TRPM2-mediated feed-forward loop promotes chondrocyte damage in osteoarthritis via calcium-cGAS-STING-NF-κB pathway

Kai Sun1, Xiong Zhang1, Liangcai Hou1

  • 1Department of Orthopedics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430030, China.

PubMed
Abstract

Insights

Transient receptor potential melastatin 2 (TRPM2) exacerbates osteoarthritis (OA) by promoting a pathological feedback loop involving calcium (Ca2+), mitochondrial DNA (mtDNA), and NF-κB signaling. Inhibiting this TRPM2-Ca2+ axis offers a potential therapeutic strategy for OA.

Area of Science:

  • Biomedical Science
  • Molecular Biology
  • Immunology

Background:

  • Osteoarthritis (OA) is a leading cause of disability in older adults, with limited effective treatments.
  • The role of the Transient Receptor Potential Melastatin 2 (TRPM2) ion channel in OA pathogenesis is not well understood.

Purpose of the Study:

  • To elucidate the function of TRPM2 in osteoarthritis.
  • To investigate the molecular mechanisms underlying TRPM2-mediated OA progression.
  • To evaluate TRPM2 as a potential therapeutic target for OA.

Main Methods:

  • TRPM2 expression was analyzed in human and mouse OA cartilage.
  • TRPM2 knockout and overexpression models were used in mice with destabilization of the medial meniscus (DMM)-induced OA.
  • In vitro studies involved siRNA/plasmid-mediated TRPM2 modulation in IL-1β-stimulated chondrocytes.
  • Signaling pathways, transcription factors, and the therapeutic effect of Ca2+ chelation were investigated.

Main Results:

  • TRPM2 expression is elevated in OA cartilage from patients and mice.
  • TRPM2 deficiency protects against DMM-induced OA, while overexpression exacerbates it.
  • IL-1β upregulates TRPM2 via the NF-κB-p65 pathway, activating the TRPM2-Ca2+-mtDNA-cGAS-STING-NF-κB axis.
  • Ca2+ chelation with BAPTA-AM attenuated established OA.

Conclusions:

  • TRPM2 plays a critical role in OA pathogenesis by mediating a pathological feedback loop.
  • The identified TRPM2-Ca2+-mtDNA-cGAS-STING-NF-κB axis represents a novel pathway in OA.
  • Targeting this axis, particularly the TRPM2-Ca2+ interaction, holds promise for developing new OA therapies.