MFG-E8 regulated by miR-99b-5p protects against osteoarthritis by targeting chondrocyte senescence and macrophage

Yuheng Lu1,2,3,4, Liangliang Liu1,2,3,4, Jianying Pan1,2,3,4

  • 1Department of Joint Surgery, Center for Orthopaedic Surgery, The Third Affiliated Hospital of Southern Medical University, Guangzhou, China.

Insights

Milk fat globule-epidermal growth factor 8 (MFG-E8) deficiency worsens osteoarthritis (OA) by promoting chondrocyte senescence and M1 macrophage polarization. MFG-E8 replacement therapy shows promise for OA treatment.

Area of Science:

  • Biochemistry
  • Immunology
  • Orthopedics

Background:

  • Milk fat globule-epidermal growth factor 8 (MFG-E8) is crucial for efferocytosis but its role in osteoarthritis (OA) is unknown.
  • MFG-E8 acts as a bridging molecule between apoptotic cells and phagocytes, influencing inflammation and tissue repair.

Purpose of the Study:

  • To investigate the role of MFG-E8 in the pathogenesis of OA.
  • To explore MFG-E8's impact on chondrocyte senescence and macrophage polarization in OA.
  • To evaluate MFG-E8 as a potential therapeutic target for OA.

Main Methods:

  • Downregulation of MFG-E8 in OA patients and DMM-induced OA mouse models.
  • Assessment of OA progression in MFG-E8 deficient mice and effects of recombinant MFG-E8 (rmMFG-E8) administration.
  • Analysis of chondrocyte senescence, macrophage polarization (M1/M2), and NF-κB signaling.
  • Investigation of miR-99b-5p regulation of MFG-E8.

Main Results:

  • MFG-E8 expression was decreased in OA cartilage and serum.
  • MFG-E8 deficiency exacerbated OA, causing cartilage damage, synovial hyperplasia, and osteophytes.
  • Intra-articular rmMFG-E8 administration ameliorated OA.
  • MFG-E8 suppressed chondrocyte senescence and promoted M2 macrophage polarization.
  • miR-99b-5p inhibited MFG-E8, exacerbating OA via NF-κB activation.

Conclusions:

  • MFG-E8 plays a critical role in regulating chondrocyte senescence and macrophage polarization in OA.
  • MFG-E8 deficiency contributes to OA pathogenesis.
  • Intra-articular MFG-E8 injection is a potential therapeutic strategy for OA.

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