Abstract

BackgroundGouty arthritis is characterized by the deposition of monosodium urate (MSU) within synovial joints and tissues due to increased urate concentrations. In this study, we explored the effect of the natural compound curcumin on the MSU crystal-stimulated inflammatory response.MethodsTHP-1-derived macrophages and murine RAW264.7 macrophages were pretreated with curcumin for 1 h and then stimulated with MSU suspensions for 24 h. The protein level of TLR4, MyD88, and IκBα, the activation of the NF-κB signaling pathway, the expression of the NF-κB downstream inflammatory cytokines, and the activity of NLRP3 inflammasome were measured by western blotting and ELISA. THP-1 and RAW264.7 cells were loaded with MitoTracker Green to measure mitochondrial content, and MitoTracker Red to detect mitochondrial membrane potential. To measure mitochondrial reactive oxygen species (ROS) levels, cells were loaded with MitoSOX Red, which is a mitochondrial superoxide indicator. The effects of curcumin on mouse models of acute gout induced by the injection of MSU crystals into the footpad and synovial space of the ankle, paw and ankle joint swelling, lymphocyte infiltration, and MPO activity were evaluated.ResultsCurcumin treatment markedly inhibited the degradation of IκBα, the activation of NF-κB signaling pathway, and the expression levels of the NF-κB downstream inflammatory genes such as IL-1β, IL-6, TNF-α, COX-2, and PGE2 in the MSU-stimulated THP-1-derived macrophages. Curcumin administration protected THP-1 and RAW264.7 cells from MSU induced mitochondrial damage through preventing mitochondrial membrane potential reduction, decreasing mitochondria ROS, and then inhibited the activity of NLRP3 inflammasome. Intraperitoneal administration of curcumin alleviated MSU crystal-induced paw and ankle joint swelling, inflammatory cell infiltration, and MPO activity in mouse models of acute gout. These results correlated with the inhibition of the degradation of IκBα, the phosphorylation levels of NF-κB subunits (p65 and p50), and the activity of NLRP3 inflammasome.ConclusionCurcumin administration effectively alleviated MSU-induced inflammation by suppressing the degradation of IκBα, the activation NF-κB signaling pathway, the damage of mitochondria, and the activity of NLRP3 inflammasome. Our results provide a new strategy in which curcumin therapy may be helpful in the prevention of acute episodes of gout.

Highlights

  • Gouty arthritis is characterized by the deposition of monosodium urate (MSU) within synovial joints and tissues due to increased urate concentrations

  • Curcumin inhibits the MSU-induced degradation of IκBα protein as well as NF-κB activation in THP-1-derived macrophages NF-κB plays a key role in the pathogenesis of gout

  • Curcumin blocks the expression of NF-κB downstream inflammatory cytokines, TLR4, myeloid differentiation factor 88 (MyD88), and NLR family pyrin domain containing 3 (NLRP3) in THP1 cells and peripheral blood mononuclear cells (PBMCs) As shown in Fig. 3a, the mRNA expression levels of NFκB-related inflammatory cytokine genes IL-1β, IL-6, TNF-α, and COX-2 were markedly enhanced as a result of MSU stimulation in the THP-1 cells

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Summary

Introduction

Gouty arthritis is characterized by the deposition of monosodium urate (MSU) within synovial joints and tissues due to increased urate concentrations. We explored the effect of the natural compound curcumin on the MSU crystal-stimulated inflammatory response. Gout is a common type of inflammatory arthritis in men and is triggered by the deposition of monosodium urate (MSU) crystals in articular and periarticular tissues [1]. Colchicine and NSAIDs are commonly used to treat acute gout arthritis, and these agents are only modestly effective Their long-term use is limited by the inevitable side effects of gastrointestinal bleeding, gastrointestinal toxicity, and nephrotoxicity as well as therapeutic gaps [2]. In vitro and in vivo experiments have indicated that curcumin can suppress inflammation This product has no related toxicity and plays a beneficial role in many types of inflammatory diseases, including obesity, diabetes, cardiovascular disease, bronchial asthma, and rheumatoid arthritis [4]. Previous studies have shown that MSU crystals can stimulate COX-2 expression in monocytes, synovial fluid inflammatory cells, rabbit synovial cell lines, human articular chondrocytes, and synovial cells [9, 10]

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