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Updated: Jul 24, 2025

Software-Assisted Quantitative Measurement of Osteoarthritic Subchondral Bone Thickness
Published on: March 18, 2022
ADRM1/RPN13 attenuates cartilage extracellular matrix degradation via enhancing UCH37-mediated ALK5 deubiquitination
Meisong Zhu1, Zhiyou Cao1, Fengbo Mo1
1Department of Orthopedics, The First Affiliated Hospital of Nanchang University, Artificial Joints Engineering and Technology Research Center of Jiangxi Province, Nanchang, Jiangxi province 330006, China.
Abstract:
Osteoarthritis (OA) is the most common age-related joint disorder with no effective therapy, and its specific pathological mechanism remains to be fully clarified. Adhesion-regulating molecule 1 (ADRM1) has been proven to be involved in OA progression as a favorable gene. However, the exact mechanism of ADRM1 involved in OA were unknown. Here, we showed that the ADRM1 expression decreased in human OA cartilage, destabilization of the medial meniscus (DMM)-induced mouse OA cartilage, and interleukin (IL)-1β-induced primary mouse articular chondrocytes. Global knockout (KO) ADRM1 in cartilage or ADRM1 inhibitor (RA190) could accelerate the disorders of extracellular matrix (ECM) homeostasis, thereby accelerated DMM-induced cartilage degeneration, whereas overexpression of ADRM1 protected mice from DMM-induced OA development by maintaining the homeostasis of articular cartilage. The molecular mechanism study revealed that ADRM1 could upregulate ubiquitin carboxy-terminal hydrolase 37 (UCH37) expression and bind to UCH37 to activate its deubiquitination activity. Subsequently, increased and activated UCH37 enhanced activin receptor-like kinase 5 (ALK5) deubiquitination to stabilize ALK5 expression, thereby maintaining ECM homeostasis and attenuating cartilage degeneration. These findings indicated that ADRM1 could attenuate cartilage degeneration via enhancing UCH37-mediated ALK5 deubiquitination. Overexpression of ADRM1 in OA cartilage may provide a promising OA therapeutic strategy.
Insights
Adhesion-regulating molecule 1 (ADRM1) protects against osteoarthritis (OA) by maintaining cartilage health. Lower ADRM1 levels worsen OA, while boosting it offers a potential therapeutic strategy for this common joint disorder.
Area of Science:
- Biomedical research
- Orthopedics
- Molecular biology
Background:
- Osteoarthritis (OA) is a prevalent age-related joint disease with unclear pathological mechanisms and limited therapeutic options.
- Adhesion-regulating molecule 1 (ADRM1) is implicated in OA progression, but its precise role and mechanism remain elusive.
Purpose of the Study:
- To elucidate the role and molecular mechanism of ADRM1 in osteoarthritis.
- To investigate ADRM1's potential as a therapeutic target for OA.
Main Methods:
- Analysis of ADRM1 expression in human and mouse OA cartilage and chondrocytes.
- Utilizing global ADRM1 knockout mice and ADRM1 inhibitor (RA190) in a destabilization of the medial meniscus (DMM) OA model.
- Investigating molecular interactions between ADRM1, ubiquitin carboxy-terminal hydrolase 37 (UCH37), and activin receptor-like kinase 5 (ALK5).
Main Results:
- ADRM1 expression was decreased in OA cartilage and chondrocytes.
- Loss of ADRM1 accelerated cartilage degeneration in DMM-induced OA, while ADRM1 overexpression conferred protection.
- ADRM1 was found to upregulate UCH37, enhancing its deubiquitination activity and stabilizing ALK5, thereby maintaining extracellular matrix (ECM) homeostasis.
Conclusions:
- ADRM1 attenuates cartilage degeneration in OA by promoting UCH37-mediated deubiquitination and stabilization of ALK5.
- ADRM1 plays a protective role in maintaining articular cartilage homeostasis.
- Overexpression of ADRM1 presents a promising therapeutic strategy for osteoarthritis.
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