Inflammatory cytokines and mechanical injury induce post-traumatic osteoarthritis-like changes in a human cartilage-bone-synovium microphysiological system

Abstract Background Traumatic knee injuries in humans trigger an immediate increase in synovial fluid levels of inflammatory cytokines that accompany impact damage to joint tissues. We developed a human in vitro cartilage-bone-synovium (CBS) coculture model to study the role of mechanical injury and...

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Main Authors: Garima Dwivedi, Lisa Flaman, Begum Alaybeyoglu, André Struglics, Eliot H. Frank, Susan Chubinskya, Stephen B. Trippel, Vicki Rosen, Murat Cirit, Alan J. Grodzinsky
Format: Article
Language:English
Published: BMC 2022-08-01
Series:Arthritis Research & Therapy
Subjects:
Online Access:https://doi.org/10.1186/s13075-022-02881-z
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author Garima Dwivedi
Lisa Flaman
Begum Alaybeyoglu
André Struglics
Eliot H. Frank
Susan Chubinskya
Stephen B. Trippel
Vicki Rosen
Murat Cirit
Alan J. Grodzinsky
author_facet Garima Dwivedi
Lisa Flaman
Begum Alaybeyoglu
André Struglics
Eliot H. Frank
Susan Chubinskya
Stephen B. Trippel
Vicki Rosen
Murat Cirit
Alan J. Grodzinsky
author_sort Garima Dwivedi
collection DOAJ
description Abstract Background Traumatic knee injuries in humans trigger an immediate increase in synovial fluid levels of inflammatory cytokines that accompany impact damage to joint tissues. We developed a human in vitro cartilage-bone-synovium (CBS) coculture model to study the role of mechanical injury and inflammation in the initiation of post-traumatic osteoarthritis (PTOA)-like disease. Methods Osteochondral plugs (cartilage-bone, CB) along with joint capsule synovium explants (S) were harvested from 25 cadaveric distal femurs from 16 human donors (Collin’s grade 0–2, 23–83years). Two-week monocultures (cartilage (C), bone (B), synovium (S)) and cocultures (CB, CBS) were established. A PTOA-like disease group was initiated via coculture of synovium explants with mechanically impacted osteochondral plugs (CBS+INJ, peak stress 5MPa) with non-impacted CB as controls. Disease-like progression was assessed through analyses of changes in cell viability, inflammatory cytokines released to media (10-plex ELISA), tissue matrix degradation, and metabolomics profile. Results Immediate increases in concentrations of a panel of inflammatory cytokines occurred in CBS+INJ and CBS cocultures and cultures with S alone (IL-1, IL-6, IL-8, and TNF-α among others). CBS+INJ and CBS also showed increased chondrocyte death compared to uninjured CB. The release of sulfated glycosaminoglycans (sGAG) and associated ARGS-aggrecan neoepitope fragments to the medium was significantly increased in CBS and CBS+INJ groups. Distinct metabolomics profiles were observed for C, B, and S monocultures, and metabolites related to inflammatory response in CBS versus CB (e.g., kynurenine, 1-methylnicotinamide, and hypoxanthine) were identified. Conclusion CBS and CBS+INJ models showed distinct cellular, inflammatory, and matrix-related alterations relevant to PTOA-like initiation/progression. The use of human knee tissues from donors that had no prior history of OA disease suggests the relevance of this model in highlighting the role of injury and inflammation in earliest stages of PTOA progression.
