Osteoarthritis (OA) is the leading cause of physical disability, predicted to affect 67 million people in the United States by 2030 and is the most common degenerative joint disorders. There is no effective treatment for OA until the end-stage of the disease necessitating joint replacement. Despite the significant progress made in the investigation of articular cartilage degeneration at relative late stage of OA, little is known abot the onset pathomechanisms of OA. Currently, most of the efforts that are investigating the mechanism of articular cartilage degeneration in OA are in the late stage of OA. In this revised proposal, we have demonstrated that inducible knockout of TGF type II receptor in the nestin+ MSCs prevents degeneration of articular cartilage in the mouse anterior cruciate ligament transection (ACLT) joints; administration of TGF antibody in the subchondral bone reduces articular cartilage degeneration in rat ACLT joints and systemically injection of TRI inhibitor also rescued guinea pig spontaneous OA. These results suggest that high levels of active TGF1 in the subchondral bone are the onset pathological changes in ACLT animal models, guinea pig spontaneous OA and human knee OA. Particularly, protection of guinea pig spontaneous OA by TRI inhibitor integrate the observation of high levels of active TGF in the subchondral bone in the knee joints of OA patient and the data from ACLT animal models. Thus, activation of TGF in the subchondral bone represents onset of OA development. Thus, specific inhibition of TGF activity in the subchondral bone could lead to an effective therapy for OA. Therefore, we hypothesize that high levels of active TGFin the subchondral bone induce pathological changes of OA. In this proposed study, we will focus on the initial events during development of OA and will investigate the effects of TGF-induced microenvironment changes of MSCs and osteoprogenitors on the changes of osteochondral junction using inducible nestin/cre/GFP/ROSA26 or osterix/cre/GFP/ROSA26 mice, in which the changes of GFP-positive nestin+ MSCs and osterix+ osteoprogenitors will be traced during development of OA in ACLT mice. We will also examine the role of TGF in the subchondral bone and articular cartilage of human OA knee joints. The effects of inhibition of TGF activity in the subchondral bone on rat ACLT OA and spontaneous guinea pig OA joints will be systematically studied.

Public Health Relevance

OA is the most common degenerative joint disorders, and there is no effective treatment for OA until the end- stage of the disease necessitating joint replacement. We found that high levels of active TGF in the subchondral bone induce changes of osteochondral junction as the onset of OA development. TGF1 antibody specifically administrated in the subchondral bone may attenuate the initial pathological changes during OA development as an effective therapy for OA.

Agency
National Institute of Health (NIH)
Institute
National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
Type
Research Project (R01)
Project #
5R01AR063943-03
Application #
8868941
Study Section
Skeletal Biology Structure and Regeneration Study Section (SBSR)
Program Officer
Tyree, Bernadette
Project Start
2013-07-12
Project End
2016-06-30
Budget Start
2015-07-01
Budget End
2016-06-30
Support Year
3
Fiscal Year
2015
Total Cost
Indirect Cost
Name
Johns Hopkins University
Department
Orthopedics
Type
Schools of Medicine
DUNS #
001910777
City
Baltimore
State
MD
Country
United States
Zip Code
21205
Zheng, Liwei; Cao, Yong; Ni, Shuangfei et al. (2018) Ciliary parathyroid hormone signaling activates transforming growth factor-? to maintain intervertebral disc homeostasis during aging. Bone Res 6:21
Qiu, Tao; Crane, Janet L; Xie, Liang et al. (2018) IGF-I induced phosphorylation of PTH receptor enhances osteoblast to osteocyte transition. Bone Res 6:5
Xu, Xin; Zheng, Liwei; Yuan, Quan et al. (2018) Transforming growth factor-? in stem cells and tissue homeostasis. Bone Res 6:2
Wang, Long; Xie, Liang; Tintani, Francis et al. (2017) Aberrant Transforming Growth Factor-? Activation Recruits Mesenchymal Stem Cells During Prostatic Hyperplasia. Stem Cells Transl Med 6:394-404
Bian, Qin; Jain, Amit; Xu, Xin et al. (2016) Excessive Activation of TGF? by Spinal Instability Causes Vertebral Endplate Sclerosis. Sci Rep 6:27093
Xie, Liang; Tintani, Francis; Wang, Xiao et al. (2016) Systemic neutralization of TGF-? attenuates osteoarthritis. Ann N Y Acad Sci 1376:53-64
Cui, Zhuang; Crane, Janet; Xie, Hui et al. (2016) Halofuginone attenuates osteoarthritis by inhibition of TGF-? activity and H-type vessel formation in subchondral bone. Ann Rheum Dis 75:1714-21
Xu, Xin; Zheng, Liwei; Bian, Qin et al. (2015) Aberrant Activation of TGF-? in Subchondral Bone at the Onset of Rheumatoid Arthritis Joint Destruction. J Bone Miner Res 30:2033-43
Waning, David L; Mohammad, Khalid S; Reiken, Steven et al. (2015) Excess TGF-? mediates muscle weakness associated with bone metastases in mice. Nat Med 21:1262-1271
Qiu, Tao; Xian, Lingling; Crane, Janet et al. (2015) PTH receptor signaling in osteoblasts regulates endochondral vascularization in maintenance of postnatal growth plate. J Bone Miner Res 30:309-17

Showing the most recent 10 out of 14 publications