PMID- 22084394 OWN - NLM STAT- MEDLINE DCOM- 20120508 LR - 20220410 IS - 1468-2060 (Electronic) IS - 0003-4967 (Print) IS - 0003-4967 (Linking) VI - 71 IP - 4 DP - 2012 Apr TI - Autophagy activation by rapamycin reduces severity of experimental osteoarthritis. PG - 575-81 LID - 10.1136/annrheumdis-2011-200557 [doi] AB - OBJECTIVES: Osteoarthritis is associated with cell death and extracellular matrix degradation in articular cartilage. Autophagy is an essential cellular homeostasis mechanism that was found to be deficient in ageing and osteoarthritic cartilage. This study determined whether pharmacological inhibition of the mammalian target of rapamycin (mTOR), a key inhibitor of autophagy, has disease-modifying activity in experimental osteoarthritis. METHODS: Experimental osteoarthritis was induced by transection of the medial meniscotibial ligament and the medial collateral ligament in 2-month-old C57Bl/6 mice (n=36). Rapamycin (1 mg/kg weight/day) (n=18 mice) or dimethyl sulphoxide vehicle control (n=18 mice) was administered intraperitoneally for 10 weeks. Histopathological changes in articular cartilage and synovium were examined by using semiquantitative scoring systems. Rapamycin effects on mTOR signalling, autophagy, cartilage homeostasis and inflammation were analysed by immunohistochemistry and immunofluorescence staining. RESULTS: Rapamycin affected the mTOR signalling pathway in mouse knee joints as indicated by the inhibition of ribosomal protein S6 phosphorylation, a target of mTOR and activation of LC3, a main marker of autophagy. The severity of cartilage degradation was significantly (p<0.01) reduced in the rapamycin-treated group compared with the control group and this was associated with a significant (p<0.05) decrease in synovitis. Rapamycin treatment also maintained cartilage cellularity and decreased ADAMTS-5 and interleukin-1beta expression in articular cartilage. CONCLUSIONS: These results suggest that rapamycin, at least in part by autophagy activation, reduces the severity of experimental osteoarthritis. Pharmacological activation of autophagy may be an effective therapeutic approach for osteoarthritis. FAU - Carames, Beatriz AU - Carames B AD - Department of Molecular and Experimental Medicine, The Scripps Research Institute, La Jolla, California, USA. FAU - Hasegawa, Akihiko AU - Hasegawa A FAU - Taniguchi, Noboru AU - Taniguchi N FAU - Miyaki, Shigeru AU - Miyaki S FAU - Blanco, Francisco J AU - Blanco FJ FAU - Lotz, Martin AU - Lotz M LA - eng GR - RC2 AR058954-02/AR/NIAMS NIH HHS/United States GR - R01 AR056026/AR/NIAMS NIH HHS/United States GR - S10 RR027557/RR/NCRR NIH HHS/United States GR - RR027577/RR/NCRR NIH HHS/United States GR - RC2 AR058954/AR/NIAMS NIH HHS/United States GR - S10 RR027557-01/RR/NCRR NIH HHS/United States GR - AR058954/AR/NIAMS NIH HHS/United States GR - P01 AG007996-18/AG/NIA NIH HHS/United States GR - AG007996/AG/NIA NIH HHS/United States GR - P01 AG007996/AG/NIA NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20111114 PL - England TA - Ann Rheum Dis JT - Annals of the rheumatic diseases JID - 0372355 RN - 0 (Anti-Inflammatory Agents) RN - 0 (Immunosuppressive Agents) RN - EC 2.7.1.1 (mTOR protein, mouse) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - EC 3.4.24.- (ADAM Proteins) RN - EC 3.4.24.- (ADAMTS5 Protein) RN - EC 3.4.24.- (Adamts5 protein, mouse) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - ADAM Proteins/metabolism MH - ADAMTS5 Protein MH - Animals MH - Anti-Inflammatory Agents/*pharmacology/therapeutic use MH - Arthritis, Experimental/*drug therapy/metabolism/pathology MH - Autophagy/*drug effects MH - Cartilage, Articular/pathology MH - Chondrocytes/metabolism MH - Drug Evaluation, Preclinical/methods MH - Immunosuppressive Agents/pharmacology/therapeutic use MH - Male MH - Mice MH - Mice, Inbred C57BL MH - Osteoarthritis/*drug therapy/metabolism/pathology MH - Signal Transduction/drug effects MH - Sirolimus/*pharmacology/therapeutic use MH - TOR Serine-Threonine Kinases/metabolism MH - Treatment Outcome PMC - PMC3294168 MID - NIHMS348383 EDAT- 2011/11/16 06:00 MHDA- 2012/05/09 06:00 PMCR- 2013/04/01 CRDT- 2011/11/16 06:00 PHST- 2011/11/16 06:00 [entrez] PHST- 2011/11/16 06:00 [pubmed] PHST- 2012/05/09 06:00 [medline] PHST- 2013/04/01 00:00 [pmc-release] AID - annrheumdis-2011-200557 [pii] AID - 10.1136/annrheumdis-2011-200557 [doi] PST - ppublish SO - Ann Rheum Dis. 2012 Apr;71(4):575-81. doi: 10.1136/annrheumdis-2011-200557. Epub 2011 Nov 14.