East Hospital, School of Medicine, Tongji University, Shanghai, China.
Department of Intensive Care Unit, Affiliated Hospital of Yunnan University (The Second People's Hospital of Yunnan Province),Yunnan University, Kunming, China.
Int Immunopharmacol. 2023 Jul;120:110390. doi: 10.1016/j.intimp.2023.110390. Epub 2023 May 30.
Osteoarthritis (OA) is a highly degenerative joint disease, mainly companying with progressive destruction of articular cartilage. Adipose-derived stromal cells (ADSCs) therapy enhances articular cartilage repair, extracellular matrix (ECM) synthesis and attenuates joints inflammation, but specific mechanisms of therapeutic benefit remain poorly understood. This study aimed to clarify the therapeutic effects and mechanisms of ADSCs on cartilage damage in the keen joint of OA rat model.
Destabilization of the medial meniscus (DMM) and anterior cruciate ligament transection (ACLT) surgery-induced OA rats were treated with allogeneic ADSCs by intra-articular injections for 6 weeks. The protective effect of ADSCs in vivo was measured using Safranin O and fast green staining, immunofluorescence and western blot analysis. Meanwhile, the miRNA-7-5p (miR-7-5p) expression was assessed by quantitative reverse transcription-polymerase chain reaction (qRT-PCR). The mechanism of increased autophagy with ADSCs addition through decreasing miR-7-5p was revealed using oligonucleotides, and adenovirus in rat chondrocytes. The luciferase reporter assay revealed the molecular role of miR-7-5p and autophagy related 4A (ATG4A). The substrate of mTORC1 pathway: (p-)p70S6 and (p-)S6 in OA models with ADSCs addition were detected by western blotting.
The ADSCs treatment repaired the articular cartilage and maintained chondrocytes ECM homeostasis through modulating chondrocytes autophagy in the OA model, indicators of the change of autophagic proteins expression and autophagic flux. Meanwhile, the increased autophagy induced by ADSCs treatment was closely related to the decreased expression of host-derived miR-7-5p, a negative modulator of OA progression. Functional genomics (overexpression of genes) in vitro studies demonstrate the inhibition of host-derived miR-7-5p in mediating the benefit of ADSCs administration in OA model. Then ATG4A was defined as a target gene of miR-7-5p, and the negative relation between miR-7-5p and ATG4A was investigated in the OA model treated with ADSCs. Furthermore, miR-7-5p mediated chondrocyte autophagy by targeting ATG4A in the OA model treated with ADSCs was confirmed with the rescue trial of ATG4A/miR-7-5p overexpression on rat chondrocyte. Finally, the mTORC1 signaling pathways mediated by host-derived miR-7-5p with ADSCs treatment were decreased in OA rats.
ADSCs promote the chondrocytes autophagy by decreasing miR-7-5p in articular cartilage by targeting ATG4A and a potential role for ADSCs based therapeutics for preventing of articular cartilage destruction and extracellular matrix (ECM) degradation in OA.
骨关节炎(OA)是一种高度退行性关节疾病,主要伴有关节软骨的进行性破坏。脂肪来源的基质细胞(ADSCs)治疗可增强关节软骨修复、细胞外基质(ECM)合成并减轻关节炎症,但治疗益处的确切机制仍知之甚少。本研究旨在阐明 ADSCs 对 OA 大鼠模型急性关节软骨损伤的治疗作用及机制。
采用内侧半月板不稳定(DMM)和前交叉韧带切断(ACLT)手术诱导 OA 大鼠,通过关节内注射异体 ADSCs 治疗 6 周。采用番红 O 和快速绿染色、免疫荧光和 Western blot 分析评估 ADSCs 在体内的保护作用。同时,采用定量逆转录聚合酶链反应(qRT-PCR)评估 miRNA-7-5p(miR-7-5p)的表达。采用寡核苷酸和腺病毒在大鼠软骨细胞中揭示 ADSCs 通过降低 miR-7-5p 增加自噬的机制。荧光素酶报告基因分析揭示了 miR-7-5p 和自噬相关 4A(ATG4A)的分子作用。Western blot 检测 OA 模型中添加 ADSCs 后 mTORC1 通路底物:(p-)p70S6 和(p-)S6 的变化。
ADSCs 治疗通过调节 OA 模型中软骨细胞的自噬作用,修复关节软骨并维持软骨细胞 ECM 稳态,改变自噬蛋白表达和自噬流的指标。同时,ADSCs 治疗诱导的自噬增加与宿主来源的 miR-7-5p 表达降低密切相关,miR-7-5p 是 OA 进展的负调节剂。体外功能基因组学(基因过表达)研究表明,宿主来源的 miR-7-5p 抑制在 OA 模型中介导 ADSCs 给药的益处。然后将 ATG4A 定义为 miR-7-5p 的靶基因,并在 ADSCs 处理的 OA 模型中研究了 miR-7-5p 和 ATG4A 之间的负相关关系。此外,通过 ADSCs 处理的 OA 模型中 ATG4A/miR-7-5p 过表达的挽救试验证实了 miR-7-5p 通过靶向 ATG4A 调节 OA 模型中的软骨细胞自噬。最后,OA 大鼠中宿主来源的 miR-7-5p 介导的 mTORC1 信号通路随 ADSCs 治疗而降低。
ADSCs 通过靶向 ATG4A 降低关节软骨中的 miR-7-5p 促进软骨细胞自噬,这为 ADSCs 治疗预防 OA 中关节软骨破坏和细胞外基质(ECM)降解提供了一种潜在的作用机制。