PMID- 34666502 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220427 IS - 2046-3758 (Print) IS - 2046-3758 (Electronic) IS - 2046-3758 (Linking) VI - 10 IP - 10 DP - 2021 Oct TI - Ultrasound-targeted simvastatin-loaded microbubble destruction promotes OA cartilage repair by modulating the cholesterol efflux pathway mediated by PPARgamma in rabbits. PG - 693-703 LID - 10.1302/2046-3758.1010.BJR-2021-0162.R3 [doi] AB - AIMS: To evaluate the effect of ultrasound-targeted simvastatin-loaded microbubble destruction (UTMD (SV) ) for alleviation of the progression of osteoarthritis (OA) in rabbits through modulation of the peroxisome proliferator-activated receptor (PPARgamma). METHODS: In vitro, OA chondrocytes were treated with ultrasound (US), US-targeted microbubble destruction (UTMD), simvastatin (SV), and UTMD (SV) on alternate days for four weeks. Chondrocytes were also treated with PPARgamma inhibitor, PPARgamma inhibitor+ UTMD (SV) , and UTMD (SV) . The cholesterol efflux rate and triglyceride levels were measured using an assay kit and oil red O staining, respectively. In vivo, the OA rabbits were treated with a single intra-articular injection of UTMD, SV, and UTMD (SV) every seven days for four weeks. Cartilage histopathology was assessed by safranin-O staining and the Mankin score. Total cholesterol (TC) and high-density lipoprotein-cholesterol (HDL-C) in rabbit knee synovial fluid were detected by enzyme-marker assay. Aggrecan, collagen II, and PPARgamma expression levels were analyzed by Western blotting (WB). RESULTS: In vitro, UTMD (SV) significantly increased the cholesterol efflux rate and aggrecan, collagen II, and PPARgamma levels in OA chondrocytes; these effects were blocked by the PPARgamma inhibitor. In vivo, UTMD (SV) significantly increased aggrecan, collagen II, PPARgamma, and HDL-C levels, while TC levels and Mankin scores were decreased compared with the UTMD, SV, OA, and control groups. CONCLUSION: UTMD (SV) promotes cartilage extracellular matrix synthesis by modulating the PPARgamma-mediated cholesterol efflux pathway in OA rabbits. Cite this article: Bone Joint Res 2021;10(10):693-703. FAU - Wang, Xinwei AU - Wang X AUID- ORCID: 0000-0002-4862-0765 AD - Department of Rehabilitation Medicine, Nanjing First Hospital, Nanjing Medical University, Nanjing, China. FAU - Wang, Danbi AU - Wang D AUID- ORCID: 0000-0003-3264-4962 AD - Department of Rehabilitation Medicine, Nanjing First Hospital, Nanjing Medical University, Nanjing, China. FAU - Xia, Peng AU - Xia P AUID- ORCID: 0000-0003-3891-3385 AD - Department of Rehabilitation Medicine, Nanjing First Hospital, Nanjing Medical University, Nanjing, China. FAU - Cheng, Kai AU - Cheng K AUID- ORCID: 0000-0002-3858-0798 AD - Department of Rehabilitation Medicine, Nanjing First Hospital, Nanjing Medical University, Nanjing, China. FAU - Wang, Qi AU - Wang Q AUID- ORCID: 0000-0002-4904-2442 AD - Department of Rehabilitation Medicine, Nanjing First Hospital, Nanjing Medical University, Nanjing, China. FAU - Wang, Xiaoju AU - Wang X AUID- ORCID: 0000-0002-1492-8470 AD - Department of Rehabilitation Medicine, Nanjing First Hospital, Nanjing Medical University, Nanjing, China. FAU - Lin, Qiang AU - Lin Q AUID- ORCID: 0000-0002-4169-4980 AD - Department of Rehabilitation Medicine, Nanjing First Hospital, Nanjing Medical University, Nanjing, China. FAU - Song, Jiulong AU - Song J AUID- ORCID: 0000-0001-9928-1575 AD - Department of Rehabilitation Medicine, Nanjing First Hospital, Nanjing Medical University, Nanjing, China. FAU - Chen, Anliang AU - Chen A AUID- ORCID: 0000-0002-2089-6495 AD - Department of Rehabilitation Medicine, Nanjing First Hospital, Nanjing Medical University, Nanjing, China. FAU - Li, Xueping AU - Li X AUID- ORCID: 0000-0002-1180-3525 AD - Department of Rehabilitation Medicine, Nanjing First Hospital, Nanjing Medical University, Nanjing, China. LA - eng PT - Journal Article PL - England TA - Bone Joint Res JT - Bone & joint research JID - 101586057 EIN - Bone Joint Res. 2022 Apr;11(4):251. PMID: 35475378 PMC - PMC8559971 OTO - NOTNLM OT - Cartilage repair OT - Cholesterol efflux OT - Microbubble OT - OA chondrocytes OT - Osteoarthritis OT - Simvastatin OT - Western blot OT - aggrecan OT - cartilage repair OT - chondrocytes OT - collagen II OT - high-density lipoprotein (HDL) OT - rabbits OT - staining EDAT- 2021/10/21 06:00 MHDA- 2021/10/21 06:01 PMCR- 2021/10/20 CRDT- 2021/10/20 05:31 PHST- 2021/10/20 05:31 [entrez] PHST- 2021/10/21 06:00 [pubmed] PHST- 2021/10/21 06:01 [medline] PHST- 2021/10/20 00:00 [pmc-release] AID - BJR-10-693 [pii] AID - 10.1302/2046-3758.1010.BJR-2021-0162.R3 [doi] PST - ppublish SO - Bone Joint Res. 2021 Oct;10(10):693-703. doi: 10.1302/2046-3758.1010.BJR-2021-0162.R3.