the elastic modulus of articular cartilage at nano-scale and micro-scale measured using indentation...

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Results: High fat diet for 2 months induced signicant weight gain in C57BL6 mouse without any obvious signs of physical illness. Typical ndings of human OA cartilage, including surface brillation, proteo- glycan matrix depletion and chondrocyte loss began to appear after 8 weeks of exercise in bipedal groups and progressed as the duration of exercise increased. At 12 weeks, vertical erosion to calcifed cartilage a nd total loss of cartilage typical of mouse OA was observed in none of control and obese groups, and in 66.6 and 100% of control bipedal and obese bipedal animals. Cartilage grading was signicantly higher in bipedal groups compared to obese and control groups, and signicantly higher in obese bipedal group compared to control bipedal group. OA change in bipedal groups was accompanied by synovitis and sub- chondroal bone thickening while osteophyte formation was not sig- nicantly increased compared to control group. There was no signicant difference between obese and control groups. Serum levels of COMP were signicantly increased in bipedal groups compared to control or obese group at 8 and 10 weeks, while the level of serum type II collage degradation product was not signicantly different between the 4 groups. Threshold for von Frey ber test decreased signicantly in bipedal groups compared to control group while it signicantly increased in obese group. Abnormal gait pattern measured by regularity index in catwalk test tended to increase in obese bipedal group com- pared to other groups. Conclusions: By induction of obesity and bipedal exercise, natural OA mimicking human OA was induced in C57BL7 mouse. The regulation of relevant molecular markers and signaling mechanism during pro- gression of OA in this model would contribute to the understanding of pathogenetic mechanism of human OA and efcient evaluation of novel therapeutic agents. 628 THE ROLE OF TETRASPANIN CD9 IN PATHOGENESIS OF OSTEOARTHRITIS N. Sumiyoshi, S. Miyaki, T. Takada, H. Ishitobi, T. Nakasa, M. Ochi. Hiroshima Univ., Hiroshima, Japan Purpose: Osteoarthritis (OA) is a chronic and highly prevalent joint disease, and it is whole-joint disorder that is characterized by pro- gressive degeneration of articular cartilage, synovial hyperplasia and angiogenesis as a result of excessive mechanical load or inammation in various joint tissues. Therefore, understanding the molecular mecha- nisms that maintain whole-joint health has been required. Recently, it is reported that tetraspanin CD9 expression in OA synovium is upregu- lated. However, the role of CD9 in OA pathogenesis is still unclear. We hypothesize that CD9 may play an important role in OA pathogenesis. In order to propose a new concept of OA pathogenesis, we examined histopathological changes in knee joints using experimentally OA- induced models in CD9 KO mice. The purpose of this study is to examine the role of tetraspanine CD9 in OA pathogenesis. Methods: To reveal whether CD9 KO mice exhibit onset of OA-like changes during aging, we examined histology of knee joint using 1M-, 3M-, 6M-, and 12M-old mice. We also examined the expression of cartilage-related genes in articular chondrocytes from 1M-old mice. Next, to examine OA pathogenesis in CD9 KO mice, we generated two arthritis models, an antigen-induced-arthritis (AIA) model and a sur- gical model in knee joint. Inammatory arthritis was induced in knee joint of 10-week-old wild-type (WT) and CD9 KO mice by intra-articular injection of methylated bovine serum albumin (mBSA) in mice pre- immunized with mBSA and adjuvant. 7 days after intra-articular injection, the knee joints were harvested and processed. The AIA model in WT and CD9 KO mice were evaluated using inammatory score consisted of 5 parameters which are synovitis, joint space exudate, soft tissue inammation, cartilage degradation and bone damage. The sur- gical OA model was induced by resecting the medial meniscotibial ligament (MMTL) of 12-week-old WT and CD9KO mice. Pathological OA-like changes in medial femoral condyle (MFC) and medial tibial plateau (MTP) were evaluated 12 weeks after resecting MMTL on safranin-O-stained sections using Osteoarthritis Research Society International (OARSI) score. Results: The knee joints of 1M-, 3M- 6M-, and 12M-old CD9 KO mice were not showed early onset OA-like changes in their knee joints compared with WT mice and their development appeared normal. The expressions of cartilage-related genes in chondrocytes from CD9 KO were not signicantly difference compared with chondrocytes from WT. In