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INFLAMMATION, IMMUNOPHARMACOLOGY, AND ASTHMA
Department of Pharmacology, Faculty of Pharmacy, University of Valencia, Burjasot, Valencia, Spain (J.M., M.I.G., M.J.A.); Department of Chemistry, Biochemistry, and Molecular Biology, Cardenal Herrera-CEU University, Moncada, Valencia, Spain (M.I.G.); Department of Orthopaedic Surgery and Traumatology, General Hospital, Valencia, Spain (A.B.); and Department of Surgery, Faculty of Medicine, University of Valencia, Spain (F.G.)
Received November 23, 2007; accepted January 11, 2008.
| Abstract |
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Interleukin (IL)-1β and other proinflammatory cytokines have been detected in OA synovial fluid and chondrocytes. These mediators have been shown to induce MMP and aggrecanase synthesis in chondrocytes in an autocrine/paracrine manner, which may contribute to cartilage loss in OA (Elson et al., 1998
; Tetlow et al., 2001
). IL-1β is involved in collagenase-mediated cleavage of collagen II, degradation of aggrecan, and the inhibition of gene expression of matrix molecules (Kobayashi et al., 2005
). It has also been demonstrated that this cytokine reduces the production of cartilage matrix components such as aggrecan (Gouze et al., 2001
) and type II collagen (Goldring et al., 1988
).
Carbon monoxide-releasing molecules (CO-RMs) are a new group of drugs able to reproduce the biological actions of CO derived from heme oxygenase-1 (HO-1) activity (for review, see Foresti et al., 2005
). Therefore, the vasoactive (Foresti et al., 2004
) and cardioprotective (Clark et al., 2003
) effects of CO-RMs have been demonstrated. These agents are also able to deliver CO and protect isolated kidneys against cold preservation and ischemia-reperfusion (Sandouka et al., 2006
). It is interesting to note that CO-RMs have shown anti-inflammatory effects in some cell lines, including RAW 264.7 macrophages (Sawle et al., 2005
), microglia (Bani-Hani et al., 2006
), and Caco-2 (Megías et al., 2007
). In addition, these compounds can modulate leukocyte-endothelial cell interactions (Urquhart et al., 2007
). However, studies on the regulation of chondrocyte or cartilage metabolism by CO-RMs have not yet been reported. Previous observations from our laboratory suggest a beneficial role for HO-1 in OA chondrocytes (Guillen et al., 2007
). We postulate that CO-RMs may exert protective effects on these cells. To test this hypothesis, we have investigated whether the CO-RM tricarbonyldichlororuthenium(II) dimer (CORM-2) may modulate catabolic processes in human OA cartilage and chondrocytes activated with IL-1β.
| Materials and Methods |
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Chondrocyte and Explant Culture. Cartilage specimens were obtained from patients with the diagnosis of advanced OA [16 females and 8 males, 72 ± 3 (mean ± S.E.M.) years old] undergoing total knee joint replacement. Diagnosis was based on clinical, laboratory, and radiological evaluation. Samples were obtained under the Institutional Ethical Committee-approved protocol. Cartilage slices were removed from the femoral condyles and tibial plateaus, and they were cut into small pieces. Chondrocytes were isolated by sequential enzymatic digestion: 1 h with 0.1 mg/ml hyaluronidase (Sigma-Aldrich) followed by 12 h with 1 mg/ml collagenase (type IA) (Sigma-Aldrich) at 37°C in DMEM/Ham's F-12 medium (Sigma-Aldrich) containing 100 U/ml penicillin and 100 µg/ml streptomycin at 37°C in a 5% CO2 atmosphere. The digested tissue was filtered through a 70-µm nylon mesh, and then it was washed and centrifuged. Cell viability was greater than 95% according to the trypan blue exclusion test. The isolated chondrocytes were seeded at 2.5 x 105 cells/well in six-well plates. Cells were cultured in DMEM/Ham's F-12 medium supplemented with 10% human serum, 100 U/ml penicillin, and 100 µg/ml streptomycin in a humidified 5% CO2 incubator at 37°C. Chondrocytes in primary culture were allowed to grow until nearly confluence, and then they were incubated with CORM-2 at different concentrations or vehicle for 1 h before stimulation with 100 U/ml IL-1β for different times. CORM-2 was dissolved in dimethyl sulfoxide, and then it was diluted in culture medium [0.1% (v/v)]. Control cells were treated with the same vehicle. Possible cytotoxicity of treatments was assessed by the mitochondrial-dependent reduction of 3-(4,5-dimethylthiazol-2-yl)-2,5 diphenyltetrazolium bromide (MTT) to formazan. After appropriate stimulation, cells were incubated with 200 µg/ml MTT for 2 h. The medium was then removed, and the cells solubilized in 100 µl of dimethyl sulfoxide to quantitate formazan at 550 nm (Gross and Levi, 1992
). For explant cultures, full-thickness pieces of cartilage were removed from the femoral condyles. Slices measuring
2 mm in width x 2 mm in length were dissected from the tissue. Explants were transferred to 24-well plates (10 explants/well) containing DMEM/Ham's F-12 medium supplemented with 100 U/ml penicillin, 100 µg/ml streptomycin, and 10% fetal bovine serum, and they were incubated in a humidified 5% CO2 incubator at 37°C for 2 days before experiments to allow them to stabilize.
