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Updated: Mar 25, 2026

Software-Assisted Quantitative Measurement of Osteoarthritic Subchondral Bone Thickness
Published on: March 18, 2022
Acetylation reduces SOX9 nuclear entry and ACAN gene transactivation in human chondrocytes
Michal Bar Oz1, Ashok Kumar1, Jinan Elayyan1
1Laboratory of Cartilage Biology, Institute of Dental Sciences, Hebrew University of Jerusalem, Jerusalem, Israel.
Abstract:
Changes in the content of aggrecan, an essential proteoglycan of articular cartilage, have been implicated in the pathophysiology of osteoarthritis (OA), a prevalent age-related, degenerative joint disease. Here, we examined the effect of SOX9 acetylation on ACAN transactivation in the context of osteoarthritis. Primary chondrocytes freshly isolated from degenerated OA cartilage displayed lower levels of ACAN mRNA and higher levels of acetylated SOX9 compared with cells from intact regions of OA cartilage. Degenerated OA cartilage presented chondrocyte clusters bearing diffused immunostaining for SOX9 compared with intact cartilage regions. Primary human chondrocytes freshly isolated from OA knee joints were cultured in monolayer or in three-dimensional alginate microbeads (3D). SOX9 was hypo-acetylated in 3D cultures and displayed enhanced binding to a -10 kb ACAN enhancer, a result consistent with higher ACAN mRNA levels than in monolayer cultures. It also co-immunoprecipitated with SIRT1, a major deacetylase responsible for SOX9 deacetylation. Finally, immunofluorescence assays revealed increased nuclear localization of SOX9 in primary chondrocytes treated with the NAD SIRT1 cofactor, than in cells treated with a SIRT1 inhibitor. Inhibition of importin β by importazole maintained SOX9 in the cytoplasm, even in the presence of NAD. Based on these data, we conclude that deacetylation promotes SOX9 nuclear translocation and hence its ability to activate ACAN.
Insights
SOX9 deacetylation promotes its nuclear translocation, enhancing aggrecan gene (ACAN) activation in osteoarthritis (OA) cartilage. This finding offers new insights into OA pathophysiology and potential therapeutic targets.
Area of Science:
- Biochemistry
- Molecular Biology
- Orthopedics
Background:
- Osteoarthritis (OA) is a degenerative joint disease linked to aggrecan (ACAN) content changes.
- SOX9 acetylation is investigated for its role in ACAN gene regulation within OA.
Purpose of the Study:
- To investigate the effect of SOX9 acetylation on ACAN transactivation in OA.
- To explore the mechanisms regulating SOX9 nuclear translocation and ACAN gene expression.
Main Methods:
- Isolation and culture of primary human OA chondrocytes (monolayer and 3D).
- Analysis of ACAN mRNA levels, SOX9 acetylation, and SOX9 nuclear localization.
- Co-immunoprecipitation with SIRT1 and importin β inhibition studies.
Main Results:
- Degenerated OA cartilage showed lower ACAN mRNA and higher acetylated SOX9.
- 3D cultures exhibited hypo-acetylated SOX9, enhanced ACAN enhancer binding, and higher ACAN mRNA.
- SIRT1 deacetylated SOX9, promoting its nuclear translocation and ACAN activation.
Conclusions:
- SOX9 deacetylation by SIRT1 is crucial for its nuclear translocation.
- Deacetylated SOX9 enhances ACAN gene activation, impacting OA pathophysiology.
- Targeting SOX9 acetylation/deacetylation may offer therapeutic strategies for OA.
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