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Type II collagen is composed of ␣1(II) chains encoded by the COL2A1 gene. Alteration of this cartilage marker is a common feature of osteoarthritis. Interleukin-6 (IL-6) is a pro-inflammatory cytokine that needs a soluble form of receptor called sIL-6R to exert its effects in some cellular models. In that case, sIL-6R exerts agonistic action. This mechanism can make up for the partial or total absence of membrane-anchored IL-6 receptors in some cell types, such as chondrocytes. Our study shows that IL-6, sIL-6R, or both inhibit type II collagen production by rabbit articular chondrocytes through a transcriptional control. The cytokine and/or sIL-6R repress COL2A1 transcription by a ؊63/؊35 sequence that binds Sp1⅐Sp3. Indeed, IL-6 and/or sIL-6R inhibit Sp1 and Sp3 expression and their binding activity to the 63-bp promoter. In chromatin immunoprecipitation experiments, IL-6⅐sIL-6R induced an increase in Sp3 recruitment to the detriment of Sp1. Knockdown of Sp1⅐Sp3 by small interference RNA and decoy strategies were found to prevent the IL-6-and/or sIL-6R-induced inhibition of COL2A1 transcription, indicating that each of these Sp proteins is required for down-regulation of the target gene and that a heterotypic Sp1⅐Sp3 complex is involved. Additionally, Sp1 was shown to interact with Sp3 and HDAC1. Indeed, overexpression of a fulllength Sp3 cDNA blocked the Sp1 up-regulation of the 63-bp COL2A1 promoter activity, and by itself, inhibits COL2A1 transcription. We can conclude that IL-6, sIL-6R, or both in combination decrease both the Sp1⅐Sp3 ratio and DNA-binding activities, thus inhibiting COL2A1 transcription. Extracellular matrix (ECM)6 of articular cartilage contains tissue-specific macromolecules including types II, IX, and XI collagens and the large aggregating proteoglycan (PG) aggrecan (1). Type II collagen is the major collagen synthesized by chondrocytes in mature articular cartilage. Each ␣1(II) procollagen chain of the triple helix is encoded by the COL2A1 gene, whose transcription is regulated by DNA elements within both the promoter and the first intron regions (2). Thus, several binding sites of the intronic enhancer were shown to interact with transcription factors such as Sox9, L-Sox5, and Sox6 (3, 4), required for cartilage-specific expression of type II collagen during chondrogenesis in vivo (5), as well as with zinc finger transcription factors Sp1, Sp3, and C-Krox (6, 7). The three latter proteins are also able to bind to several binding sites identified in a 266-bp promoter of the human COL2A1 gene (6 -8). Sp1 was shown to be a strong activator of COL2A1 gene expression via the promoter binding sites, whereas Sp3 was found to prevent the Sp1 up-regulation of the COL2A1 promoter activity by binding to the same cis-acting elements (7).In healthy cartilage, chondrocytes maintain steady-state expression of collagens and PGs and are sensitive to a number of growth factors and cytokines that either enhance or reduce type II collagen synthesis. In osteoarthritis and rheumatoid arthritis, structural...

We investigated the effects of bone morphogenetic protein (BMP)-2, a member of the transforming growth factor-␤ superfamily, on the regulation of the chondrocyte phenotype, and we identified signaling molecules involved in this regulation. BMP-2 triggers three concomitant responses in mouse primary chondrocytes and chondrocytic MC615 cells. First, BMP-2 stimulates expression or synthesis of type II collagen. Second, BMP-2 induces expression of molecular markers characteristic of pre-and hypertrophic chondrocytes, such as Indian hedgehog, parathyroid hormone/parathyroid hormonerelated peptide receptor, type X collagen, and alkaline phosphatase. Third, BMP-2 induces osteocalcin expression, a specific trait of osteoblasts. Constitutively active forms of transforming growth factor-␤ family type I receptors and Smad proteins were overexpressed to address their role in this process. Activin receptor-like kinase (ALK)-1, ALK-2, ALK-3, and ALK-6 were able to reproduce the hypertrophic maturation of chondrocytes induced by BMP-2. In addition, ALK-2 mimicked further the osteoblastic differentiation of chondrocytes induced by BMP-2. In the presence of BMP-2, Smad1, Smad5, and Smad8 potentiated the hypertrophic maturation of chondrocytes, but failed to induce osteocalcin expression. Smad6 and Smad7 impaired chondrocytic expression and osteoblastic differentiation induced by BMP-2. Thus, our results indicate that Smad-mediated pathways are essential for the regulation of the different steps of chondrocyte and osteoblast differentiation and suggest that additional Smad-independent pathways might be activated by ALK-2.The development of long bones involves first the formation of cartilage primordia, which prefigure the future skeletal elements, and the replacement of the cartilage by bone. The formation of cartilage is initiated by the condensation and differentiation of mesenchymal cells into chondrocytes. This commitment to the skeletal lineage progresses through a switch in gene activation and results in the production of a cartilage matrix, which contains predominantly type II collagen and the proteoglycan aggrecan. During replacement of cartilage by bone through the sequence of events called endochondral ossification, chondrocytes enter a process of maturation, characterized by cellular hypertrophy and onset of type X collagen expression (reviewed in Ref. 1). This is followed by vascular invasion, matrix degradation, and replacement of the cartilage by bone marrow and trabecular bone.Chondrocyte differentiation and maturation is thus a central cellular aspect of skeletal development, and a molecular understanding of skeletogenesis requires an understanding of how expression of the chondrocytic phenotype is regulated. The fate of the skeletal cells and their precursors is controlled by the extracellular matrix, growth factors, hormones, and cytokines. Bone morphogenetic proteins (BMPs) 1 play a particularly important role in skeletal formation. Although BMPs have been shown to have a broad spectrum of action on proliferati...

