Glansbeek H L, van Beuningen H M, Vitters E L, van der Kraan P M, van den Berg W B
Department of Rheumatology, University Hospital Nijmegen, The Netherlands.
Lab Invest. 1998 Feb;78(2):133-42.
A severe consequence of rheumatoid arthritis is depletion of proteoglycans (PGs) from articular cartilage leading to functional impairment of this tissue. We investigated whether local administration of anabolic factors (transforming growth factors-beta1 and -beta2 [TGF-beta1 and -beta2, respectively] and bone morphogenetic protein-2 (BMP-2) into joints could stimulate cartilage repair during arthritis. A unilateral arthritis was induced in mice by intra-articular injection of zymosan. Starting on Day 4 after the induction of arthritis, three injections of TGF-beta1 (200 ng) were given (Days 4, 6, and 8). On Day 11, articular cartilage PG synthesis was measured by 35S-sulfate incorporation, and histologic knee joint sections were prepared, which were used to analyze cartilage PG content by quantification of safranin O staining. Additionally, histologic sections were used to analyze inflammation and chondrophyte-formation. Local administration of TGF-beta1 did not modify inflammation but clearly stimulated PG synthesis and restored PG content of depleted cartilage. TGF-beta2 appeared to be as potent as TGF-beta1 in the stimulation of cartilage repair, and both TGF-beta isoforms also stimulated the formation of chondrophytes in this rodent model. In contrast to TGF-beta, three intra-articular injections with 200 ng BMP-2 did not stimulate the repair process. In summary, this study demonstrates for the first time that local administration of TGF-beta into arthritic joints stimulates the replenishment of PGs in depleted cartilage.
类风湿性关节炎的一个严重后果是关节软骨中的蛋白聚糖(PGs)耗竭,导致该组织功能受损。我们研究了向关节局部施用合成代谢因子(分别为转化生长因子-β1和-β2 [TGF-β1和TGF-β2]以及骨形态发生蛋白-2(BMP-2))是否能在关节炎期间刺激软骨修复。通过关节内注射酵母聚糖在小鼠中诱导单侧关节炎。从关节炎诱导后的第4天开始,给予三次TGF-β1(200 ng)注射(第4、6和8天)。在第11天,通过35S-硫酸盐掺入法测量关节软骨PG合成,并制备组织学膝关节切片,用于通过番红O染色定量分析软骨PG含量。此外,组织学切片用于分析炎症和软骨细胞形成。局部施用TGF-β1并未改变炎症,但明显刺激了PG合成并恢复了耗尽软骨的PG含量。在刺激软骨修复方面,TGF-β2似乎与TGF-β1一样有效,并且在该啮齿动物模型中,两种TGF-β同工型也刺激了软骨细胞的形成。与TGF-β相反,三次200 ng BMP-2的关节内注射并未刺激修复过程。总之,本研究首次证明向关节炎关节局部施用TGF-β可刺激耗尽软骨中PG的补充。