Glycosaminoglycan Degradation. Cartilage explants in DMEM/Ham's F-12 medium + 10% fetal bovine serum were labeled with 4 µCi/ml [35S]sulfate for 6 days. The unincorporated radioactivity was removed by extensive washing for 2 days with DMEM/Ham's F-12 medium + 10% fetal bovine serum. Explants were incubated in fresh medium with 100 U/ml IL-1β or IL-1β + CORM-2 for 6 days, with renewal of medium and treatment every other day. The media were collected, and explants were digested with 2 mg/ml papain in 1 mM EDTA, 0.25 mg/ml dithiothreitol, and 20 mM sodium phosphate, pH 6.8, at 56°C for 16 h. Sephadex G25 (GE Healthcare Life Sciences, Barcelona, Spain) chromatography was used to remove unincorporated [35S]sulfate from medium and tissue digests. Radioactivity was measured by liquid scintillation counting. Degradation was expressed as percentage of released radioactivity with respect to total radioactivity.
Proteoglycan Synthesis. Proteoglycan synthesis was quantified by monitoring [35S]sulfate incorporation (Moulharat et al., 2004
). After chondrocyte stimulation with 100 U/ml IL-1β or IL-1β + CORM-2 for 24 h, cells were labeled with 2 µCi/ml [35S]sulfate for 24 h. Cells were washed with Hanks' balanced salt solution, and then they were extracted with 4 M guanidinium HCl, 5 mM EDTA, and 5 mM Na acetate, pH 7.2, for 48 h at 4°C. Proteoglycans absorbed on Whatman filter paper (Whatman, Maidstone, UK) were precipitated by cetylpyridinium chloride monohydrate, and radioactivity was measured by liquid scintillation counting. Total radioactivity (medium + cell) was calculated for each well, and the value was normalized with respect to protein content.
Immunocytochemistry. Chondrocytes in primary culture were allowed to grow until near confluence, and then they were incubated with 100 µM CORM-2 in the presence or absence of 100 U/ml IL-1β for 15 days, with renewal of medium and treatment every 4 days. Cells were fixed with 4% formaldehyde in phosphate-buffered saline for 30 min at 4°C, and collagen II was detected using the type II collagen staining kit (MD Biosciences, Zürich, Switzerland), following the manufacturer's instructions.
Western Blot Analysis. After 15-min stimulation with 100 U/ml IL-1β or IL-1β + 100 µM CORM-2, chondrocytes in primary culture were lysed in 100 µl of buffer (1% Triton X-100, 1% deoxycholic acid, 20 mM NaCl, and 25 mM Tris, pH 7.4), and then they were centrifuged at 4°C for 10 min at 10,000g. Proteins (25 µg) in supernatants of cell lysates were separated by 12.5% SDS-polyacrylamide gel electrophoresis, and then they were transferred onto polyvinylidene difluoride membranes (GE Healthcare Life Sciences). Membranes were blocked with 3% bovine serum albumin, and then they were incubated with specific antibodies for 2 h at room temperature. Finally, membranes were incubated with peroxidase-conjugated goat anti-rabbit IgG, and the immunoreactive bands were visualized by enhanced chemiluminescence (GE Healthcare Life Sciences) using the AutoChemi image analyzer (UVP, Inc., Upland, CA).
