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.

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.