Hideaki Nagase, Ph.D.
Kennedy Institute of Rheumatology-Centre for Degenerative Diseases, University of Oxford, UK
Osteoarthritis: diagnosis, treatment and challenges
Hideaki Nagase1, Ngee Han Lim1, George Bou-Gharios1, Ernst Meinjohanns2 and Morten Meldal3
- Kennedy Institute of Rheumatology, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, London, W6 8LH UK
- Carlsberg Laboratory, Copenhagen, Denmark,
- Nano-Science Center, Department of Chemistry, University of Copenhagen, Denmark
Osteoarthritis (OA) is the most prevalent age-related degenerative joint disease. With the expanding ageing population, it imposes a major socio-economic burden on society. A key feature of OA is a gradual loss of articular cartilage and deformation of bone, resulting in the impairment of joint function. Currently, there is no effective disease-modifying treatment except joint replacement surgery. There are many possible causes of cartilage loss (e.g. mechanical load, injury, reactive oxygen species, aging, etc.) and etiological factors (obesity, genetics), but the degradation of cartilage is primarily caused by elevated levels of active metalloproteinases. It is therefore attractive to consider proteinase inhibitors as potential therapeutics. However, there are several hurdles to overcome, namely early diagnosis and continuous monitoring of the efficacy of inhibitor therapeutics. We are therefore aiming at developing non-invasive probes to detect cartilage degrading metalloproteinase activities.
We have designed in vivo imaging probes to detect MMP-13 (collagenase 3) activity that participates in OA by degrade cartilage collagen II and MMP-12 (macrophage elastase) activity involved in inflammatory arthritis. These activity-based probes consist of a peptide that is selectively cleaved by the target proteinase, a near-infrared fluorophore and a quencher. The probe’s signal multiplies upon proteolysis. They were first used to follow the respective enzyme activity in vivo in the mouse model of collagen-induced arthritis and we found MMP-12 activity probe (MMP12AP) activation peaked at 5 days after onset of the disease, whereas MMP13AP activation was observed at 10-15 days. The in vivo activation of these probes was inhibited by specific low molecule inhibitors. We proceeded to test both probes in the mouse model of OA induced by the surgical destabilization of medial meniscus of the knee joints. In this model, degradation of knee cartilage is first detected histologically 6 weeks after surgery with significant erosion detectable at 8 weeks. Little activation of MMP12AP was detected, which was expected, as macrophage migration is not obvious in OA. MMP13AP, on the other hand, was significantly activated in the operated knee at 6 weeks compared with the non-operated contralateral knee, but there were no significant differences between the operated and sham-operated knees. At 8 weeks, however, the signals in the operated knees were significantly higher than both the contralateral and sham-operated controls. Activation of aggrecanases and MMP-13 are observed before structural changes of cartilage. We are therefore currently improving the MMP-13 probe for earlier detection by attaching it to polymers that are retained in cartilage.
K. Satyamoorthy, Ph.D.
Director, Life Sciences Centre, Manipal University, India
Epigenetic Changes due to DNA Methylation in Human Epithelial Tumors
Extensive global hypomethylation in the genome and hypermthylation of selective tumor specific suppressor genes appears to be a hallmark of human cancers. Data suggests that hypermethylation of promoter region in genes is more closely related to subsequent gene expression; contrary to gene-body DNA methylation. The intricate balance between these two may contribute to the progressive process of development, differentiation and carcinogenesis. Epigenetic changes encompass, apart from DNA methylation, chromatin modifications through post-translational changes in histones and control by miRNAs. At the genome level, effects from these are compounded by copy number variations (CNVs) which may ultimately influence protein functions. From clinical perspective, changes in DNA methylation occur very early which are reversible and are influenced by environmental factors. Therefore, these can be potential resource for identifying therapeutic targets as well as biomarkers for early screening of cancer. Our current efforts in profiling genome wide DNA methylation changes in oral, cervical and breast cancers through DNA methylation microarray analysis has revealed number of alterations critical for survival, progression and metastatic behavior of tumors. Bioinformatics and functional analysis revealed several key regulatory molecules controlled by DNA methylation and suggests that DNA methylation changes in several CpG islands appear to co-segregate in the regions of miRNAs as well as in the CNVs. We have validated the signatures for methylation of CpG islands through bisufite sequencing for essential genes in clinical samples and have undertaken transcriptional and functional analysis in tumor cell lines. These results will be presented.