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Cartilage healing by tissue engineering is an alternative strategy to reconstitute functional tissue after trauma or age-related degeneration. However, chondrocytes, the major player in cartilage homeostasis, do not self-regenerate efficiently and lose their phenotype during osteoarthritis. This process is called dedifferentiation and also occurs during the first expansion step of autologous chondrocyte implantation (ACI). To ensure successful ACI therapy, chondrocytes must be differentiated and capable of synthesizing hyaline cartilage matrix molecules. We therefore developed a safe procedure for redifferentiating human chondrocytes by combining appropriate physicochemical factors: hypoxic conditions, collagen scaffolds, chondrogenic factors (bone morphogenetic protein-2 [BMP-2], and insulin-like growth factor I [IGF-I]) and RNA interference targeting the COL1A1 gene. Redifferentiation of dedifferentiated chondrocytes was evaluated using gene/protein analyses to identify the chondrocyte phenotypic profile. In our conditions, under BMP-2 treatment, redifferentiated and metabolically active chondrocytes synthesized a hyaline-like cartilage matrix characterized by type IIB collagen and aggrecan molecules without any sign of hypertrophy or osteogenesis. In contrast, IGF-I increased both specific and noncharacteristic markers (collagens I and X) of chondrocytes. The specific increase in COL2A1 gene expression observed in the BMP-2 treatment was shown to involve the specific enhancer region of COL2A1 that binds the trans-activators Sox9/L-Sox5/Sox6 and Sp1, which are associated with a decrease in the trans-inhibitors of COL2A1, c-Krox, and p65 subunit of NF-kappaB. Our procedure in which BMP-2 treatment under hypoxia is associated with a COL1A1 siRNA, significantly increased the differentiation index of chondrocytes, and should offer the opportunity to develop new ACI-based therapies in humans.

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Bone tissue is densely innervated, and there is increasing evidence for a neural control of bone metabolism. Semaphorin-3A is a very important regulator of neuronal targeting in the peripheral nervous system as well as in angiogenesis, and knockout of the Semaphorin-3A gene induces abnormal bone and cartilage development. We analyzed the spatial and temporal expression patterns of Semaphorin-3A signaling molecules during endochondral ossification, in parallel with the establishment of innervation. We show that osteoblasts and chondrocytes differentiated in vitro express most members of the Semaphorin-3A signaling system (Semaphorin-3A, Neuropilin-1, and Plexins-A1 and -A2). In vitro, osteoclasts express most receptor chains but not the ligand. In situ, these molecules are all expressed in the periosteum and by resting, prehypertrophic and hypertrophic chondrocytes in ossification centers before the onset of neurovascular invasion. They are detected later in osteoblasts and also osteoclasts, with differences in intensity and regional distribution. Semaphorin-3A and Neuropilin-1 are also expressed in the bone marrow. Plexin-A3 is not expressed by bone cell lineages in vitro. It is detected early in the periosteum and hypertrophic chondrocytes. After the onset of ossification, this chain is restricted to a network of cell processes in close vicinity to the cells lining the trabeculae, similar to the pattern observed for neural markers at the same stages. After birth, while the density of innervation decreases, Plexin-A3 is strongly expressed by blood vessels on the ossification front. In conclusion, Semaphorin-3A signaling is present in bone and seems to precede or coincide at the temporal but also spatial level with the invasion of bone by blood vessels and nerve fibers. Expression patterns suggest Plexin-A3/Neuropilin-1 as a candidate receptor in target cells for the regulation of bone innervation by Semaphorin-3A. Developmental Dynamics 234:393-403, 2005.