Kinsenoside attenuates osteoarthritis by repolarizing macrophages through inactivating NF-κB/MAPK signaling and

Feng Zhou1, Jingtian Mei1, Xiuguo Han1

  • 1Shanghai Key Laboratory of Orthopaedic Implants, Department of Orthopaedic Surgery, Shanghai Ninth People׳s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China.

Insights

Kinsenoside (Kin) effectively shifts M1 macrophages to the M2 phenotype, offering chondrocyte protection and attenuating osteoarthritis progression by inhibiting key inflammatory pathways. This suggests Kin as a promising therapeutic for OA.

Area of Science:

  • Immunology
  • Cell Biology
  • Biochemistry

Background:

  • Osteoarthritis (OA) is a degenerative joint disease characterized by cartilage breakdown and inflammation.
  • Macrophage polarization plays a critical role in OA pathogenesis, with M1 macrophages promoting inflammation and M2 macrophages exhibiting anti-inflammatory and reparative functions.

Purpose of the Study:

  • To investigate the therapeutic potential of kinsenoside (Kin) in modulating macrophage polarity.
  • To evaluate the protective effects of Kin on chondrocytes and its ability to attenuate osteoarthritis progression.

Main Methods:

  • RAW264.7 macrophages were polarized to M1/M2 subtypes and treated with Kin.
  • Macrophage polarization was assessed using qRT-PCR, confocal microscopy, and flow cytometry.
  • Western blotting was employed to elucidate Kin's mechanism of action.
  • Chondrocyte damage was induced by macrophage conditioned medium (CM) and IL-1β.
  • In vivo studies utilized anterior cruciate ligament transection (ACLT) mouse models with Micro-CT and histological analyses.

Main Results:

  • Kin treatment successfully repolarized M1 macrophages to the M2 phenotype.
  • Kin inhibited NF-κB signaling by reducing IκBα and P65 phosphorylation.
  • Kin suppressed MAPK signaling pathways (JNK, ERK, P38).
  • Kin attenuated IL-1β and CM-induced chondrocyte damage.
  • In vivo, Kin reduced M1 macrophage infiltration, increased M2 macrophages, inhibited subchondral bone destruction, and lessened articular cartilage damage in ACLT mice.

Conclusions:

  • Kinsenoside demonstrates significant immunomodulatory effects by repolarizing macrophages towards an anti-inflammatory M2 phenotype.
  • Kin protects chondrocytes from inflammatory damage and mitigates OA progression through inhibition of NF-κB and MAPK signaling pathways.
  • These findings highlight Kinsenoside as a potent therapeutic candidate for osteoarthritis treatment.

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