损伤模式和滑膜炎程度改变炎症性软骨细胞的基因表达和相关途径。
Mode of injury and level of synovitis alter inflammatory chondrocyte gene expression and associated pathways.
机构信息
Department of Orthopaedic Surgery, Duke University, Durham, NC, USA.
Department of Biomedical Engineering, Duke University, Durham, NC, USA.
出版信息
Sci Rep. 2024 Nov 21;14(1):28917. doi: 10.1038/s41598-024-71964-5.
Although various joint injuries result in post-traumatic osteoarthritis (PTOA), differences in chondrocyte response to specific injuries, such as blunt compression or fracture, are unclear. Furthermore, the role of underlying joint inflammation, or synovitis, is often not considered. We investigated how injury mechanisms and underlying synovitis affect chondrocyte gene expression using osteochondral injury models with synovial co-culture. We hypothesized that the state of synovitis as well as the mechanism of biomechanical cartilage injury differentially alter the gene expression of chondrocytes and that these responses are regulated by the pro-inflammatory cytokine interleukin 1 (IL-1). The mechanism of injury and level of synovial inflammation both significantly regulated chondrocyte gene expression and associated pathways, uncovering distinct characteristics of fracture and compression injury mechanisms. Targeting IL-1 following injury reduced the inflammatory response and could have clinical implications. The results from this study show that crosstalk between biomechanics and inflammation in the context of synovitis and cartilage injury mechanism is an important consideration for PTOA.
虽然各种关节损伤都会导致创伤后骨关节炎(PTOA),但对于特定损伤(如钝性压缩或骨折)引起的软骨细胞反应的差异尚不清楚。此外,通常不考虑潜在关节炎症或滑膜炎的作用。我们使用具有滑膜共培养的骨软骨损伤模型研究了损伤机制和潜在滑膜炎如何影响软骨细胞的基因表达。我们假设滑膜炎状态以及生物力学软骨损伤的机制会使软骨细胞的基因表达产生差异,并且这些反应受到促炎细胞因子白细胞介素 1(IL-1)的调节。损伤机制和滑膜炎症的程度均显著调节软骨细胞的基因表达和相关途径,揭示了骨折和压缩损伤机制的不同特征。损伤后靶向 IL-1 可减少炎症反应,可能具有临床意义。本研究结果表明,滑膜炎和软骨损伤机制背景下的生物力学和炎症之间的相互作用是 PTOA 的一个重要考虑因素。