Raymond P. Boot-Handford, John F. Bateman, Hugh D. Piggins, Magnus Rattray, Nicole Gossan, Leo A. H. Zeef, Alun T. L. Hughes, Christopher B. Little, Qing-Jun Meng, Lynn Rowley, and James Hensman
The circadian clock governs ∼24-hour cycles in physiology through rhythmic control of tissue-specific sets of clock-controlled genes (CCGs), which allows precise orchestration of organ function (1). In mammals (including humans), the circadian system is organized in a hierarchical manner. The suprachiasmatic nuclei of the hypothalamus receive information from external time cues (predominantly, the light/dark cycle) and synchronize peripheral clocks in most major body organs through neuronal or systemic factors (2–3). The molecular basis of the circadian clock relies on the rhythmic activity of evolutionarily conserved clock genes and proteins, including those for transcriptional activators (Clock/Npas2 and Bmal1), transcriptional repressors (Per1/2 and Cry1/2), and nuclear hormone receptors (Nr1d1/2 [Rev-Erbα/β] and Rora/Rorg) (1). This transcriptional–translational feedback loop controls expression of downstream CCGs to regulate tissue-specific physiology. Disruption of the circadian rhythm (attributable to, for example, effects of aging or shift work) has been correlated with an increased risk of various human diseases, including obesity, diabetes, cardiovascular disease, and cancer (4). Articular cartilage is a specialized load-bearing tissue comprising an abundant extracellular matrix, which is produced and maintained by a sparse population of chondrocytes. As the only cell type residing in this tissue, chondrocytes have a poor capacity for endogenous repair, and there is little evidence of cell division throughout adult life (5). Deterioration in chondrocyte function and survival accompanies the damage and loss of cartilage, a common outcome in degenerative and inflammatory joint diseases such as osteoarthritis (OA) and rheumatoid arthritis (RA). Several physiologic processes in cartilage exhibit diurnal variation, including the processes of matrix synthesis, the growth rate in the growth plate, and mineralization (6,7). Mice with mutations in clock genes show altered regulation of bone volume (9), retarded long bone growth (10), and increased susceptibility to inflammatory arthritis (11), providing in vivo evidence for the importance of the molecular clock in the skeletal system. Moreover, in patients with OA and those with RA, there is a clear circadian rhythm in the severity of pain and stiffness and the extent of manual dexterity (12–13). Expression of clock genes has been shown in bone and joint tissues (11,14) and in isolated chondrocytes (10–16), but no studies have directly examined the detailed mechanisms, inputs, or targets of the cartilage circadian clock, and none have examined how the clock changes during aging and in the pathogenesis of joint disease. In the present study, we demonstrate the presence of self-sustained, functional circadian clocks in mouse cartilage tissue, primary chondrocytes, and a human chondrosarcoma cell line. Circadian transcriptome profiling revealed rhythmic expression of ∼3.9% of the genes expressed in mouse cartilage, including key genes associated with tissue homeostasis. In addition, circadian rhythms in the cartilage from aged mice were significantly dampened. Finally, the expression of key circadian clock genes was altered in articular cartilage from mice with experimentally induced OA. Taken together, our results implicate chondrocyte circadian clocks as a key regulator of cartilage homeostasis, and suggest that changes in circadian regulation may play a role in the pathogenesis of joint disease.