Abstract

Increasing evidence reveals that estrogen, especially 17β-estradiol (17β-E2), is associated with articular cartilage metabolism disorder and postmenopausal osteoarthritis (OA). SIRT1, AMPK, and mTOR are regarded as critical mitophagy regulators. Recent studies have shown that mitophagy displays a protective effect against OA, but the molecular mechanism is not well known. This study aimed to investigate the effect of 17β-E2 on Sirtuin-1 (SIRT1) expression and the induction of mitophagy upregulation by 17β-E2 via the SIRT1-mediated AMP-activated protein kinase (AMPK)/mammalian target of the rapamycin (mTOR) signaling pathway to protect chondrocytes. ATDC5 chondrocytes were treated with different concentrations of 17β-E2 (0 M, 1 × 10-9 M, 1 × 10-8 M, and 1 × 10-7 M) for 24 h or pretreatment with or without NAM (SIRT1 inhibitor), Compound C (AMPK inhibitor) and S1842 (mTOR inhibitor) for 30 min prior to treatment with 17β-E2 (1 × 10-7 M) for 24 in each groups. Expression of SIRT1 was evaluated by real-time PCR, Western blotting and confocal immunofluorescence staining. Then, the mitophagosomes in cells were observed under a transmission electron microscopy (TEM), and the AMPK/mTOR signaling pathway was detected by Western blotting. The mitophagy-related proteins, p-AMPK, p-mTOR, p-JNK, and p-p38 were also identified by Western blot analysis. The chondrocytes viability and proliferation were determined by MTT and 5-Bromo-2’-deoxyuridine (BrdU) assay. These experiments were independently repeated 3 times The study found that 17β-E2 increased the expression level of SIRT1, p-AMPK, and mitophagy-related proteins but decreased p-mTOR expression, and then induced mitophagy upregulation in chondrocytes. More mitochondrial autophagosomes were observed in 17β-E2-treated chondrocytes under a transmission electron microscope. Also, 17β-E2 improved cell viability and proliferation with the higher expression of SIRT1 and activation of the AMPK/mTOR signaling pathway. However, SIRT1 inhibitor nicotinamide (NAM) and AMPK inhibitor Compound C blocked the beneficial effect of 17β-E2. In summary, this study was novel in demonstrating that 17β-E2 induced mitophagy upregulation to protect chondrocytes via the SIRT1-mediated AMPK/mTOR signaling pathway.

Highlights

  • With the prevalence and incidence of osteoarthritis (OA) are expected to increase every year with the increase in life expectancy [1]

  • This study further explored whether the protective effect of 17b-E2 in ATDC5 chondrocytes was related to mitophagy upregulation via the SIRT1-mediated AMPK/mammalian target of the rapamycin (mTOR) signaling pathway

  • The present study showed that exposure to 17b-E2 promoted the expression of SIRT1 to positively regulate AMPK and inhibit mTOR, which was involved in the induction of mitophagy upregulation in ATDC5 chondrocytes

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Summary

Introduction

With the prevalence and incidence of osteoarthritis (OA) are expected to increase every year with the increase in life expectancy [1]. OA has gradually become one of the most common chronic diseases in the world, affecting an estimated 10% of men and 18% of women over 60 years of age [2]. Epidemiological studies have shown that there are significant sex differences in both the prevalence and incidence of OA [3, 4]. OA is more prevalent in men than women before age 50. Among the various pathological and physiological mechanisms of OA, the mechanisms associated with sex hormone regulation have gained much attention, especially those relevant to estrogen. Previous studies have shown that estrogen, especially 17b-E2, has a potential protective effect on chondrocytes [8]

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