Real-Time PCR. Chondrocytes in primary culture were stimulated with 100 U/ml IL-1β or IL-1β + 100 µM CORM-2 for 12 h. Total RNA was extracted using the TRIzol reagent (Invitrogen, Barcelona, Spain) according to the manufacturer's instructions. Reverse transcription was accomplished on 1 µg of total RNA using random primers (TaqMan reverse transcription reagents; Applied Biosystems Spain, Madrid, Spain). PCR reactions were performed using SYBR Green PCR Master Mix (Bio-Rad, Madrid, Spain). Primers were purchased from Superarray Bioscience Corporation (Frederick, MD). PCR assays were performed in duplicate on an iCycler Real-Time PCR Detection System (Bio-Rad) running the following cycling conditions: 95°C for 10 min, 40 cycles of 95°C for 15 s, and 60°C for 1 min. Reaction specificity was determined by melt curve analysis that was performed by heating the plate from 55 to 95°C and measuring SYBR Green I dissociation from the amplicons. Cycle threshold (CT) values for each gene were corrected using the mean CT value for β-actin. Relative gene expression was calculated using the
CT method, and values are expressed as -fold change (2–
CT) relative to the expression values in nonstimulated cells.
Enzyme-Linked Immunosorbent Assay. Chondrocytes in primary culture were stimulated with 100 U/ml IL-1β or IL-1β + CORM-2 for 24 h. Supernatants were harvested, and then they were centrifuged and frozen at –80°C until analysis. Pro-MMP-1, total MMP-3, total MMP-10, and pro-MMP-13 protein were quantified in supernatants by using enzyme-linked immunosorbent assay (ELISA) kits from R&D Systems, with sensitivity of 21.0, 9.0, 4.1, and 7.7 pg/ml, respectively. Aggrecanase activity was measured in supernatants by a sensitive ELISA kit detecting ADAMTS-1, ADAMTS-4, and ADAMTS-5, with sensitivity of 2 pM (MD Biosciences).
Data Analysis. Results are presented as mean ± S.E.M. Statistical analyses were performed using one-way analysis of variance followed by Dunnett's t test for multiple comparisons and unpaired Student's t test for dual comparisons.
| Results |
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Effects on Collagen II Expression. To evaluate the influence of CORM-2 on collagen II, we carried out immunocytochemical analyses. Figure 5 shows that OA chondrocytes in culture exhibit a high level of collagen II expression. In contrast, IL-1β stimulation results in a dramatic reduction of this protein with respect to basal incubations. It is interesting to note that 100 µM CORM-2 treatment maintained the expression of this extracellular matrix component in cells in basal conditions, and it restored collagen II expression in chondrocytes stimulated with IL-1β.
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| Discussion |
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The activation of collagenolytic MMPs depends on proteolysis by serine proteinases and other MMPs, which may be a rate-limiting step in cartilage collagenolysis (Milner et al., 2001
). In this respect, it is interesting to note the role of MMP-3 (stromelysin 1) and MMP-10 (stromelysin 2) in activating the proforms of collagenases (Murphy et al., 1987
; Knäuper et al., 1996
), leading to a significant increase in cartilage collagenolysis (Barksby et al., 2006
). Our studies have shown the inhibitory effects of CORM-2 on both enzymes, indicating that this agent may act at different levels in the cascade of reactions leading to collagen degradation.
It is becoming apparent that aggrecan breakdown would be dependent mainly on the activity of aggrecanases such as ADAMTS-4 and ADAMTS-5 (Malfait et al., 2002
), although some MMPs such as MMP-13 are also able to degrade aggrecan (Burrage et al., 2006
). ADAMTS-5 is the most strongly expressed aggrecanase in OA cartilage (Bau et al., 2002
), and it plays a crucial role in catalyzing proteoglycan degradation induced by IL-1 (Stanton et al., 2005
). Aggrecanase-mediated aggrecan degradation is an early feature of OA that may provide the basis to cartilage protection as the aggrecan macromolecule protects the collagen fibrillar structure from the proteolytic attack by collagenases (Malfait et al., 2002
). Our data indicate that CORM-2 treatment reduces aggrecanase activity and ADAMTS-5 gene expression in human OA chondrocytes.