AIA model, inammation in CD9 KO mice was suppressed and inammation score of them was signicantly lower in all 5 parameters and total score. In surgical model, no signicant change was observed in the OARSI score of MFC between the WT and CD9 KO mice. However, we detected signicantly suppressed OA-like pathological changes in the MTP in the CD9 KO mice compared with those in the WT mice. Conclusions: Inammation and OA-like pathological changes are sup- pressed in tetraspanin CD9 KO mice compared with those in WT mice. Our results indicate that CD9 accelerates the development of OA. Recently, it was reported that exosomes, a new paracrine factor for cell- cell communication were decreased in CD9 KO mice because exosomes consist of several members of the tetraspanin family including CD9. Our studies might have the potential to open new insights on OA mecha- nisms. 629 THE ELASTIC MODULUS OF ARTICULAR CARTILAGE AT NANO-SCALE AND MICRO-SCALE MEASURED USING INDENTATION TYPE ATOMIC FORCE MICROSCOPY P. Rahnamay Moshtagh y , z, B. Pouran y, H. Weinans y , z, A. Zadpoor z . y Utrecht Univ. Med. Ctr., Utrecht, Netherlands; z Delft Univ. of Technology, Delft, Netherlands Purpose: Cartilage tissue with its hierarchical, well organized archi- tecture and heterogeneous composition of collagen bril network and globular shape charged proteoglycans (PGs) exhibits specic bio- mechanical functionality. Indentation-type atomic force microscopy (AFM) is capable of measuring the stiffness of biological tissues and the individual components of the extracellular matrix. The main goal of this study was to determine the dynamic elastic modulus of articular car- tilage tissue at both nano-scale and micro-scale using two different types of AFM tips. Methods: An atomic force microscope equipped with a nano-scope controller (Bruker, Dimension V, Japan) and a standard uid cell (Bruker) was used to obtain indentation-based force-displacement curves on the surface of equine articular cartilage. The cartilage samples were attached to a substrate and covered by 360 mOsm PBS solution. Two different types of AFM tips (Nano and More, Germany) were used as follows: a nano-scale pyramidal tip (nominal radius: 15 nm, nominal spring constant: 0.06 N/m) and a micro-scale spherical tip (nominal diameter: 5 micron, nominal spring constant: 0.32 N/m). Before starting the experiments, the thermal uctuations technique was employed to calculate the exact values of the cantilever spring constants of both tips. The load-displacement curves were then measured at a frequency of 1 Hz corresponding to the indentation velocity of 1 mm/s and indentation depth of around 500 nm. Each force-displacement curve consisted of 1024 data points. Around 800 and 200 measurements were performed respectively using pyramidal and spherical AFM tips. The Nanoscope (Bruker, version 1.4) analysis software was used for analyzing the obtained force-displacement curves and calculating the Youngs modulus based on the Hertzs contact theory. In addition, the effects of indentation rate on the obtained mechanical properties were measured using an increased indentation rate of 10 mm/s. Results: When the micro-scale tip was used, the measured elastic properties were normally distributed with an average value of 50.7 kPa and a standard deviation of 20.2 kPa (Figure 1). In contrast, the histo- gram of the elastic mechanical properties measured using the nano- scale pyramidal tip included more than one peak among which two peaks could be clearly recognized: one peak around 200 kPa and one around 600 kPa (Figure 2). When an increased indentation rate of 10 mm/s was used, the rst peak appeared around 270 kPa as compared to 200 kPa for 1 mm/s. Conclusions: Atomic force microscopy technique can be used to measure the mechanical properties of articular cartilage in different conditions and at different length scales. The micro-scale spherical tip measures the more homogenous characteristics of the tissue while the nano-scale pyramidal tip is capable of distinguishing between the mechanical properties of the articular cartilage con- stituents. Out of both detectable peaks present in the histogram of the measured mechanical properties (200 kPa and 600 kPa), the lower stiffness peak can be attributed to GAGs and the higher peak may relate to the collagen bers. Additionally, the Youngs modulus increased notably as the indentation rate increased from 1 to 10 mm/ s, demonstrating the viscoelastic properties of the cartilage at the nano-scale. Abstracts / Osteoarthritis and Cartilage 22 (2014) S57S489 S359

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Abstracts / Osteoarthritis and Cartilage 22 (2014) S57–S489 S359

