医学分子生物学杂志 ›› 2025, Vol. 22 ›› Issue (6): 548-556.doi: 10.3870/j.issn.1672-8009.2025.06.003

• 论著 • 上一篇    下一篇

骨关节炎软骨下骨细胞中Wnt 5a/Smad 2/3激活及Sclerostin的抑制促进骨小梁硬化

艾克热木江·阿尔肯, 韩小平, 崔泳, 黄涛   

  1. 新疆医科大学第五附属医院关节及运动医学科 乌鲁木齐市,830011
  • 收稿日期:2025-04-25 出版日期:2025-11-30 发布日期:2025-12-25
  • 通讯作者: 黄涛(E-mail:huangtaonmb@163.com)
  • 基金资助:
    新疆维吾尔自治区自然科学基金(No.2021D01C427)

Wnt 5a/Smad 2/3 Activation and Sclerostin Inhibition in Subchondral Bone Cells Promote Trabecular Sclerosis in Osteoarthritis

Ekermujiang Arken, HAN Xiaoping, CUI Yong, HUANG Tao   

  1. Department of Joint and Sports Medicine,Fifth Affiliated Hospital of Xinjiang Medical University,Urumqi,830011,China
  • Received:2025-04-25 Online:2025-11-30 Published:2025-12-25
  • Contact: HUANG Tao(E-mail:huangtaonmb@163.com)
  • Supported by:
    Natural Seience Foundation of Xinjiang Uygur Autonomous Region(No.2021D01C427)

摘要: 目的 探讨骨关节炎(osteoarthritis,OA)软骨下骨细胞通过激活非经典Wnt信号通路抑制硬化蛋白(sclerostin)促进骨小梁硬化的机制。方法 建立软骨细胞-成骨细胞共培养体系,细胞实验分组:Control组、OE-vector组、LIF OE组、shRNA-NC组、shRNA-LIF组;通过RNA免疫共沉淀(RIP)检测LIFR与Sclerostin编码基因SOST mRNA的直接相互作用;qRT-PCR检测SOST mRNA的表达水平;软骨细胞过表达/敲低LIF,蛋白质印迹检测软骨细胞中LIF和LIFR及成骨细胞中Sclerostin的表达。40只7~8周龄雄性C57BL 6J小鼠随机分为诱导4周和8周的对照组、假手术组、模型组,及诱导8周的模型+LIFR拮抗剂处理组;Micro-CT检测小鼠关节骨体积分数(BV/TV)、小梁骨厚度(Tb.Th)和小梁骨数量(Tb.N);HE染色和番红O-固绿染色观察小鼠关节组织并进行组织病理学分析;蛋白质印迹检测Wnt 5a、Smad 2/3、Sclerostin、白血病抑制因子(leukemia inhibitory factor,LIF)/LIF受体(LIF receptor,LIFR)、抗酒石酸酸性磷酸酶(tartrate-resistant acid phosphatase,TRAP)、基质金属蛋白酶-13(matrix metalloproteinases 13,MMP-13)蛋白的相对表达水平。结果 RIP实验结果显示LIFR与SOST mRNA有直接相互作用。LIF过表达后LIFR表达水平升高(P<0.05),Sclerostin表达水平降低(P<0.05);LIF敲低后以上结果相反。模型诱导8周后,模型组小鼠后肢骨关节部位相比于假手术组BV/TV和Tb.Th升高(P<0.05),Tb.N降低(P>0.05);模型+LIFR拮抗剂处理组小鼠后肢骨关节部位相比于模型组BV/TV和Tb.Th降低(P<0.05),Tb.N升高(P>0.05)。HE染色和番红O-固绿染色结果显示,模型组软骨被破坏,细胞间基质降解,细胞排列紊乱,软骨层解体,软骨下骨受累;模型+LIFR拮抗剂处理组软骨表面区和增殖区被破坏,但软骨肥大带相对完整,提示LIFR拮抗剂处理后软骨区域破坏相对缓解。4周或8周后,模型组Wnt 5a、p-Smad 2/3表达水平相比于假手术组升高(P<0.05),Sclerostin表达水平降低(P<0.05),LIF、LIFR、TRAP、MMP-13表达水平升高(P<0.05)。结论 软骨下骨细胞可能通过激活Wnt 5a/Smad 2/3上调LIF抑制Sclerostin,促进骨小梁硬化。

关键词: 骨关节炎, 软骨下骨, 骨小梁硬化, 硬化蛋白, 白血病抑制因子

Abstract: Objective To investigate the effect of Wnt 5a/Smad 2/3 activation and sclerostin inhibition in subchondral bone cells on trabecular sclerosis in osteoarthritis. Methods The co-cultured system of chondrocytes and osteoblasts was established.Cells were divided into 5 groups:Control group,OE-vector group,LIF OE group,shRNA-NC group and shRNA-LIF group.RNA immunoprecipitation(RIP)was used to detect the direct interaction between LIFR and sclerostin encoding gene SOST mRNA.The relative expression levels of SOST mRNA was detected by qRT-PCR.LIF expression in chondrocytes was overexpressed or knocked-down,and the relative expression levels of LIF and LIFR was detected by Western blotting.fourty male C57BL 6J mice aged 7-8 weeks were randomly divided into 7 groups:Control group,Model group,Sham group with 4-week or 8-week induction,and Model+LIFR antagonist group with 8-week induction.Micro-CT was used to measure the bone volume fraction(BV/TV),trabecular thickness(Tb.Th)and trabecular number(Tb.N).HE staining and safranin O-fast green staining were used to analyze the histopathological changes in mice joint tissues.The relative expression levels of Wnt 5a,Smad 2/3,Sclerostin,leukemia inhibitory factor(LIF)/LIF receptor(LIFR),tartrate-resistant acid phosphatase(TRAP)and matrix metalloproteinases 13(MMP-13)were detected by Western blotting. Results RIP results showed that LIFR and SOST mRNA had direct interaction.Overexpression of LIF increased LIFR expression levels(P<0.05)and decreased Sclerostin expression levels(P<0.05);knocking down LIF produced the opposite results.After 8 weeks of induction,the BV/TV and Tb.Th were increased(P<0.05),and the Tb.N was decreased(P>0.05)in the Model group when compared with those in the Sham group.Compared with those in the Model group,the BV/TV and Tb.Th were decreased(P<0.05)in the Model+LIFR antagonist group,and the Tb.N was increased(P>0.05).HE staining and Safranin O-fast green cartilage staining results showed that in the Model group,cartilages was destroyed,the intercellular matrix degraded,cell arrangement was disrupted,the cartilage layer disintegrated,and the subchondral bone was affected.In the Model+LIFR antagonist group,the cartilage surfaces area and proliferation area were destroyed,but the hypertrophy zone remained relatively intact,suggesting that cartilage zone destruction was relatively alleviated following LIFR antagonist treatment.After 4 weeks or 8 weeks of induction,the expression levels of Wnt 5a,p-Smad 2/3 in the Model group were increased(P<0.05),the expression levels of sclerostin was decreased(P<0.05),and the expression levels of LIF,LIFR,TRAP and MMP-13 were up-regulated(P<0.05)when compared with those in the Sham group. Conclusion Wnt 5a/Smad 2/3 activation and sclerostin inhibition in subchondral bone cells promote trabecular sclerosis.

Key words: osteoarthritis, subchondral bone, trabecular sclerosis, sclerostin, leukemia inhibitory factor

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