Prostaglandin E2 Exerts Catabolic Effects in Osteoarthritis Cartilage: Evidence for Signaling via the EP4 Receptor

作者: Mukundan Attur , Hayf E. Al-Mussawir , Jyoti Patel , Alison Kitay , Mandar Dave

DOI: 10.4049/JIMMUNOL.181.7.5082

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摘要: Elevated levels of PGE(2) have been reported in synovial fluid and cartilage from patients with osteoarthritis (OA). However, the functions metabolism not previously studied detail. To do so, we cultured explants, obtained undergoing knee replacement surgery for advanced OA, (0.1-10 muM). inhibited proteoglycan synthesis a dose-dependent manner (maximum 25% inhibition (p < 0.01)). also induced collagen degradation, inhibitable by matrix metalloproteinase (MMP) inhibitor ilomastat. spontaneous MMP-1, but augmented MMP-13 secretion OA explant cultures. PCR analysis chondrocytes treated or without IL-1 revealed that IL-1-induced expression was significantly cycolooygenase 2 selective celecoxib. Conversely, MMP-1 PGE(2), while celecoxib enhanced both expression. induction aggrecanase 5 (ADAMTS-5), ADAMTS-4, (10 muM) reversed (2 Quantitative screening nondiseased end-stage human articular specimens receptor EP4 up-regulated cartilage. Moreover, blocking (EP4 antagonist, AH23848) mimicked inhibiting MMP-13, ADAMST-5 expression, degradation. These results suggest inhibits stimulates degradation via receptor. Targeting EP4, rather than cyclooxygenase 2, could represent future strategy disease modification.

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