Results: High fat diet for 2 months induced significant weight gain inC57BL6 mouse without any obvious signs of physical illness. Typicalfindings of human OA cartilage, including surface fibrillation, proteo-glycan matrix depletion and chondrocyte loss began to appear after 8weeks of exercise in bipedal groups and progressed as the duration ofexercise increased. At 12 weeks, vertical erosion to calficifed cartilage and total loss of cartilage typical of mouse OA was observed in none ofcontrol and obese groups, and in 66.6 and 100% of control bipedal andobese bipedal animals. Cartilage grading was significantly higher inbipedal groups compared to obese and control groups, and significantlyhigher in obese bipedal group compared to control bipedal group. OAchange in bipedal groups was accompanied by synovitis and sub-chondroal bone thickening while osteophyte formation was not sig-nificantly increased compared to control group. There was nosignificant difference between obese and control groups. Serum levelsof COMP were significantly increased in bipedal groups compared tocontrol or obese group at 8 and 10 weeks, while the level of serum typeII collage degradation product was not significantly different betweenthe 4 groups. Threshold for von Frey fiber test decreased significantly inbipedal groups compared to control group while it significantlyincreased in obese group. Abnormal gait patternmeasured by regularityindex in catwalk test tended to increase in obese bipedal group com-pared to other groups.Conclusions: By induction of obesity and bipedal exercise, natural OAmimicking human OA was induced in C57BL7 mouse. The regulation ofrelevant molecular markers and signaling mechanism during pro-gression of OA in this model would contribute to the understanding ofpathogenetic mechanism of human OA and efficient evaluation of noveltherapeutic agents.

628THE ROLE OF TETRASPANIN CD9 IN PATHOGENESIS OFOSTEOARTHRITIS

N. Sumiyoshi, S. Miyaki, T. Takada, H. Ishitobi, T. Nakasa, M. Ochi.Hiroshima Univ., Hiroshima, Japan

Purpose: Osteoarthritis (OA) is a chronic and highly prevalent jointdisease, and it is whole-joint disorder that is characterized by pro-gressive degeneration of articular cartilage, synovial hyperplasia andangiogenesis as a result of excessivemechanical load or inflammation invarious joint tissues. Therefore, understanding the molecular mecha-nisms that maintainwhole-joint health has been required. Recently, it isreported that tetraspanin CD9 expression in OA synovium is upregu-lated. However, the role of CD9 in OA pathogenesis is still unclear. Wehypothesize that CD9may play an important role in OA pathogenesis. Inorder to propose a new concept of OA pathogenesis, we examinedhistopathological changes in knee joints using experimentally OA-inducedmodels in CD9 KOmice. The purpose of this study is to examinethe role of tetraspanine CD9 in OA pathogenesis.Methods: To reveal whether CD9 KO mice exhibit onset of OA-likechanges during aging, we examined histology of knee joint using 1M-,3M-, 6M-, and 12M-old mice. We also examined the expression ofcartilage-related genes in articular chondrocytes from 1M-old mice.Next, to examine OA pathogenesis in CD9 KO mice, we generated twoarthritis models, an antigen-induced-arthritis (AIA) model and a sur-gical model in knee joint. Inflammatory arthritis was induced in kneejoint of 10-week-old wild-type (WT) and CD9 KOmice by intra-articularinjection of methylated bovine serum albumin (mBSA) in mice pre-immunized with mBSA and adjuvant. 7 days after intra-articularinjection, the knee joints were harvested and processed. The AIA modelin WT and CD9 KO mice were evaluated using inflammatory scoreconsisted of 5 parameters which are synovitis, joint space exudate, softtissue inflammation, cartilage degradation and bone damage. The sur-gical OA model was induced by resecting the medial meniscotibialligament (MMTL) of 12-week-old WT and CD9KO mice. PathologicalOA-like changes in medial femoral condyle (MFC) and medial tibialplateau (MTP) were evaluated 12 weeks after resecting MMTL onsafranin-O-stained sections using Osteoarthritis Research SocietyInternational (OARSI) score.Results: The knee joints of 1M-, 3M- 6M-, and 12M-old CD9 KO micewere not showed early onset OA-like changes in their knee jointscompared with WT mice and their development appeared normal. Theexpressions of cartilage-related genes in chondrocytes from CD9 KOwere not significantly difference compared with chondrocytes fromWT. In AIA model, inflammation in CD9 KO mice was suppressed and

