Maintaining hypoxia environment of subchondral bone alleviates osteoarthritis progression

维持软骨下骨的缺氧环境可减轻骨关节炎的进展

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作者:Hao Zhang, Lipeng Wang, Jin Cui, Sicheng Wang, Yafei Han, Hongda Shao, Cheng Wang, Yan Hu, Xiaoqun Li, Qirong Zhou, Jiawei Guo, Xinchen Zhuang, Shihao Sheng, Tao Zhang, Dongyang Zhou, Jiao Chen, Fuxiao Wang, Qianmin Gao, Yingying Jing, Xiao Chen, Jiacan Su

Abstract

Abnormal subchondral bone remodeling featured by overactivated osteoclastogenesis leads to articular cartilage degeneration and osteoarthritis (OA) progression, but the mechanism is unclear. We used lymphocyte cytosolic protein 1 (Lcp1) knockout mice to suppress subchondral osteoclasts in a mice OA model with anterior cruciate ligament transection (ACLT), and Lcp1-/- mice showed decreased bone remodeling in subchondral bone and retarded cartilage degeneration. For mechanisms, the activated osteoclasts in subchondral bone induced type-H vessels and elevated oxygen concentration, which ubiquitylated hypoxia-inducible factor 1 alpha subunit (HIF-1α) in chondrocytes and led to cartilage degeneration. Lcp1 knockout impeded angiogenesis, which maintained hypoxia environment in joints and delayed the OA progression. Stabilization of HIF-1α delayed cartilage degeneration, and knockdown of Hif1a abolished the protective effects of Lcp1 knockout. Last, we showed that Oroxylin A, an Lcp1-encoded protein l-plastin (LPL) inhibitor, could alleviate OA progression. In conclusion, maintaining hypoxic environment is an attractive strategy for OA treatment.

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