1. Molecular pathway analysis and therapeutics development in post-traumatic osteoarthritis
- Author
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Alan J. Grodzinsky., Massachusetts Institute of Technology. Department of Biological Engineering., Wang, Yang, Ph. D. Massachusetts Institute of Technology, Alan J. Grodzinsky., Massachusetts Institute of Technology. Department of Biological Engineering., and Wang, Yang, Ph. D. Massachusetts Institute of Technology
- Abstract
Thesis: Ph. D., Massachusetts Institute of Technology, Department of Biological Engineering, February 2017., Cataloged from PDF version of thesis., Includes bibliographical references., Post traumatic osteoarthritis (PTOA) refers to the progressive degradation of cartilage often triggered by a traumatic joint injury, such as a tear of the meniscus or anterior cruciate ligament (ACL). Such impact injuries lead to elevated levels of inflammatory cytokines in the synovial fluid of the joint, including IL-1, IL-6, and TNFa. In turn, these cytokines cause decreased matrix synthesis by chondrocytes and contribute to reprogramming of chondrocytes and synovial cells to increase release of matrix proteases. PTOA accounts for 12% of the OA population and typically affects younger individuals. The first part of this thesis focuses on developing a combination therapeutic which can address multiple aspects of cartilage degradation associated with the pathogenic responses to joint injury. We studied the combined use of insulin-like growth factor 1 (IGF-1) and dexamethasone (Dex) to block multiple degradative effects of cytokine challenge to articular cartilage. We found that in young bovine cartilage, the combination of IGF- 1 and Dex significantly inhibited the loss of sulfated glycosaminoglycans (sGAG) and collagen induced by IL-I. rescued the suppressed matrix biosynthesis, and inhibited the loss of chondrocyte viability caused by iL- 1 treatment. In adult human cartilage, only IGF- 1 rescued matrix biosynthesis and only Dex inhibited sGAG loss and improved cell viability. Thus, the combination of IGF-1+Dex together showed combined beneficial effects in human cartilage. Our findings suggest that the combination of IGF-I and Dex has greater beneficial effects than either molecule alone in preventing cytokine-mediated cartilage degradation in adult human and young bovine cartilage. In the second part of this thesis, a global phosphoproteomics approach was employed to determine the pathways that are activated upon cytokine challenge of adult human chondrocytes. We identified key regulatory kinases, p38, JNKI/2, ERKI/2, ERK5, JAK2, and STAT3 that were upregulated, by Yang Wang., Ph. D.
- Published
- 2017