Abstract

Adult human articular cartilage harbors a population of CD166+ mesenchymal stem cell-like progenitors that become more numerous during osteoarthritis (OA). While their role is not well understood, here we report that they are indeed part of cellular clusters formed in OA cartilage, which is a pathological hallmark of this disease. We hypothesize that these cells, termed OA mesenchymal stem cells (OA-MSCs), contribute to OA pathogenesis. To test this hypothesis, we generated and characterized multiple clonally derived stable/immortalized human OA-MSC cell lines, which exhibited the following properties. Firstly, two mesenchymal stem cell populations exist in human OA cartilage. While both populations are multi-potent, one preferentially undergoes chondrogenesis while the other exhibits higher osteogenesis potential. Secondly, both OA-MSCs exhibit significantly higher expression of hypertrophic OA cartilage markers COL10A1 and RUNX2, compared to OA chondrocytes. Induction of chondrogenesis in OA-MSCs further stimulated COL10A1 expression and MMP-13 release, suggesting that they contribute to OA phenotypes. Finally, knocking down RUNX2 is insufficient to inhibit COL10A1 in OA-MSCs and also requires simultaneous knockdown of NOTCH1 thereby suggesting altered gene regulation in OA stem cells in comparison to chondrocytes. Overall, our findings suggest that OA-MSCs may drive pathogenesis of cartilage degeneration and should therefore be a novel cell target for OA therapy.

Highlights

  • Osteoarthritis (OA) is a common chronic disease characterized by a series of degenerative changes including articular cartilage degradation, osteophyte formation and subchondral bone sclerosis[1,2,3,4,5,6]

  • It is unclear whether OA mesenchymal stem cells (OA-mesenchymal stem cell (MSC)) are a uniform population of cells, or a mixed population consisting of several subsets that coexist in OA cartilage tissue[21]

  • Since a hallmark of OA is the occurrence of cell clustering through clonal propagation in the superficial and intermediate zones of articular cartilage, we determined whether these CD166+ cells contribute to cell clustering in OA cartilage

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Summary

Results

Mesenchymal stem cells contribute to cell clusters in human OA cartilage. Cartilage samples of OA patients were sectioned and stained to visibly detect cells that express the membrane glycoprotein ALCAM (CD166), a progenitor/MSC marker that is not expressed by differentiated chondrocytes[22] (Fig. 1A). The isolated OA-MSCs exhibited significantly higher mRNA levels (>16-fold) of ITGA5 the fibronectin receptor (CD49e) and lower levels (

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