PMID- 33610183 OWN - NLM STAT- MEDLINE DCOM- 20210824 LR - 20210824 IS - 1749-799X (Electronic) IS - 1749-799X (Linking) VI - 16 IP - 1 DP - 2021 Feb 20 TI - Silymarin modulates catabolic cytokine expression through Sirt1 and SOX9 in human articular chondrocytes. PG - 147 LID - 10.1186/s13018-021-02305-9 [doi] LID - 147 AB - BACKGROUND: Silymarin (SMN), a polyphenolic flavonoid, is involved in multiple bioactive functions including anti-inflammation. Pretreatment with SMN demonstrated chondroprotection against tumour necrosis factor-alpha (TNF-alpha) stimulation in a chondrocyte cell line. However, pre- and posttreatment with phytochemicals have varying effects on osteoarthritis (OA) chondrocytes, and the therapeutic potential of SMN after catabolic cytokine stimulation is not fully elucidated. METHODS: The cytotoxicity of SMN (12.5, 25, 50 and 100 muM) was evaluated in human primary chondrocytes. The chondrocytes were supplemented with SMN (25 and 50 muM) after interleukin-1beta (IL-1beta) stimulation. The mRNA expression and protein production of catabolic/anabolic cytokines as well as extracellular matrix (ECM) components were evaluated. RESULTS: High-dose SMN (100 muM) impaired the mitochondrial activity in chondrocytes, and 50 muM SMN further caused cell death in IL-1beta-stimulated cells. The addition of 25 muM SMN ameliorated cell senescence; downregulated the catabolic genes of inducible nitric oxide synthase, IL-1beta, TNF-alpha, matrix metalloproteinase-3 (MMP-3), MMP-9 and MMP-13; upregulated the anabolic genes of tissue inhibitor of metalloproteinase-1 (TIMP-1) and collagen type II alpha 1; and restored the expression of chondrogenic phenotype genes SOX9 and sirtuin-1 (Sirt1). In addition, the production of IL-1beta, MMP-3 and MMP-9 decreased with an increase in TIMP-1 secretion. However, the mRNA levels of IL-6, IL-8 and IL-10 and protein production remained high. The addition of nicotinamide, a Sirt1 inhibitor, downregulated SOX9 and attenuated the therapeutic effects of SMN on IL-1beta-stimulated chondrocytes. CONCLUSION: SMN regulates the chondrocyte phenotype through Sirt1 and SOX9 to improve ECM homeostasis and may serve as a complementary therapy for early-stage knee OA. FAU - Wu, Wen-Tien AU - Wu WT AD - Department of Orthopedic Surgery, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, No. 289, Jianguo Rd., Xindian Dist, New Taipei City, 23142, Taiwan. AD - Department of Orthopedics, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, Taiwan. AD - Department of Orthopedics, School of Medicine, Tzu Chi University, Hualien, Taiwan. FAU - Chen, Yi-Ru AU - Chen YR AD - Department of Orthopedic Surgery, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, No. 289, Jianguo Rd., Xindian Dist, New Taipei City, 23142, Taiwan. AD - School of Dental Technology, College of Oral Medicine, Taipei Medical University, No. 250, Wuxing St., Xinyi Dist, Taipei, 11031, Taiwan. FAU - Lu, Dai-Hua AU - Lu DH AD - School of Dental Technology, College of Oral Medicine, Taipei Medical University, No. 250, Wuxing St., Xinyi Dist, Taipei, 11031, Taiwan. FAU - Senatov, Fedor Svyatoslavovich AU - Senatov FS AD - Researcher of the Centre for Composite Materials, National University of Science and Technology MISIS, Moscow, Russia. FAU - Yang, Kai-Chiang AU - Yang KC AUID- ORCID: 0000-0002-0979-4463 AD - Department of Orthopedic Surgery, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, No. 289, Jianguo Rd., Xindian Dist, New Taipei City, 23142, Taiwan. pumpkin@tmu.edu.tw. AD - School of Dental Technology, College of Oral Medicine, Taipei Medical University, No. 250, Wuxing St., Xinyi Dist, Taipei, 11031, Taiwan. pumpkin@tmu.edu.tw. FAU - Wang, Chen-Chie AU - Wang CC AD - Department of Orthopedic Surgery, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, No. 289, Jianguo Rd., Xindian Dist, New Taipei City, 23142, Taiwan. xaiver-wang@yahoo.com.tw. AD - Department of Orthopedics, School of Medicine, Tzu Chi University, Hualien, Taiwan. xaiver-wang@yahoo.com.tw. LA - eng GR - IRB106-48-A/Buddhist Tzu Chi Medical Foundation/ PT - Journal Article DEP - 20210220 PL - England TA - J Orthop Surg Res JT - Journal of orthopaedic surgery and research JID - 101265112 RN - 0 (Cytokines) RN - 0 (SOX9 Transcription Factor) RN - 0 (SOX9 protein, human) RN - 0 (Silymarin) RN - EC 3.5.1.- (Sirtuin 1) SB - IM MH - Aged MH - Aged, 80 and over MH - Cartilage, Articular/*drug effects MH - Chondrocytes/*drug effects MH - Cytokines/*metabolism MH - Down-Regulation MH - Female MH - Humans MH - Male MH - Middle Aged MH - Osteoarthritis, Knee/drug therapy MH - SOX9 Transcription Factor/*metabolism MH - Silymarin/*pharmacology MH - Sirtuin 1/*metabolism MH - Up-Regulation PMC - PMC7896383 OTO - NOTNLM OT - Catabolic cytokine OT - Matrix metalloproteinase OT - Osteoarthritis OT - Silymarin OT - Sirtuin-1 COIS- The authors declare that they have no competing interests. EDAT- 2021/02/22 06:00 MHDA- 2021/08/25 06:00 PMCR- 2021/02/20 CRDT- 2021/02/21 20:23 PHST- 2020/11/29 00:00 [received] PHST- 2021/02/15 00:00 [accepted] PHST- 2021/02/21 20:23 [entrez] PHST- 2021/02/22 06:00 [pubmed] PHST- 2021/08/25 06:00 [medline] PHST- 2021/02/20 00:00 [pmc-release] AID - 10.1186/s13018-021-02305-9 [pii] AID - 2305 [pii] AID - 10.1186/s13018-021-02305-9 [doi] PST - epublish SO - J Orthop Surg Res. 2021 Feb 20;16(1):147. doi: 10.1186/s13018-021-02305-9.