软骨下骨髓脂肪组织脂解调节手骨关节炎的骨形成。

IF 7.2 2区 医学 Q1 ORTHOPEDICS
Mauro Maniglio, Léa Loisay, Diego de Haro, Alexander Antoniadis, Thomas Hügle, Jeroen Geurts
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引用次数: 0

摘要

目的:骨髓脂肪组织(BMAT)是骨形成和能量代谢的重要调节因子。BMAT的脂解释放甘油和脂肪酸底物,由成骨细胞分解代谢。在这里,我们研究了BMAT脂解是否参与手骨关节炎(OA)的软骨下骨形成。方法:观察腕部-掌骨(CMC1)和远端指间关节(DIP)骨性关节炎临床标本软骨下BMAT脂解及骨髓脂肪细胞(BMAd)形态学变化。比较低成骨区和高成骨区BMAd大小、成骨细胞数量和脂解酶(ATGL、phospho-HSL、MGLL)的表达。测定骨软骨外植体的游离脂肪酸、甘油和骨生物标志物。结果:软骨下BMAd大小与BMI呈正相关(r = 0.60,[0.082,0.87]),在骨形成高的区域(-1149µm2,[-1977,-726.2])减小。成骨细胞数量与BMAd大小呈负相关(r = -0.48,[-0.73,-0.12])。所有脂溶酶均在BMAds和活化的成骨细胞中表达,ATGL(+2.26%[0.19,3.47])、phospho-HSL(+1.57%[0.31,6.48])和MGLL(+4.04%[1.09,5.69])的面积百分比在骨形成高的区域增加。分泌甘油水平与骨形成标志物I型前胶原蛋白(rho = 0.90)和碱性磷酸酶(rho = 0.78)相关,而游离脂肪酸水平与骨形成标志物I型前胶原蛋白(rho = 0.90)无关。结论:我们的研究结果揭示了先前未被认识到的BMAT脂解在调节手部OA骨形成中的作用,这可能受到BMI的调节。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Subchondral bone marrow adipose tissue lipolysis regulates bone formation in hand osteoarthritis.

Objective: Bone marrow adipose tissue (BMAT) is emerging as an important regulator of bone formation and energy metabolism. Lipolysis of BMAT releases glycerol and fatty acid substrates that are catabolized by osteoblasts. Here, we investigated whether BMAT lipolysis is involved in subchondral bone formation in hand osteoarthritis (OA).

Methods: Subchondral BMAT lipolysis and bone marrow adipocyte (BMAd) morphology were studied in clinical specimens of carpometacarpal (CMC-1) and distal interphalangeal joint OA. BMAd size, osteoblast numbers and expression of lipolysis enzymes (ATGL, phospho-HSL, MGLL) were compared between regions of low and high bone formation. Free fatty acids, glycerol and bone biomarkers were measured in osteochondral explants.

Results: Subchondral BMAd size was positively correlated with BMI (r = 0.60, [0.082,0.87]) and reduced in regions of high bone formation (-1149 µm2, [-1977,-726.2]). Osteoblast numbers were negatively correlated with BMAd size (r = -0.48, [-0.73,-0.12]). All lipolysis enzymes were expressed in both in BMAds and activated osteoblasts and the area percentages of ATGL (+2.26% [0.19,3.47]), phospho-HSL (+1.57% [0.31,6.48]) and MGLL (+4.04% [1.09,5.69]) were increased in regions of high bone formation. Secreted glycerol levels, but not free fatty acids, were correlated with bone formation markers pro-collagen type I (rho = 0.90) and alkaline phosphatase (rho = 0.78).

Conclusion: Our findings reveal a previously unrecognized role of BMAT lipolysis in regulating bone formation in hand OA, which may be modulated by BMI.

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来源期刊
Osteoarthritis and Cartilage
Osteoarthritis and Cartilage 医学-风湿病学
CiteScore
11.70
自引率
7.10%
发文量
802
审稿时长
52 days
期刊介绍: Osteoarthritis and Cartilage is the official journal of the Osteoarthritis Research Society International. It is an international, multidisciplinary journal that disseminates information for the many kinds of specialists and practitioners concerned with osteoarthritis.
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