Angiotensin II inhibits osteogenic differentiation of isolated synoviocytes by increasing DKK-1 expression

Yongtao Zhang1, Huimin Ding2, Qichun Song3

  • 1Department of Orthopedics, The Affiliated Hospital of Qingdao University, Qingdao, 266000, Shandong, China.

Insights

Angiotensin II (Ang II) inhibits osteogenic differentiation in rheumatoid arthritis by upregulating Dickkopf-1 (DKK-1) via the AT1R/ROS/p38 pathway, offering potential therapeutic targets.

Area of Science:

  • Rheumatology
  • Molecular Biology
  • Cell Biology

Background:

  • The renin-angiotensin system's role in rheumatoid arthritis (RA) pathogenesis is implicated but mechanistically unclear.
  • Osteogenic differentiation of synoviocytes is crucial for joint integrity in RA.

Purpose of the Study:

  • To investigate the impact of angiotensin II (Ang II) on synoviocyte osteogenic differentiation.
  • To elucidate the molecular mechanisms underlying Ang II's effects in RA.

Main Methods:

  • In vitro study using synoviocytes.
  • Treatment with Ang II, AT1R blockers, ROS scavengers, NOX inhibitors, p38 inhibitors, and DKK-1 inhibitors.
  • Analysis of AT1R, ROS, NADPH oxidase (NOX), p38 pathway activation, and DKK-1 expression.

Main Results:

  • Ang II inhibited osteogenic differentiation of synoviocytes, an effect reversed by a DKK-1 inhibitor.
  • Ang II upregulated DKK-1 expression via AT1R, reactive oxygen species (ROS), and p38 signaling.
  • Ang II increased AT1R, ROS, and NOX levels, activating the MKK3/p38 pathway.

Conclusions:

  • Ang II inhibits osteogenic differentiation in RA by upregulating NOX and ROS production through AT1R.
  • Activation of the MKK3/p38 signaling pathway by Ang II leads to increased DKK-1 expression.
  • The Ang II/AT1R/ROS/p38/DKK-1 axis is a key player in RA pathogenesis, affecting synoviocyte osteogenic differentiation.

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