2nd year poster_MFamm
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Transcript of 2nd year poster_MFamm
• Osteoarthritis (OA) is major joint disease (12% prevalence) and healthcare burden
• OA traditionally thought of as passive ‘wear and tear’ disease
• No disease-modifying treatments available
• Inflammation now recognised to play role in OA
• Obesity is major risk factor for OA (not only due to weight bearing)
• Chronic, low level inflammation associated with obesity
• Molecular links between OA, obesity and inflammation not fully understood
Research which leads to potentially novel approaches to treatment are of fundamental
importance as the costs of treating obesity and associated diseases continue to rise.
Preliminary Results – In Vitro
Figure 2: a) the tissue and components of a normal joint including synovium, meniscus of the knee and smooth cartilage on the surface of the long bones, (femur and tibia in knee) in comparison to b) a joint showing mild arthritic changes such as an inflamed and thickened synovium, the appearance of osteophytes and cartilage which has become rough and thin. http://www.arthritisresearchuk.org/arthritis-information/conditions/arthritis/what-is-arthritis.aspx
Figure 1: Diagram showing activation of PAR2 (McIntosh et al, 2003)
Protease Activated Receptor 2 (PAR2)
a b
Preliminary Results – In Vivo
PAR2 +ve staining suggestive of mast
cells or macrophages
Immunohistochemistry
Wild type DMM 14 daysInfrapatellar Fat Pad
SAM-11 – PAR2
Figure 3: Knee joint showing normal structures of a hinge joint and indicating the proximity of the synovial membrane, meniscus, articular cartilage and Infrapatellar Fat Pat IPFP within the join structurewww.interactive-biology.com
Osteoarthritis, Obesity & Inflammation
To investigate if: • PAR2 is present in IPFP (and thus
may contribute to joint inflammation)• PAR2 activating proteases are
present in IPFP• PAR2 is more abundant in obese
than lean animals• Experimental OA progression is
accelerated during obesity• Blocking PAR2 ameliorates OA
progression in obesity
Aim of ProjectJoint Tissue
IPFP
Adipocytes
Animal Model
Figure 6 a & b: Murine Infrapatellar Fat Pad stained with SAM11 antibody and
exhibiting first evidence that PAR2 may be expressed in
IPFP.
a
b
Does adipose tissue inflammation play a role in PAR2 mediated joint damage in osteoarthritis?Margaret Fegen, UWS, School of Science & Sport, Paisley Campus.
Director of Studies : Litherland, G., Co-supervisors: Crilly, A., Lockhart, J., Ferrell, W.
IPFP: The IPFP is the pad of fat which is situated below and to the back of the patella in the knee joint. In such close proximity to the other key tissues in the joint such as bone, cartilage and synovium, there may be some inflammatory cytokines arising from the adipose tissue which may have an impact on disease
progression.
Figure 5: Structures in the knee involved in DMM (Glasson, Blanchet and Morris, 2007)
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Methods
n.s. n.s.
The animal model used for this study is Destabilisation of the Medial Meniscus (DMM). The stability of the
knee is dependent upon the tendons and ligaments in and around the joint to support movement and body
weight. OA can be induced as a result of surgical incision into the Medial Meniscus (MM) which results in destabilisation of the joint to the medial component of
the joint.
Cell Culture: Human Articular Chondrocytes (OA patients), SW1353 cell
line
Explants
Human Cartilage
Human Adipose tissue
Figure4: Resources including the use of Primary human cells (a), fat (c) and
cartilage tissue (b) from OA patients, chondrocyte cell line and an established animal model of DMM (d).Experimental techniques will include cell and tissue culture, Immunohistochemistry, qPCR,
RNA isolation.Results from human studies will be used to validate and complement the information
gained from in vivo model.
DMM
Figure 7: Figure 7: Detection of PAR2 by qPCR on human OA primary chondrocytes shows that PAR2 expression is undetectable in basal conditions in vitro, except when cells are stimulated by
the cytokine oncostatin M (OSM) or the phorbol ester PMA (a). MMP1 (a protease involved in extracellular matrix breakdown) was upregulated in the presence of inflammatory cytokines but
not PAR2 activatory peptide (SLIG) (b). Statistical analysis by student T-Test, n=1 with 6 replicates of each condition.
a
b
c
d
Figure 8: Using cell line SW1353 which were treated with media that has been conditioned by human fat tissue explants from OA patients showing that there are factors which show expression of PAR2 (a) and also significant levels of MMP1 being expressed. Statistical
analysis by student T-Test with n=10 with 6 replicates of each condition.
a
a b
b
PAR2• Part of 4 member family of G-protein coupled
receptors
• Unique protease-dependent activation involving unmasking of ‘tethered ligand’
• Multiple pathological roles described, especially in inflammatory pathologies
• CMS researchers have uncovered important roles for PAR2 in pathogenesis of rheumatoid arthritis and OA
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