Glucocorticoids induce apoptosis and matrix metalloproteinase-13 expression in chondrocytes through the NOX4/ROS/p38

Ying Huang1, Gui-Quan Cai2, Jian-Ping Peng2

  • 1Department of Anesthesiology, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, 200092, Shanghai, China.

Insights

Dexamethasone (Dex) increases cell death by raising reactive oxygen species (ROS) via NOX4. Inhibiting NOX4, ROS, or p38 MAPK protects chondrocytes from Dex-induced apoptosis and matrix breakdown.

Area of Science:

  • Cell Biology
  • Biochemistry
  • Pharmacology

Background:

  • Dexamethasone (Dex) is known to induce chondrocyte apoptosis and matrix catabolism.
  • The precise mechanism by which Dex increases reactive oxygen species (ROS) and causes these effects remains unclear.
  • Nicotinamide adenine dinucleotide (phosphate) (NADPH) oxidase 4 (NOX4) is a key enzyme in ROS production during inflammation.

Purpose of the Study:

  • To investigate the role of NOX4 in dexamethasone-induced ROS overproduction in chondrocytes.
  • To elucidate the signaling pathway involved in Dex-induced chondrocyte apoptosis and matrix metalloproteinase 13 (MMP-13) expression.

Main Methods:

  • Healthy human chondrocytes were treated with Dex.
  • NOX4 and p38 mitogen-activated protein kinase (MAPK) expression levels were assessed.
  • Chondrocytes were treated with NOX inhibitors (apocynin), ROS scavengers, and p38 MAPK inhibitors.
  • Apoptosis, cell viability, and MMP-13 expression were evaluated.
  • NOX4 was silenced using specific techniques.

Main Results:

  • Dex treatment increased NOX4 expression through the glucocorticoid receptor (GR).
  • NOX inhibition and ROS scavenging reduced intracellular ROS and p38 MAPK activation.
  • Inhibiting NOX4, ROS, or p38 MAPK protected chondrocytes from Dex-induced apoptosis.
  • These treatments also blocked MMP-13 expression, and NOX4 silencing similarly reduced MMP-13 and p38 MAPK levels.

Conclusions:

  • Dexamethasone triggers chondrocyte apoptosis and MMP-13 expression via the NOX4/ROS/p38 MAPK signaling pathway.
  • NOX4 is identified as a potential therapeutic target for mitigating Dex-induced chondrocyte damage.

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