The purpose of this proposal is to study the synthesis of catabolic factors by articular cartilage in health and the disease state of osteoarthritis. The goal is to prove or disprove the hypothesis that osteoarthritis is initiated by enzymatic cartilage collagen degradation by increased collagenase activity. This postulate is that IL-1 stimulates collagenase activator protein (CAP), a latent metallo-protease of Mr 57,000 which, in turn, increases collagenase activity and joint destruction. Purified bovine collagenase has been demonstrated in the preliminary studies to have a near-absolute dependence upon CAP for activity. IL-1 was also found to markedly stimulate further CAP synthesis. Preliminary human studies demonstrated a 5 to 25-fold increase in CAP synthesis and collagenase activity by osteoarthritic as compared to normal cartilage. In this proposal, IL-1 and CAP synthesis by articular cartilage of normal and osteoarthritic human subjects will first be quantitated. Then active CAP synthesis, protein half-life and storage, and further stimulation of human articular cartilage of IL-1 and CAP will be quantitated in a large population of normal an osteoarthritic subjects by IL-1 LAF assay and a newly developed CAP RIA. A final study utilizing a well-defined rabbit model for osteoarthritis is designed to confirm the hypothesis by the quantitation of tissue, blood an synovial fluid IL-1 and CAP during and at the end-stage of osteoarthritis, which will be correlated with gross an histochemical tissue changes observed in the induced osteoarthritis.

Agency
National Institute of Health (NIH)
Institute
National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
Type
Clinical Investigator Award (CIA) (K08)
Project #
5K08AR001482-03
Application #
3079166
Study Section
Arthritis and Musculoskeletal and Skin Diseases Special Grants Review Committee (AMS)
Project Start
1987-08-01
Project End
1992-07-31
Budget Start
1989-08-01
Budget End
1990-07-31
Support Year
3
Fiscal Year
1989
Total Cost
Indirect Cost
Name
Massachusetts General Hospital
Department
Type
DUNS #
City
Boston
State
MA
Country
United States
Zip Code
02199