inflammation score of them was significantly lower in all 5 parametersand total score. In surgical model, no significant changewas observed inthe OARSI score of MFC between theWTand CD9 KOmice. However, wedetected significantly suppressed OA-like pathological changes in theMTP in the CD9 KO mice compared with those in the WT mice.Conclusions: Inflammation and OA-like pathological changes are sup-pressed in tetraspanin CD9 KO mice compared with those in WT mice.Our results indicate that CD9 accelerates the development of OA.Recently, it was reported that exosomes, a new paracrine factor for cell-cell communication were decreased in CD9 KO mice because exosomesconsist of several members of the tetraspanin family including CD9. Ourstudies might have the potential to open new insights on OA mecha-nisms.

629THE ELASTIC MODULUS OF ARTICULAR CARTILAGE AT NANO-SCALEAND MICRO-SCALE MEASURED USING INDENTATION TYPE ATOMICFORCE MICROSCOPY

P. Rahnamay Moshtagh y,z, B. Pouran y, H. Weinans y,z, A. Zadpoor z.yUtrecht Univ. Med. Ctr., Utrecht, Netherlands; zDelft Univ. ofTechnology, Delft, Netherlands

Purpose: Cartilage tissue with its hierarchical, well organized archi-tecture and heterogeneous composition of collagen fibril network andglobular shape charged proteoglycans (PGs) exhibits specific bio-mechanical functionality. Indentation-type atomic force microscopy(AFM) is capable of measuring the stiffness of biological tissues and theindividual components of the extracellular matrix. The main goal of thisstudy was to determine the dynamic elastic modulus of articular car-tilage tissue at both nano-scale and micro-scale using two differenttypes of AFM tips.Methods: An atomic force microscope equipped with a nano-scopecontroller (Bruker, Dimension V, Japan) and a standard fluid cell(Bruker) was used to obtain indentation-based force-displacementcurves on the surface of equine articular cartilage. The cartilagesamples were attached to a substrate and covered by 360 mOsm PBSsolution. Two different types of AFM tips (Nano and More, Germany)were used as follows: a nano-scale pyramidal tip (nominal radius: 15nm, nominal spring constant: 0.06 N/m) and a micro-scale sphericaltip (nominal diameter: 5 micron, nominal spring constant: 0.32 N/m).Before starting the experiments, the thermal fluctuations techniquewas employed to calculate the exact values of the cantilever springconstants of both tips. The load-displacement curves were thenmeasured at a frequency of 1 Hz corresponding to the indentationvelocity of 1 mm/s and indentation depth of around 500 nm. Eachforce-displacement curve consisted of 1024 data points. Around 800and 200 measurements were performed respectively using pyramidaland spherical AFM tips. The Nanoscope (Bruker, version 1.4) analysissoftware was used for analyzing the obtained force-displacementcurves and calculating the Young’s modulus based on the Hertz’scontact theory. In addition, the effects of indentation rate on theobtained mechanical properties were measured using an increasedindentation rate of 10 mm/s.Results: When the micro-scale tip was used, the measured elasticproperties were normally distributed with an average value of 50.7 kPaand a standard deviation of 20.2 kPa (Figure 1). In contrast, the histo-gram of the elastic mechanical properties measured using the nano-scale pyramidal tip included more than one peak among which twopeaks could be clearly recognized: one peak around 200 kPa and onearound 600 kPa (Figure 2). When an increased indentation rate of 10mm/s was used, the first peak appeared around 270 kPa as compared to200 kPa for 1 mm/s.Conclusions: Atomic force microscopy technique can be used tomeasure the mechanical properties of articular cartilage in differentconditions and at different length scales. The micro-scale sphericaltip measures the more homogenous characteristics of the tissuewhile the nano-scale pyramidal tip is capable of distinguishingbetween the mechanical properties of the articular cartilage con-stituents. Out of both detectable peaks present in the histogram ofthe measured mechanical properties (200 kPa and 600 kPa), thelower stiffness peak can be attributed to GAGs and the higher peakmay relate to the collagen fibers. Additionally, the Young’s modulusincreased notably as the indentation rate increased from 1 to 10 mm/s, demonstrating the viscoelastic properties of the cartilage at thenano-scale.

