Low-intensity pulsed ultrasound delays the progression of osteoarthritis by regulating the YAP–RIPK1–NF-κB axis and influencing autophagy

Abstract Background Osteoarthritis (OA) is a degenerative disease characterized by chronic inflammation of the joint. As the disease progresses, patients will gradually develop symptoms such as pain, physical limitations and even disability. The risk factors for OA include genetics, gender, trauma,...

Full description

Bibliographic Details
Main Authors: Chunran Pan, Fan Lu, Xiaoxia Hao, Xiaofeng Deng, Jiawei Liu, Kai Sun, Wenjie Hou, Xingru Shang, Ruimin Chi, Fengjing Guo, Tao Xu
Format: Article
Language:English
Published: BMC 2024-03-01
Series:Journal of Translational Medicine
Subjects:
Online Access:https://doi.org/10.1186/s12967-024-05086-x
_version_ 1797259075829891072
author Chunran Pan
Fan Lu
Xiaoxia Hao
Xiaofeng Deng
Jiawei Liu
Kai Sun
Wenjie Hou
Xingru Shang
Ruimin Chi
Fengjing Guo
Tao Xu
author_facet Chunran Pan
Fan Lu
Xiaoxia Hao
Xiaofeng Deng
Jiawei Liu
Kai Sun
Wenjie Hou
Xingru Shang
Ruimin Chi
Fengjing Guo
Tao Xu
author_sort Chunran Pan
collection DOAJ
description Abstract Background Osteoarthritis (OA) is a degenerative disease characterized by chronic inflammation of the joint. As the disease progresses, patients will gradually develop symptoms such as pain, physical limitations and even disability. The risk factors for OA include genetics, gender, trauma, obesity, and age. Unfortunately, due to limited understanding of its pathological mechanism, there are currently no effective drugs or treatments to suspend the progression of osteoarthritis. In recent years, some studies found that low-intensity pulsed ultrasound (LIPUS) may have a positive effect on osteoarthritis. Nonetheless, the exact mechanism by which LIPUS affects osteoarthritis remains unknown. It is valuable to explore the specific mechanism of LIPUS in the treatment of OA. Methods In this study, we validated the potential therapeutic effect of LIPUS on osteoarthritis by regulating the YAP–RIPK1–NF-κB axis at both cellular and animal levels. To verify the effect of YAP on OA, the expression of YAP was knocked down or overexpressed by siRNA and plasmid in chondrocytes and adeno-associated virus was injected into the knee joint of rats. The effect of LIPUS was investigated in inflammation chondrocytes induced by IL-1β and in the post-traumatic OA model. Results In this study, we observed that YAP plays an important role in the development of osteoarthritis and knocking down of YAP significantly inhibited the inflammation and alleviated cartilage degeneration. We also demonstrated that the expression of YAP was increased in osteoarthritis chondrocytes and YAP could interact with RIPK1, thereby regulating the NF-κB signal pathway and influencing inflammation. Moreover, we also discovered that LIPUS decreased the expression of YAP by restoring the impaired autophagy capacity and inhibiting the binding between YAP and RIPK1, thereby delaying the progression of osteoarthritis. Animal experiment showed that LIPUS could inhibit cartilage degeneration and alleviate the progression of OA. Conclusions These results showed that LIPUS is effective in inhibiting inflammation and cartilage degeneration and alleviate the progression of OA. As a result, our results provide new insight of mechanism by which LIPUS delays the development of osteoarthritis, offering a novel therapeutic regimen for osteoarthritis.
first_indexed 2024-04-24T23:03:40Z
format Article
id doaj.art-6a29278c40f94f7b92a70022f1aa18cf
institution Directory Open Access Journal
issn 1479-5876
language English
last_indexed 2024-04-24T23:03:40Z
publishDate 2024-03-01
publisher BMC
record_format Article
series Journal of Translational Medicine
spelling doaj.art-6a29278c40f94f7b92a70022f1aa18cf2024-03-17T12:36:37ZengBMCJournal of Translational Medicine1479-58762024-03-0122112010.1186/s12967-024-05086-xLow-intensity pulsed ultrasound delays the progression of osteoarthritis by regulating the YAP–RIPK1–NF-κB axis and influencing autophagyChunran Pan0Fan Lu1Xiaoxia Hao2Xiaofeng Deng3Jiawei Liu4Kai Sun5Wenjie Hou6Xingru Shang7Ruimin Chi8Fengjing Guo9Tao Xu10Department of Rehabilitation, Tongji Hospital, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Orthopedics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Rehabilitation, Tongji Hospital, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Rehabilitation, Tongji Hospital, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Rehabilitation, Tongji Hospital, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Orthopedics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Rehabilitation, Tongji Hospital, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Rehabilitation, Tongji Hospital, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Rehabilitation, Tongji Hospital, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Orthopedics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Rehabilitation, Tongji Hospital, Tongji Medical College, Huazhong University of Science and TechnologyAbstract Background Osteoarthritis (OA) is a degenerative disease characterized