PMID- 22736200 OWN - NLM STAT- MEDLINE DCOM- 20130116 LR - 20121001 IS - 1529-0131 (Electronic) IS - 0004-3591 (Linking) VI - 64 IP - 10 DP - 2012 Oct TI - Dkk-1 promotes angiogenic responses and cartilage matrix proteinase secretion in synovial fibroblasts from osteoarthritic joints. PG - 3267-77 LID - 10.1002/art.34602 [doi] AB - OBJECTIVE: Synovial hypervascularity is a prominent pathologic feature in osteoarthritic (OA) joints. Wnt inhibitor Dkk-1 contributes to joint remodeling. We undertook this study to investigate whether Dkk-1 regulates cartilage destruction activities in OA synovial fibroblasts. METHODS: Synovial tissues were harvested from knees of patients with OA and from injured knees of non-OA patients who underwent arthroscopy. Expression of Dkk-1, angiogenic factors (stromal cell-derived factor 1 and colony-stimulating factor 1), and cartilage proteinases (ADAMTS-5 and matrix metalloproteinase 3 [MMP-3]) as well as vascularity in synovium and synovial fluid were quantified using enzyme-linked immunosorbent assay, reverse transcription-polymerase chain reaction, and histomorphometry. Synovial fibroblasts were treated with interleukin-1beta (IL-1beta), anti-Dkk-1 antibody, and RNA interference to characterize their angiogenic activity. Rats with OA knees were administered Dkk-1 antisense oligonucleotide to verify synovial angiogenesis and cartilage integrity. RESULTS: OA synovium exhibited increased vascularity and expression of angiogenic factors and proteinases in association with up-regulated Dkk-1 levels. Neutralizing Dkk-1 reduced the inhibitory effects of OA synovial fluid on aggrecan expression in chondrocyte cultures. IL-1beta induction of Dkk-1 increased expression of hypoxia-inducible factor 1alpha (HIF-1alpha), angiogenic factors, ADAMTS-5, and MMP-3 in synovial fibroblasts and promoted angiogenesis in vascular endothelial cells. Knockdown of HIF-1alpha decreased Dkk-1 enhancement of angiogenic factor expression. Stabilization of glycogen synthase kinase 3beta phosphorylated at Ser(9) , beta-catenin, T cell factor 4, and ERK signaling attenuated Dkk-1 up-regulation of angiogenic factor and proteinase expression in synovial fibroblasts. In vivo, Dkk-1 interference reduced the expression of angiogenic factors and proteinases and ameliorated synovial vascularity and cartilage deterioration in knees of rats with OA. CONCLUSION: Dkk-1 promoted angiogenic and cartilage degradation activities in synovial fibroblasts, which accelerated synovial angiogenesis and cartilage destruction. Dkk-1 blockade has therapeutic potential for reducing OA-induced synovitis and joint deterioration. CI - Copyright (c) 2012 by the American College of Rheumatology. FAU - Weng, Lin-Hsiu AU - Weng LH AD - Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan. FAU - Ko, Jih-Yang AU - Ko JY FAU - Wang, Ching-Jen AU - Wang CJ FAU - Sun, Yi-Chih AU - Sun YC FAU - Wang, Feng-Sheng AU - Wang FS LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Arthritis Rheum JT - Arthritis and rheumatism JID - 0370605 RN - 0 (Angiogenesis Inducing Agents) RN - 0 (CXCL12 protein, human) RN - 0 (Chemokine CXCL12) RN - 0 (DKK1 protein, human) RN - 0 (Intercellular Signaling Peptides and Proteins) RN - 0 (Interleukin-1beta) RN - 81627-83-0 (Macrophage Colony-Stimulating Factor) RN - EC 3.4.24.17 (Matrix Metalloproteinase 3) SB - IM MH - Angiogenesis Inducing Agents/pharmacology MH - Cartilage, Articular/drug effects/*metabolism/pathology MH - Chemokine CXCL12/genetics/metabolism MH - Chondrocytes/drug effects/metabolism/pathology MH - Female MH - Humans MH - Intercellular Signaling Peptides and Proteins/genetics/*metabolism/pharmacology MH - Interleukin-1beta/pharmacology MH - Knee Joint/drug effects/*metabolism/pathology MH - Macrophage Colony-Stimulating Factor/genetics/metabolism MH - Male MH - Matrix Metalloproteinase 3/genetics/metabolism MH - Neovascularization, Physiologic/*drug effects/physiology MH - Osteoarthritis, Knee/genetics/*metabolism/pathology MH - Synovial Fluid/drug effects/metabolism MH - Synovial Membrane/drug effects/*metabolism/pathology EDAT- 2012/06/28 06:00 MHDA- 2013/01/17 06:00 CRDT- 2012/06/28 06:00 PHST- 2012/06/28 06:00 [entrez] PHST- 2012/06/28 06:00 [pubmed] PHST- 2013/01/17 06:00 [medline] AID - 10.1002/art.34602 [doi] PST - ppublish SO - Arthritis Rheum. 2012 Oct;64(10):3267-77. doi: 10.1002/art.34602.