Jiang Zhanliang, Li Jin, Shi Mingpeng, Li Yunfei, Sun Ning, Xi Kai, Li Xiangyan, Zhao Daqing, Leng Xiangyang, Zhou Zhenwei, Dong Haisi
Affiliated Hospital of Changchun University of Traditional Chinese Medicine, Changchun University of Chinese Medicine, Changchun, 130000, Jilin Province, China; College of Traditional Chinese Medicine, Changchun University of Chinese Medicine, Changchun, 130117, Jilin Province, China.
College of Integrated Traditional Chinese and Western Medicine, Changchun University of Chinese Medicine, Changchun, 130117, Jilin Province, China; Department of Sports Medicine and Joint Surgery, Jilin Province People's Hospital, Changchun, 13000, Jilin Province, China.
Redox Biol. 2025 Jul 8;85:103757. doi: 10.1016/j.redox.2025.103757.
Aberrant changes in the hypoxic microenvironment are implicated in osteoarthritis (OA) development. Cuproptosis, a unique copper-dependent form of regulated cell death that depends on the activity of key enzymes in mitochondrial metabolism, is also linked to oxygen levels. However, the crosstalk among hypoxic environment, cuproptosis, and OA development remains unclear. This study confirmed that oxygen levels in the OA model gradually increased during OA progression, which suppressed the expression of anabolic genes for articular cartilage extracellular matrix, upregulated catabolic genes, and increased the cell death rate of primary chondrocytes. Mechanistically, oxygen elevation upregulated the expression of solute carrier family 31 member 1 (SCL31A1), a transmembrane pump facilitating copper uptake, whereas it downregulated the expression of ATPase copper transporting beta (ATP7B), a copper chaperone facilitating copper efflux, leading to aberrant copper accumulation in the cells. Ultimately, this accumulation efficiently induces oligomerization of dihydrolipoamide S-acetyltransferase (DLAT), triggering cell death, known as cuproptosis. Hypoxia-inducible factor-1α (HIF-1α), induced under hypoxic conditions, is negatively correlated with DLAT and the severity of OA, as confirmed in human and rat cartilage. Furthermore, siRNA-mediated HIF-1α silencing sensitized primary chondrocytes to cuproptosis, whereas HIF-1α stabilization had protective effects. In summary, increased oxygen levels in the cartilage induce cuproptosis, thereby accelerating OA progression, whereas HIF-1α stabilization mitigates this process. These findings may provide novel therapeutic targets for OA treatment in clinical practice.
缺氧微环境的异常变化与骨关节炎(OA)的发展有关。铜死亡是一种独特的依赖铜的调节性细胞死亡形式,它取决于线粒体代谢中关键酶的活性,也与氧水平有关。然而,缺氧环境、铜死亡和OA发展之间的相互作用仍不清楚。本研究证实,在OA进展过程中,OA模型中的氧水平逐渐升高,这抑制了关节软骨细胞外基质合成基因的表达,上调了分解代谢基因,并增加了原代软骨细胞的死亡率。机制上,氧升高上调了促进铜摄取的跨膜泵溶质载体家族31成员1(SCL31A1)的表达,而下调了促进铜外流的铜伴侣ATP酶铜转运β(ATP7B)的表达,导致细胞内铜异常积累。最终,这种积累有效地诱导了二氢硫辛酰胺S-乙酰转移酶(DLAT)的寡聚化,触发细胞死亡,即铜死亡。在人和大鼠软骨中证实,缺氧条件下诱导的缺氧诱导因子-1α(HIF-1α)与DLAT和OA的严重程度呈负相关。此外,siRNA介导的HIF-1α沉默使原代软骨细胞对铜死亡敏感,而HIF-1α的稳定化具有保护作用。总之,软骨中氧水平的升高诱导铜死亡,从而加速OA进展,而HIF-1α的稳定化减轻了这一过程。这些发现可能为临床实践中OA的治疗提供新的治疗靶点。
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