by chronic inflammation of the joint. As the disease progresses, patients will gradually develop symptoms such as pain, physical limitations and even disability. The risk factors for OA include genetics, gender, trauma, obesity, and age. Unfortunately, due to limited understanding of its pathological mechanism, there are currently no effective drugs or treatments to suspend the progression of osteoarthritis. In recent years, some studies found that low-intensity pulsed ultrasound (LIPUS) may have a positive effect on osteoarthritis. Nonetheless, the exact mechanism by which LIPUS affects osteoarthritis remains unknown. It is valuable to explore the specific mechanism of LIPUS in the treatment of OA. Methods In this study, we validated the potential therapeutic effect of LIPUS on osteoarthritis by regulating the YAP–RIPK1–NF-κB axis at both cellular and animal levels. To verify the effect of YAP on OA, the expression of YAP was knocked down or overexpressed by siRNA and plasmid in chondrocytes and adeno-associated virus was injected into the knee joint of rats. The effect of LIPUS was investigated in inflammation chondrocytes induced by IL-1β and in the post-traumatic OA model. Results In this study, we observed that YAP plays an important role in the development of osteoarthritis and knocking down of YAP significantly inhibited the inflammation and alleviated cartilage degeneration. We also demonstrated that the expression of YAP was increased in osteoarthritis chondrocytes and YAP could interact with RIPK1, thereby regulating the NF-κB signal pathway and influencing inflammation. Moreover, we also discovered that LIPUS decreased the expression of YAP by restoring the impaired autophagy capacity and inhibiting the binding between YAP and RIPK1, thereby delaying the progression of osteoarthritis. Animal experiment showed that LIPUS could inhibit cartilage degeneration and alleviate the progression of OA. Conclusions These results showed that LIPUS is effective in inhibiting inflammation and cartilage degeneration and alleviate the progression of OA. As a result, our results provide new insight of mechanism by which LIPUS delays the development of osteoarthritis, offering a novel therapeutic regimen for osteoarthritis.https://doi.org/10.1186/s12967-024-05086-xOsteoarthritisChondrocyteAutophagyYAPLIPUS
spellingShingle Chunran Pan
Fan Lu
Xiaoxia Hao
Xiaofeng Deng
Jiawei Liu
Kai Sun
Wenjie Hou
Xingru Shang
Ruimin Chi
Fengjing Guo
Tao Xu
Low-intensity pulsed ultrasound delays the progression of osteoarthritis by regulating the YAP–RIPK1–NF-κB axis and influencing autophagy
Journal of Translational Medicine
Osteoarthritis
Chondrocyte
Autophagy
YAP
LIPUS
title Low-intensity pulsed ultrasound delays the progression of osteoarthritis by regulating the YAP–RIPK1–NF-κB axis and influencing autophagy
title_full Low-intensity pulsed ultrasound delays the progression of osteoarthritis by regulating the YAP–RIPK1–NF-κB axis and influencing autophagy
title_fullStr Low-intensity pulsed ultrasound delays the progression of osteoarthritis by regulating the YAP–RIPK1–NF-κB axis and influencing autophagy
title_full_unstemmed Low-intensity pulsed ultrasound delays the progression of osteoarthritis by regulating the YAP–RIPK1–NF-κB axis and influencing autophagy
title_short Low-intensity pulsed ultrasound delays the progression of osteoarthritis by regulating the YAP–RIPK1–NF-κB axis and influencing autophagy
title_sort low intensity pulsed ultrasound delays the progression of osteoarthritis by regulating the yap ripk1 nf κb axis and influencing autophagy
topic Osteoarthritis
Chondrocyte
Autophagy
YAP
LIPUS
url https://doi.org/10.1186/s12967-024-05086-x
work_keys_str_mv AT chunranpan lowintensitypulsedultrasounddelaystheprogressionofosteoarthritisbyregulatingtheyapripk1nfkbaxisandinfluencingautophagy
AT fanlu lowintensitypulsedultrasounddelaystheprogressionofosteoarthritisbyregulatingtheyapripk1nfkbaxisandinfluencingautophagy
AT xiaoxiahao lowintensitypulsedultrasounddelaystheprogressionofosteoarthritisbyregulatingtheyapripk1nfkbaxisandinfluencingautophagy
AT xiaofengdeng lowintensitypulsedultrasounddelaystheprogressionofosteoarthritisbyregulatingtheyapripk1nfkbaxisandinfluencingautophagy
AT jiaweiliu lowintensitypulsedultrasounddelaystheprogressionofosteoarthritisbyregulatingtheyapripk1nfkbaxisandinfluencingautophagy
AT kaisun lowintensitypulsedultrasounddelaystheprogressionofosteoarthritisbyregulatingtheyapripk1nfkbaxisandinfluencingautophagy
AT wenjiehou lowintensitypulsedultrasounddelaystheprogressionofosteoarthritisbyregulatingtheyapripk1nfkbaxisandinfluencingautophagy
AT xingrushang lowintensitypulsedultrasounddelaystheprogressionofosteoarthritisbyregulatingtheyapripk1nfkbaxisandinfluencingautophagy
AT ruiminchi lowintensitypulsedultrasounddelaystheprogressionofosteoarthritisbyregulatingtheyapripk1nfkbaxisandinfluencingautophagy
AT fengjingguo lowintensitypulsedultrasounddelaystheprogressionofosteoarthritisbyregulatingtheyapripk1nfkbaxisandinfluencingautophagy
AT taoxu lowintensitypulsedultrasounddelaystheprogressionofosteoarthritisbyregulatingtheyapripk1nfkbaxisandinfluencingautophagy