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Updated: Sep 2, 2025

Software-Assisted Quantitative Measurement of Osteoarthritic Subchondral Bone Thickness
Published on: March 18, 2022
Mitochondrial double-stranded RNAs govern the stress response in chondrocytes to promote osteoarthritis development
Sujin Kim1, Keonyong Lee1, Yong Seok Choi2
1Department of Chemical and Biomolecular Engineering, Korea Advanced Institute of Science and Technology (KAIST), Daejeon 34141, South Korea.
Abstract:
Protein kinase R (PKR) is an immune response protein that becomes activated by double-stranded RNAs (dsRNAs). PKR overactivation is associated with degenerative diseases with inflammation, including osteoarthritis (OA), but the dsRNA activator remains largely unknown. Here, we find that mitochondrial dsRNA (mt-dsRNA) expression and its cytosolic efflux are facilitated in chondrocytes under OA-eliciting conditions, leading to innate immune activation. Moreover, mt-dsRNAs are released to the extracellular space and activate Toll-like receptor 3 at the plasma membrane. Elevated levels of mt-dsRNAs in the synovial fluids and damaged cartilage of OA patients and in the cartilage of surgery-induced OA mice further support our data. Importantly, autophagy prevents PKR activation and protects chondrocytes from mitochondrial stress partly by removing cytosolic mtRNAs. Our study provides a comprehensive understanding of innate immune activation by mt-dsRNAs during stress responses that underlie the development of OA and suggests mt-dsRNAs as a potential target for chondroprotective intervention.
Insights
Mitochondrial double-stranded RNA (mt-dsRNA) activates immune responses in osteoarthritis (OA) by engaging PKR and TLR3. Autophagy protects cartilage cells by clearing these stress-induced mt-dsRNAs, suggesting a novel therapeutic target.
Area of Science:
- Immunology
- Molecular Biology
- Rheumatology
Background:
- Protein kinase R (PKR) is an immune protein activated by double-stranded RNAs (dsRNAs).
- PKR overactivation is linked to inflammatory degenerative diseases like osteoarthritis (OA), but the specific dsRNA activator is unclear.
- Innate immune activation plays a role in OA pathogenesis.
Purpose of the Study:
- To identify the dsRNA activator responsible for PKR overactivation in osteoarthritis.
- To elucidate the mechanism of innate immune activation by dsRNAs in chondrocytes under OA-eliciting conditions.
- To investigate the role of autophagy in mitigating mitochondrial stress and PKR activation in OA.
Main Methods:
- Analysis of mitochondrial dsRNA (mt-dsRNA) expression and localization in chondrocytes.
- Investigation of mt-dsRNA efflux and extracellular release.
- Assessment of Toll-like receptor 3 (TLR3) activation.
- Quantification of mt-dsRNAs in patient synovial fluid and cartilage.
- Evaluation of autophagy's role in mt-dsRNA clearance and chondrocyte protection.
Main Results:
- Mitochondrial dsRNA (mt-dsRNA) expression and cytosolic release are increased in chondrocytes under OA-inducing conditions.
- Extracellular mt-dsRNAs activate Toll-like receptor 3 (TLR3) at the plasma membrane, contributing to innate immune activation.
- Elevated mt-dsRNA levels were observed in OA patient samples and in a mouse model of OA.
- Autophagy effectively removes cytosolic mtRNAs, preventing PKR activation and protecting chondrocytes from mitochondrial stress.
Conclusions:
- Mitochondrial dsRNA (mt-dsRNA) acts as a key activator of innate immunity in osteoarthritis, triggering PKR and TLR3 pathways.
- Autophagy plays a crucial protective role in OA by clearing mt-dsRNAs and mitigating chondrocyte stress.
- mt-dsRNAs represent a promising therapeutic target for chondroprotective interventions in osteoarthritis.
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