Abstracts / Osteoarthritis and Cartilage 22 (2014) S57–S489S360

Figure 1. Stiffness distribution of cartilage at the micro-scale measuredusing an indentation rate of 1 mm/s

Figure 2. Histogram of the cartilage dynamic elastic modulus at the nano-scale measured using an indentation rate of 1 mm/s

630CDK9 INHIBITION ATTENUATES INFLAMMATORY RESPONSE ANDAPOPTOSIS IN CARTILAGE EXPLANTS TO PRESERVE MATRIXINTEGRITY IN A SINGLE IMPACT MECHANICAL INJURY MODEL

H. Zi’ang, J.H. Yik, B.A. Christiansen, D.R. Haudenschild. Univ. ofCalifornia Davis, Sacramento, CA, USA

Purpose: Joint injury is associated with the development of post-traumatic osteoarthritis. Mechanical and physical damage to cartilageand surrounding joint tissues induces expression of pro-inflamma-tory cytokines (IL-1, IL-6, TNF) and catabolic enzymes (MMPs,ADAMTSs), which promote cartilage matrix degradation and chon-drocyte apoptosis. Recent advances have established that the rate-limiting step for the transcriptional activation of primary responsegenes is controlled by the elongation factor cyclin-dependent kinase9 (CDK9). Regardless of the sources, diverse inflammatory signalsultimately converge onto a regulatory bottleneck, at which CDK9 isrecruited to target genes and phosphorylates RNA Polymerase II tostimulate transcription of full-length mRNAs. Therefore, targetingCDK9 may be an effective strategy to globally and effectively suppressinflammatory response. Our objective is to determine whether thepharmacological CDK9 inhibitor Flavopiridol can suppress theinflammatory response and prevent apoptosis in mechanicallyinjured cartilage explants, thereby preserving their mechanicalproperty.

Methods: Cartilage explants (6mm x 3mm) were harvested from thefemoral condyles of bovine stifle joints. After 24hrs, explants (n ¼ 6/condition) were mechanically injured by 30% compression (100%/sec), and cultured þ/-300 nM Flavopiridol, a pharmacological CDK9inhibitor. mRNA expression of inflammatory cytokines and catabolicenzymes was determined by qPCR normalized to 18s rRNA. Apoptosiswas determined by DeadEnd Fluorometric TUNEL system (Promega).Glycosaminoglycan (GAG) release was determined by dimethyl-methylene blue (DMMB) assay. After 4 weeks of culture, mechanicalproperties (instantaneous and relaxation moduli) were estimatedfrom a sample of the explant. One-way ANOVA, w/LSD correctiondetermined significance (* P<0.05).Results: After a single impact load, injured explants increasedexpression of pro-inflammatory cytokine IL-6, and catabolic enzymesADAMTS4, MMP1. Their induction was markedly reduced by theCDK9 inhibitor Flavopiridol (Fig.1). In uninjured controls, baselineexpression of IL-6, ADAMTS4 and MMP1 and anabolic genes such asCol2a1 and aggrecan were not significantly affected by Flavopiridol(not shown). Mechanical injury increased apoptosis in chondrocytes,and this was reduced by Flavopiridol (Fig 2). Mechanical injuryenhanced GAG release, but this was reduced to baseline by Fla-vopiridol (Fig 3). Lastly, the mechanical property of the explants waslowered in the injured group when compared to the control, but thiswas reversed by Flavopiridol (Fig 4). Collectively, these results indi-cate that CDK9 inhibition by Flavopiridol prevents inflammation-induced apoptosis and protects cartilage from the deleterious effectsof mechanical injury.Conclusions: CDK9 inhibition by Flavopiridol significantly reducedthe inflammatory and apoptotic response to mechanical injuries incartilage explants. CDK9 inhibition prevented degradation of GAGand preserved mechanical properties after explant injury. ThusCDK9 is a novel target for preventing the initiation of matrix deg-radation after mechanical injuries. Further studies are needed totest if Flavopiridol prevents the onset of post-traumaticosteoarthritis.

Fig1: CDK9 inhibition by Flavopiridol suppresses induction of IL-6,ADAMTS4 and MMP1 in injured cartilage explants.

Fig2: CDK9 inhibition by Flavopiridol reduces injury-induced apoptosis inchondrocytes.