The glycolytic enzyme PFKFB3 alleviates DNA damage and chondrocyte senescence in osteoarthritis

Bo Liu1, Chenzhong Wang1, Ziyu Weng1

  • 1Department of Orthopedic Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.

Cell Death Discovery
|December 8, 2025
PubMed

Insights

Phosphofructobase-1-kinase/fructose-biphosphatase 3 (PFKFB3) deficiency accelerates osteoarthritis by impairing DNA repair and promoting inflammation. Restoring PFKFB3 alleviates disease severity, highlighting its therapeutic potential.

Area of Science:

  • Biochemistry
  • Cell Biology
  • Rheumatology

Background:

  • Chondrocyte senescence is a critical factor in osteoarthritis (OA) pathogenesis.
  • The role of specific metabolic enzymes in chondrocyte senescence and OA progression remains incompletely understood.

Purpose of the Study:

  • To investigate the function of the glycolytic enzyme 6-phosphofructo-2-kinase/fructose-2,6-bisphosphatase 3 (PFKFB3) in chondrocyte senescence and OA.
  • To determine if PFKFB3 influences OA severity through NF-κB signaling and DNA damage responses.

Main Methods:

  • Utilized a destabilization of the medial meniscus (DMM) mouse model of osteoarthritis.
  • Manipulated PFKFB3 expression in primary chondrocytes using RNA interference and lentiviral vectors.
  • Performed RNA sequencing and molecular analyses to assess signaling pathways and cellular phenotypes.
  • Investigated the effect of pharmacologic NF-κB inhibition.

Main Results:

  • PFKFB3 expression was decreased in human and mouse OA cartilage and in vitro stressed chondrocytes.
  • PFKFB3 deficiency led to impaired DNA damage repair, activated NF-κB signaling, increased pro-inflammatory cytokines, and enhanced chondrocyte senescence.
  • PFKFB3 overexpression improved DNA repair and reduced OA severity.
  • NF-κB inhibition ameliorated the inflammatory and senescent phenotypes in PFKFB3-deficient chondrocytes.

Conclusions:

  • PFKFB3 plays a crucial role in regulating chondrocyte senescence during osteoarthritis progression.
  • PFKFB3 acts through modulation of NF-κB signaling and DNA damage repair pathways.
  • PFKFB3 represents a promising therapeutic target for the treatment of osteoarthritis.