Excessive mechanical loading promotes osteoarthritis through the gremlin-1-NF-κB pathway

Nat Commun. 2019 Mar 29;10(1):1442. doi: 10.1038/s41467-019-09491-5.

Abstract

Exposure of articular cartilage to excessive mechanical loading is deeply involved in the pathogenesis of osteoarthritis. Here, we identify gremlin-1 as a mechanical loading-inducible factor in chondrocytes, detected at high levels in middle and deep layers of cartilage after cyclic strain or hydrostatic pressure loading. Gremlin-1 activates nuclear factor-κB signalling, leading to subsequent induction of catabolic enzymes. In mice intra-articular administration of gremlin-1 antibody or chondrocyte-specific deletion of Gremlin-1 decelerates osteoarthritis development, while intra-articular administration of recombinant gremlin-1 exacerbates this process. Furthermore, ras-related C3 botulinum toxin substrate 1 activation induced by mechanical loading enhances reactive oxygen species (ROS) production. Amongst ROS-activating transcription factors, RelA/p65 induces Gremlin-1 transcription, which antagonizes induction of anabolic genes such as Sox9, Col2a1, and Acan by bone morphogenetic proteins. Thus, gremlin-1 plays essential roles in cartilage degeneration by excessive mechanical loading.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anabolic Agents / pharmacology
  • Animals
  • Bone Morphogenetic Proteins / pharmacology
  • Chondrocytes
  • Humans
  • Intercellular Signaling Peptides and Proteins / metabolism*
  • Male
  • Mice, Inbred C57BL
  • Mice, Knockout
  • NF-kappa B / metabolism*
  • Osteoarthritis / metabolism*
  • Osteoarthritis / pathology*
  • Reactive Oxygen Species / metabolism
  • Signal Transduction*
  • Stress, Mechanical
  • Weight-Bearing
  • rac1 GTP-Binding Protein / metabolism

Substances

  • Anabolic Agents
  • Bone Morphogenetic Proteins
  • GREM1 protein, human
  • Grem1 protein, mouse
  • Intercellular Signaling Peptides and Proteins
  • NF-kappa B
  • Reactive Oxygen Species
  • rac1 GTP-Binding Protein