Inhibition of TGF-β signaling in mesenchymal stem cells of subchondral bone attenuates osteoarthritis

G Zhen, C Wen, X Jia, Y Li, JL Crane, SC Mears… - Nature medicine, 2013 - nature.com
G Zhen, C Wen, X Jia, Y Li, JL Crane, SC Mears, FB Askin, FJ Frassica, W Chang, J Yao…
Nature medicine, 2013nature.com
Osteoarthritis is a highly prevalent and debilitating joint disorder. There is no effective
medical therapy for the condition because of limited understanding of its pathogenesis. We
show that transforming growth factor β1 (TGF-β1) is activated in subchondral bone in
response to altered mechanical loading in an anterior cruciate ligament transection (ACLT)
mouse model of osteoarthritis. TGF-β1 concentrations are also high in subchondral bone
from humans with osteoarthritis. High concentrations of TGF-β1 induced formation of nestin …
Abstract
Osteoarthritis is a highly prevalent and debilitating joint disorder. There is no effective medical therapy for the condition because of limited understanding of its pathogenesis. We show that transforming growth factor β1 (TGF-β1) is activated in subchondral bone in response to altered mechanical loading in an anterior cruciate ligament transection (ACLT) mouse model of osteoarthritis. TGF-β1 concentrations are also high in subchondral bone from humans with osteoarthritis. High concentrations of TGF-β1 induced formation of nestin-positive mesenchymal stem cell (MSC) clusters, leading to formation of marrow osteoid islets accompanied by high levels of angiogenesis. We found that transgenic expression of active TGF-β1 in osteoblastic cells induced osteoarthritis, whereas inhibition of TGF-β activity in subchondral bone attenuated the degeneration of articular cartilage. In particular, knockout of the TGF-β type II receptor (TβRII) in nestin-positive MSCs led to less development of osteoarthritis relative to wild-type mice after ACLT. Thus, high concentrations of active TGF-β1 in subchondral bone seem to initiate the pathological changes of osteoarthritis, and inhibition of this process could be a potential therapeutic approach to treating this disease.
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