Herein, we have described for the first time the protective effects of a member of the CO-RM family on human OA cartilage. We have shown that CORM-2 inhibits the degradation of aggrecan but that it increases its synthesis and collagen II expression. As a result, the maintenance of aggrecan and collagen II content by CORM-2 would result in cartilage protection, avoiding the loss of tissue function. In addition, our results suggest that these actions may be mediated through the down-regulation of enzymes that target both collagen II and aggrecan, major components of extracellular matrix.
Our results indicate that CO released by CORM-2 can reproduce the protective effects of HO-1 induction in OA chondrocytes (Guillen et al., 2007
). Nevertheless, whether this exogenous source of CO could be comparable with endogenous CO levels derived from HO-1 activity is not known. These limitations have been discussed in a recent study using CORM-3 (Urquhart et al., 2007
). Concerning CORM-2 effects, it is known that this agent can induce HO-1 (Sawle et al., 2005
; Megías et al., 2007
). Nevertheless, HO-1 up-regulation by CORM-2 in chondrocytes stimulated with IL-1β is weak (Guillen et al., 2005
), suggesting that this mechanism does not make a significant contribution to the observed protective effects.
To date, new strategies in cartilage protection focused on MMP inhibitors has not resulted in clinical benefit (Murphy and Lee, 2005
). Therefore, the inhibition of ADAMTS-4/ADAMTS-5 has been proposed as a new pharmacological target to develop cartilage-protecting agents (Malfait et al., 2002
). It is possible that compounds such as CO-RMs, which are able to control both degradative pathways, could provide better protection. These observations support the interest of further studies on this class of agents.
Activation of MAPK signaling pathways seems to mediate IL-1β-dependent regulation of extracellular matrix components and MMPs expression in human articular chondrocytes (Fan et al., 2007
). In particular, ERK1/2 is a negative regulator of chondrogenesis and chondrocyte differentiation (Yoon et al., 2002
). Our results show that CORM-2 inhibits ERK1/2 and p38 phosphorylation, which plays an important role in MMPs induction, and in the down-regulation of aggrecan and collagen II expression. Interestingly, this study using primary human chondrocytes from OA patients and not cell lines suggests that the inhibition of ERK1/2 and p38 activation by CORM-2 may contribute to the maintenance of the chondrocytic phenotype and extracellular matrix homeostasis.
The ability of CO to bind metal centers in metalloproteins is known (Roberts et al., 2004
), which may result in direct regulation of MAPK phosphorylation-dephosphorylation processes through possible interactions with protein phosphatase 2C (Boczkowski et al., 2006
). In addition, CO could inhibit NADPH oxidase (Boczkowski et al., 2006
) and increase mitochondrial reactive oxygen species production (Piantadosi, 2002
), leading to the indirect modulation of MAPK signaling. Further studies would be necessary to determine the mechanisms responsible for MAPK inhibition by CORM-2 in chondrocytes. The ability of CO to react with transition metals could also result in the inhibition of metalloproteins relevant to cartilage degradation such as MMPs (Desmard et al., 2005
).
In summary, CORM-2 exhibits protecting effects on cartilage metabolism through the depression of catabolic activities and the stimulation of glycosaminoglycan synthesis. These findings could affect the development of new therapies for the protection or repair of cartilage in degenerative joint diseases.
| Footnotes |
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Article, publication date, and citation information can be found at http://jpet.aspetjournals.org.
ABBREVIATIONS: OA, osteoarthritis; MMP, matrix metalloproteinase; ADAMTS, a disintegrin and metalloproteinase with thrombospondin domain; IL, interleukin; CO-RM, carbon monoxide-releasing molecule; HO-1, heme oxygenase-1; CORM-2, tricarbonyldichlororuthenium(II) dimer; ERK, extracellular signal-regulated kinase; JNK, c-Jun NH2-terminal kinase; DMEM, Dulbecco's modified Eagle's medium; MTT, 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide; PCR, polymerase chain reaction; CT, cycle threshold; ELISA, enzyme-linked immunosorbent assay; MAPK, mitogen-activated protein kinase.
Address correspondence to: Dr. María José Alcaraz, Department of Pharmacology, Faculty of Pharmacy, University of Valencia, Av. Vicent Andres Estelles s/n, 46100 Burjasot, Valencia, Spain. E-mail: maria.j.alcaraz{at}uv.es
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