Nifedipine inhibits oxidative stress and ameliorates osteoarthritis by activating the nuclear factor erythroid-2-related factor 2 pathway

Life Sci. 2020 Jul 15:253:117292. doi: 10.1016/j.lfs.2020.117292. Epub 2020 Jan 9.

Abstract

Nifedipine is a voltage-gated calcium channel inhibitor widely used in the treatment of hypertension. Nifedipine has been reported to have antioxidant and anti-apoptotic effects and promotes cell proliferation. However, the effects of nifedipine on oxidative stress and apoptosis in osteoarthritic (OA) chondrocytes are still unclear. In this study, we sought to investigate whether nifedipine alleviates oxidative stress and apoptosis in OA through nuclear factor erythroid-2-related factor 2 (Nrf2) activation. The cytotoxicity of nifedipine against human chondrocytes was detected using a 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) kit, whereas mRNA and protein expression levels were measured using reverse transcription-polymerase chain reaction (RT-PCR) and Western blotting, respectively. The oxidative stress level was analyzed by measuring reactive oxygen species (ROS), glutathione peroxidase (GSH-px), catalase (CAT) and superoxide dismutase (SOD) activities. The role of Nrf2 in the effect of nifedipine on OA was analyzed using an Nrf2 inhibitor brusatol (BR). The result showed that nifedipine inhibited the expression of matrix metalloprotein(MMP)-13, interleukin (IL)-1β, IL-6, tumor necrosis factor (TNF)-α, cyclooxygenase (COX)-2, inducible nitric oxide (NO) synthase (iNOS), and prostaglandin E2 (PGE2), as well as reduced ROS production in human OA chondrocytes, which was partially reversed by BR. Nifedipine prevented cartilage degeneration and contributed to the expression of Nrf-2 in chondrocytes. These results indicate that nifedipine inhibited inflammation and oxidative stress in chondrocytes via activation of Nrf-2/HO-1 signaling.

Keywords: Inflammation; Nifedipine; Nrf2/HO-1 pathway; Osteoarthritis; Oxidative stress.

MeSH terms

  • Aged
  • Apoptosis
  • Calcium Channel Blockers / metabolism*
  • Calcium Channel Blockers / pharmacology
  • Catalase / metabolism
  • Chondrocytes / cytology
  • Chondrocytes / metabolism
  • Cyclooxygenase 2 / metabolism
  • Dinoprostone / metabolism
  • Female
  • Gene Expression Regulation
  • Glutathione Peroxidase / metabolism
  • Humans
  • Interleukins / metabolism
  • Male
  • Metalloproteins / metabolism
  • Middle Aged
  • NF-E2-Related Factor 2 / metabolism*
  • Nifedipine / antagonists & inhibitors
  • Nifedipine / metabolism*
  • Nifedipine / pharmacology
  • Nitric Oxide Synthase Type II / metabolism
  • Osteoarthritis / drug therapy*
  • Oxidative Stress / drug effects*
  • Quassins / chemistry
  • Quassins / metabolism
  • Reactive Oxygen Species / metabolism
  • Signal Transduction
  • Superoxide Dismutase / metabolism
  • Tumor Necrosis Factor-alpha / metabolism

Substances

  • Calcium Channel Blockers
  • Interleukins
  • Metalloproteins
  • NF-E2-Related Factor 2
  • Quassins
  • Reactive Oxygen Species
  • Tumor Necrosis Factor-alpha
  • brusatol
  • Catalase
  • Glutathione Peroxidase
  • Nitric Oxide Synthase Type II
  • Cyclooxygenase 2
  • Superoxide Dismutase
  • Nifedipine
  • Dinoprostone