expression within the synovium after a simulated injury. Conversely, elevated testosterone levels in males decrease post-injury IL-1β, tumor necrosis factor alpha (TNF)-α, and stromelysin (MMP)-3 expression while increasing IL-10 production compared to females. Gaining insight into the effects of sex hormones on injury-induced inflammation and cartilage degradation provides a basis for designing future experimental and clinical studies to explore their effects on the synovial system, with a particular focus on the female sex.
退行性关节疾病(如创伤后骨关节炎,PTOA)的发病与关节损伤、生物力学改变和滑液生化异常有关。性别和生殖内分泌学已成为潜在的危险因素,流行病学证据表明,女性在受伤后发生 PTOA 的风险更高,且预后更差。雌激素、孕激素和睾酮等性激素已被证明可调节免疫和滑膜细胞中的炎症信号,但它们对损伤诱导的关节炎症和分解代谢的综合影响尚不清楚。我们使用一种基于计算机的动力学模型,研究了性别特异性内分泌状态对人滑膜关节受伤后机制的影响。我们的模型结果表明,在模拟受伤后,围排卵期的绝经前女性体内较高的雌二醇水平会增加滑膜中白细胞介素(IL)-1β的表达并抑制 IL-10 的表达。相比之下,男性体内较高的睾酮水平会降低受伤后 IL-1β、肿瘤坏死因子-α(TNF-α)和基质金属蛋白酶-3(MMP-3)的表达,同时增加 IL-10 的产生,与女性相比。深入了解性激素对损伤诱导的炎症和软骨降解的影响,为设计未来的实验和临床研究提供了基础,以探讨它们对滑膜系统的影响,特别关注女性性别。
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