Lithium protects against cartilage degradation in osteoarthritis

Arthritis Rheumatol. 2014 May;66(5):1228-36. doi: 10.1002/art.38373.

Abstract

Objective: To determine the actions of lithium chloride (LiCl) on catabolic events in human articular chondrocytes, and the effects of LiCl on the progression and severity of cartilage degradation in interleukin-1β (IL-1β)-treated mouse knee joints and after surgical induction of osteoarthritis (OA) in a mouse model.

Methods: Human articular chondrocytes were treated with LiCl followed by IL-1β, and the expression levels of catabolic genes were determined by real-time polymerase chain reaction. To understand the mechanism by which LiCl affects catabolic events in articular chondrocytes after IL-1β treatment, the activation of NF-κB was determined using luciferase reporter assays, and the activities of MAPKs and the STAT-3 signaling pathway were determined by immunoblot analysis of total cell lysates. Cultures of mouse femoral head explants treated with IL-1β and a mouse model of surgically induced OA were used to determine the effects of LiCl on proteoglycan loss and cartilage degradation.

Results: LiCl treatment resulted in decreased catabolic marker messenger RNA levels and activation of NF-κB, p38 MAPK, and STAT-3 signaling in IL-1β-treated articular chondrocytes. Furthermore, LiCl directly inhibited IL-6-stimulated activation of STAT-3 signaling. Consequently, the loss of proteoglycan and severity of cartilage destruction in LiCl-treated mouse knee joints 8 weeks after OA induction surgery or in LiCl-treated mouse femoral head explants after IL-1β treatment were markedly reduced compared to that in vehicle-treated joints or explants.

Conclusion: LiCl reduced catabolic events in IL-1β-treated human articular chondrocytes and attenuated the severity of cartilage destruction in IL-1β-treated mouse femoral head explants and in the knee joints of mice with surgically induced OA, acting via inhibition of the activities of the NF-κB, p38, and STAT-3 signaling pathways.

MeSH terms

  • Aged
  • Animals
  • Cartilage, Articular / drug effects*
  • Cartilage, Articular / metabolism*
  • Cartilage, Articular / pathology
  • Cells, Cultured
  • Chondrocytes / drug effects
  • Chondrocytes / metabolism
  • Chondrocytes / pathology
  • Disease Models, Animal
  • Disease Progression
  • Femur Head / drug effects
  • Femur Head / metabolism
  • Femur Head / pathology
  • Humans
  • Interleukin-1beta / pharmacology
  • Lithium Chloride / pharmacology*
  • Lithium Chloride / therapeutic use*
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Middle Aged
  • NF-kappa B / metabolism
  • Osteoarthritis / metabolism*
  • Osteoarthritis / pathology
  • Osteoarthritis / prevention & control*
  • Proteoglycans / metabolism*
  • STAT3 Transcription Factor / metabolism
  • Severity of Illness Index
  • Signal Transduction / drug effects
  • p38 Mitogen-Activated Protein Kinases / metabolism

Substances

  • Interleukin-1beta
  • NF-kappa B
  • Proteoglycans
  • STAT3 Transcription Factor
  • p38 Mitogen-Activated Protein Kinases
  • Lithium Chloride