Hydrostatic pressure induces apoptosis in human chondrocytes from osteoarthritic cartilage through up‐regulation of tumor necrosis factor‐α, inducible nitric oxide synthase, p53, c‐myc, and bax‐α, and suppression of bcl‐2
Abstract:Hydrostatic pressure (HP) is thought to increase within cartilage extracellular matrix as a consequence of fluid flow inhibition. The biosynthetic response of human articular chondrocytes to HP in vitro varies with the load magnitude, load frequency, as well as duration of loading. We found that continuous cyclic HP (5 MegaPascals (MPa) for 4 h; 1 Hz frequency) induced apoptosis in human chondrocytes derived from osteoarthritic cartilage in vitro as evidenced by reduced chondrocyte viability which was independ… Show more
“…Next, we performed western blot analysis of several apoptosis related proteins. Previous studies have demonstrated that the expression of Bcl-2 plays an apoptosis-inhibiting role, whereas the expression of Bax plays a contrary role (19,20). survival of the cells.…”
“…Next, we performed western blot analysis of several apoptosis related proteins. Previous studies have demonstrated that the expression of Bcl-2 plays an apoptosis-inhibiting role, whereas the expression of Bax plays a contrary role (19,20). survival of the cells.…”
“…This in turn, renders the glutathione in vivo somewhat semifunctional or defective, and consequently rendering the cells sensitive to inflammatory cytokines such as tumor necrosis factor alpha. The elevations of TNF-α are known to activate and increase a variety of in vivo cellular mechanisms by stimulating NF-κB (1,10,11). It may be noteworthy to point out here that our data showing enhanced GPx activity after 14 days of post delivery, is strongly suggestive for the possible fact that 14 days of time is sufficient enough to arrest the cellular activation of TNF-α and ROS in monocytes by probably ameliorating glutathione by self-defense mechanisms in vivo, consequently resulting in the down-regulation of TNF-α expression in mononuclear cells.…”
Section: Discussionmentioning
confidence: 99%
“…Humans under stress of any kind are known to generate free radicals like reactive oxygen species (ROS) and reactive nitrogen intermediates (1,2). The function of antioxidant enzymes is to protect cells from toxic oxygen.…”
“…The gaseous signaling molecule nitric oxide (NO) appears to be a dominant proapoptotic stimulus in articular cartilage [6,23]. Recent studies have shown that chondrocyte apoptosis induced by shear forces and/or hydrostatic pressure is mediated in part by increased NO production [26,30]. Other reactive oxygen species such as hydrogen peroxide also induce apoptosis in cultured chondrocytes [3,32].…”
“…Although a variety of different stimuli initiate chondrocyte apoptosis [2,3,6,9,10,23,24,26,30,32], a universal feature of chondrocyte apoptosis is caspase activation [13,16,17,31,35,39,44] (Fig. 1).…”
Osteochondral allograft transplantation is a useful technique to manage larger articular cartilage injuries. One factor that may compromise the effectiveness of this procedure is chondrocyte cell death that occurs during the storage, preparation, and implantation of the osteochondral grafts. Loss of viable chondrocytes may negatively affect osteochondral edge integration and longterm function. A better understanding of the mechanisms responsible for chondrocyte loss could lead to interventions designed to decrease cell death and improve results. Recent studies indicate that apoptosis, or programmed cell death, is responsible for much of the chondrocyte death associated with osteochondral allograft transplantation. Theoretically, some of these cells can be rescued by blocking important apoptotic mediators. We review the role of apoptosis in cartilage degeneration, focusing on apoptosis associated with osteochondral transplantation. We also review the pathways thought to be responsible for regulating chondrocyte apoptosis, as well as experiments testing inhibitors of the apoptotic pathway. These data suggest that key contributors to the apoptotic process can be manipulated to enhance chondrocyte survival. This knowledge may lead to better surgical outcomes for osteochondral transplantation.
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