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spelling doaj.art-522239d893064200834c5e4152161f6f2022-12-22T02:34:49ZengBMCArthritis Research & Therapy1478-63622022-08-0124111810.1186/s13075-022-02881-zInflammatory cytokines and mechanical injury induce post-traumatic osteoarthritis-like changes in a human cartilage-bone-synovium microphysiological systemGarima Dwivedi0Lisa Flaman1Begum Alaybeyoglu2André Struglics3Eliot H. Frank4Susan Chubinskya5Stephen B. Trippel6Vicki Rosen7Murat Cirit8Alan J. Grodzinsky9Department of Biological Engineering, Massachusetts Institute of TechnologyDepartment of Biological Engineering, Massachusetts Institute of TechnologyDepartment of Biological Engineering, Massachusetts Institute of TechnologyDepartment of Clinical Sciences Lund, Orthopaedics, Faculty of Medicine, Lund UniversityDepartment of Biological Engineering, Massachusetts Institute of TechnologyDepartments of Pediatrics, Orthopedic Surgery and Medicine (Section of Rheumatology), Rush University Medical CenterDepartment of Orthopaedic Surgery, Indiana University School of MedicineDepartment of Developmental Biology, Harvard School of Dental MedicineJavelin BiotechDepartment of Biological Engineering, Massachusetts Institute of TechnologyAbstract Background Traumatic knee injuries in humans trigger an immediate increase in synovial fluid levels of inflammatory cytokines that accompany impact damage to joint tissues. We developed a human in vitro cartilage-bone-synovium (CBS) coculture model to study the role of mechanical injury and inflammation in the initiation of post-traumatic osteoarthritis (PTOA)-like disease. Methods Osteochondral plugs (cartilage-bone, CB) along with joint capsule synovium explants (S) were harvested from 25 cadaveric distal femurs from 16 human donors (Collin’s grade 0–2, 23–83years). Two-week monocultures (cartilage (C), bone (B), synovium (S)) and cocultures (CB, CBS) were established. A PTOA-like disease group was initiated via coculture of synovium explants with mechanically impacted osteochondral plugs (CBS+INJ, peak stress 5MPa) with non-impacted CB as controls. Disease-like progression was assessed through analyses of changes in cell viability, inflammatory cytokines released to media (10-plex ELISA), tissue matrix degradation, and metabolomics profile. Results Immediate increases in concentrations of a panel of inflammatory cytokines occurred in CBS+INJ and CBS cocultures and cultures with S alone (IL-1, IL-6, IL-8, and TNF-α among others). CBS+INJ and CBS also showed increased chondrocyte death compared to uninjured CB. The release of sulfated glycosaminoglycans (sGAG) and associated ARGS-aggrecan neoepitope fragments to the medium was significantly increased in CBS and CBS+INJ groups. Distinct metabolomics profiles were observed for C, B, and S monocultures, and metabolites related to inflammatory response in CBS versus CB (e.g., kynurenine, 1-methylnicotinamide, and hypoxanthine) were identified. Conclusion CBS and CBS+INJ models showed distinct cellular, inflammatory, and matrix-related alterations relevant to PTOA-like initiation/progression. The use of human knee tissues from donors that had no prior history of OA disease suggests the relevance of this model in highlighting the role of injury and inflammation in earliest stages of PTOA progression.https://doi.org/10.1186/s13075-022-02881-zPost-traumatic osteoarthritisInflammatory cytokinesOsteochondral-synovium cocultureCartilage mechanical injuryCartilage-bone-synovium metabolomicsGlycosaminoglycan
spellingShingle Garima Dwivedi
Lisa Flaman
Begum Alaybeyoglu
André Struglics
Eliot H. Frank
Susan Chubinskya
Stephen B. Trippel
Vicki Rosen
Murat Cirit
Alan J. Grodzinsky
Inflammatory cytokines and mechanical injury induce post-traumatic osteoarthritis-like changes in a human cartilage-bone-synovium microphysiological system
Arthritis Research & Therapy
Post-traumatic osteoarthritis
Inflammatory cytokines
Osteochondral-synovium coculture
Cartilage mechanical injury
Cartilage-bone-synovium metabolomics
Glycosaminoglycan
title Inflammatory cytokines and mechanical injury induce post-traumatic osteoarthritis-like changes in a human cartilage-bone-synovium microphysiological system
title_full Inflammatory cytokines and mechanical injury induce post-traumatic osteoarthritis-like changes in a human cartilage-bone-synovium microphysiological system
title_fullStr Inflammatory cytokines and mechanical injury induce post-traumatic osteoarthritis-like changes in a human cartilage-bone-synovium microphysiological system
title_full_unstemmed Inflammatory cytokines and mechanical injury induce post-traumatic osteoarthritis-like changes in a human cartilage-bone-synovium microphysiological system
title_short Inflammatory cytokines and mechanical injury induce post-traumatic osteoarthritis-like changes in a human cartilage-bone-synovium microphysiological system
title_sort inflammatory cytokines and mechanical injury induce post traumatic osteoarthritis like changes in a human cartilage bone synovium microphysiological system
topic Post-traumatic osteoarthritis
Inflammatory cytokines
Osteochondral-synovium coculture
Cartilage mechanical injury
Cartilage-bone-synovium metabolomics
Glycosaminoglycan
url https://doi.org/10.1186/s13075-022-02881-z
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