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Updated: Sep 27, 2025

Software-Assisted Quantitative Measurement of Osteoarthritic Subchondral Bone Thickness
Published on: March 18, 2022
Ketorolac tromethamine represses senescence in aging articular chondrocytes
Wei Zhang1, Rong Mei1, Shuxuan Wu1
1Department of Anesthesiology, Jinlong hospital, Central Hospital of Enshi Tujia and Miao Autonomous Prefecture, Enshi City, Hubei Province, China.
Abstract:
The present study aims to explore the potential function of ketorolac tromethamine in treating osteoarthritis by examining its effects on interleukin-1β (IL-1β)-triggered cellular senescence in chondrocytes. More β-galactosidase (SA-β-Gal) positively stained cells, promoted cell fraction in the G0/G1 phase, increased release of matrix metalloproteinase (MMP)-3 and MMP-13, and upregulated cellular senescence-related genes (p21 and p53) were observed in IL-1β-challenged HC-A cells, all of which were significantly reversed by 25 and 50 mg/mL ketorolac tromethamine. Furthermore, the upregulated cyclooxygenase-2 (COX-2) and elevated release of prostaglandin E2 in IL-1β- challenged HC-A cells were dramatically repressed by ketorolac tromethamine. Lastly, the inhibitory effects of ketorolac tromethamine on the activation of SA-β-Gal and the upregulation of p21 and p53 were greatly abolished by the overexpression of COX-2. Collectively, ketorolac tromethamine repressed cellular senescence in aging articular chondrocytes by inhibiting COX-2.
Insights
Ketorolac tromethamine treatment reversed interleukin-1β-induced cellular senescence in aging chondrocytes. This effect was mediated by inhibiting cyclooxygenase-2 (COX-2), highlighting its potential in osteoarthritis therapy.
Area of Science:
- Biomedical Science
- Cell Biology
- Pharmacology
Background:
- Osteoarthritis (OA) is characterized by cartilage degradation and cellular senescence.
- Interleukin-1β (IL-1β) is a key mediator in OA pathogenesis, promoting chondrocyte senescence.
- Cellular senescence contributes to the progression of OA.
Purpose of the Study:
- To investigate the therapeutic potential of ketorolac tromethamine in treating OA.
- To examine the effects of ketorolac tromethamine on IL-1β-induced cellular senescence in chondrocytes.
- To elucidate the role of cyclooxygenase-2 (COX-2) in ketorolac tromethamine's senolytic activity.
Main Methods:
- Human articular chondrocytes (HC-A) were challenged with IL-1β.
- Cellular senescence markers such as SA-β-Gal activity, G0/G1 phase arrest, MMP-3, MMP-13, p21, and p53 were assessed.
- Effects of varying concentrations of ketorolac tromethamine were evaluated.
- COX-2 expression and prostaglandin E2 (PGE2) levels were measured.
- COX-2 overexpression was used to investigate its role in ketorolac tromethamine's mechanism.
Main Results:
- IL-1β challenge induced cellular senescence in HC-A cells, evidenced by increased SA-β-Gal activity, G0/G1 arrest, elevated MMPs, and upregulated p21 and p53.
- Ketorolac tromethamine (25 and 50 mg/mL) significantly reversed these senescence markers.
- Ketorolac tromethamine inhibited IL-1β-induced COX-2 upregulation and PGE2 release.
- Overexpression of COX-2 abolished the inhibitory effects of ketorolac tromethamine on SA-β-Gal activity and p21/p53 upregulation.
Conclusions:
- Ketorolac tromethamine effectively represses cellular senescence in aging articular chondrocytes.
- The mechanism involves the inhibition of COX-2 signaling pathway.
- Ketorolac tromethamine shows promise as a therapeutic agent for osteoarthritis by targeting cellular senescence.
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