Disease modifying osteoarthritis drug discovery using a temporal phenotypic reporter in 3D aggregates of primary

Maria A Cruz1, Scott Gronowicz1, Makan Karimzadeh1

  • 1Biionix Cluster, Internal Medicine, University of Central Florida College of Medicine, Orlando, Florida, USA.

Insights

A novel drug, aromoline, was identified to stimulate type II collagen production in chondrocytes, offering a new therapeutic avenue for osteoarthritis (OA). This discovery targets the dopamine receptor D4 (DRD4) for disease modification.

Area of Science:

  • Biochemistry and Pharmacology
  • Biomaterials and Tissue Engineering

Background:

  • Osteoarthritis (OA) poses a significant challenge, with a need for disease-modifying drugs that stimulate cartilage repair.
  • Current methods for assessing drug efficacy, such as ELISA and western blot, are destructive and time-consuming.

Purpose of the Study:

  • To develop a novel, non-destructive screening platform for identifying disease-modifying drugs for OA.
  • To identify compounds that stimulate type II collagen anabolism in chondrocytes.

Main Methods:

  • Primary human chondrocytes were engineered to express Gaussia luciferase under the type II collagen promoter.
  • Cells were cultured in 3D cartilage aggregates under physioxia for a 3-week screening of a natural product library.
  • Hit compounds were analyzed using in silico methods (structural and RNA-Seq), biochemical assays, dose-response curves, and histological analyses.

Main Results:

  • Aromoline, a bisbenzylisoquinoline alkaloid, demonstrated a significant increase in type II collagen expression in human chondrocytes from multiple donors.
  • In silico analysis identified dopamine receptor D4 (DRD4) as a potential target.
  • Aromoline's effect on type II collagen was confirmed and mimicked by a DRD4-specific agonist (ABT-724).

Conclusions:

  • A novel drug discovery approach combining in silico and in vitro methods was established for OA.
  • Aromoline and its target receptor DRD4 were identified as potent stimulators of type II collagen.
  • This research provides a promising foundation for developing new treatments to prevent or manage OA.

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