Binu K Aa, Jem Prabhakarb, Thara Sc and Lakshmi Sd,∗
aDepartment of Clinical Diagnostics Services and Translational Research, Malabar Cancer Centre, Thalassery, Kerala, India.
bDivision of Surgical Oncology, Division of Pathology
dDivision of Cancer Research, Regional Cancer Centre, Thiruvananthapuram, Kerala, India.
Introduction
AIB1, a member of the nuclear co activators, promotes the transcriptional activity of multiple nuclear receptors such as the ER and other transcription factors. Chemokines produced by stromal cells have potential to influence ERα-positive breast cancer progression to metastasis. CXCR4 is the physiological receptor for SDF1, together shown to stimulate the chemotactic and invasive behavior of breast cancer cells to serve as a homing mechanism to sites of metastasis. We propose that over expression of AIB1 in breast cancer cells leads to increased SDF1 and CXCR4 expression, which induces invasion and metastasis of cancer cells.
Materials and Methods
Breast tumor and normal breast tissues from patients in Regional Cancer Centre, Thiruvananthapuram were used for study. The modulatory effect of AIB1 was studied in MCF-7 cells with AIB1 siRNA transfection along with treatment of 17β-Estradiol (E2), 4-hydroxytamoxifen (4OHT), combinations of E2 and 4OHT. The gene expression pattern and protein localization were assessed by RT-PCR and immunofluorescence microscopy respectively. The metastatic and invasive properties were assessed by wound healing assay. Quantitative colocalization analyses were done to assess the association of proteins using Pearson’s correlation coefficient.
Result and Conclusion
The mRNA and protein level expression of AIB1, CXCR4 and SDF1 were higher in tumor samples than in normal samples. AIB1 was localized to the nuclei whereas CXCR4 and SDF1 immunoreactivity were observed in the cytoplasm and to a lesser extent in the nuclei of tumor epithelial cells. In tumor samples the gene level expressions of AIB1 showed significant positive correlations with SDF1(r = 0.213, p = 0.018). CXCR4 showed significant positive correlation with SDF1 in gene (r = 0.498, p = 0.000) and protein levels(r = 0.375, p = 0.002). Quantitative colocalization analyses showed a marked reduction in expression of CXCR4 and SDF1 in siAIB1MCF-7 cells than MCF-7 cells with different treatment groups. Wound healing assay shows reduced wound healing in siAIB1 treated MCF-7 cells.
In recent years, targeting specific cancer pathways and key molecules to arrest tumor growth and achieve tumor eradication have proven a challenge; due to acquired resistance and homing of cancer cells to various metastatic sites. The present study revealed that silencing AIB1 can prevent the over expression of SDF1 and CXCR4. Co activator levels determine the basal and estrogen-inducible expression of SDF1, a secreted protein that controls breast cancer cell proliferation and invasion through autocrine and paracrine mechanisms (Hall et al. 2003). The effects of CXCR4 overexpression has been correlated with SDF1 mediated activation of downstream signaling via ERK1/2 and p38 MAPK and with an enhancement of ER-mediated gene expression (Rhodes et al. 2011). It is possible that over expression of AIB1 as a stimulant involved in the expression of CXCR4 might up-regulate the expression of prometastatic and angiogenic genes. Thus based on these observations it can be concluded that SDF1/CXCR4 overexpression, with significant association with AIB1 expression, itself contribute to the development of mammary cancer and metastatic progression.