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<article xml:lang="en" article-type="research-article" xmlns:xlink="http://www.w3.org/1999/xlink">
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Molecular Medicine Reports</journal-id>
<journal-title-group>
<journal-title>Molecular Medicine Reports</journal-title></journal-title-group>
<issn pub-type="ppub">1791-2997</issn>
<issn pub-type="epub">1791-3004</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name></publisher></journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/mmr.2015.4068</article-id>
<article-id pub-id-type="publisher-id">mmr-12-04-5573</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Transforming growth factor-&#x003B2;1 induces type II collagen and aggrecan expression via activation of extracellular signal-regulated kinase 1/2 and Smad2/3 signaling pathways</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>ZHU</surname><given-names>YANHUI</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>TAO</surname><given-names>HAIRONG</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>JIN</surname><given-names>CHEN</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>LIU</surname><given-names>YONZHANG</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>LU</surname><given-names>XIONGWEI</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>HU</surname><given-names>XIAOPENG</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>WANG</surname><given-names>XIANG</given-names></name><xref ref-type="corresp" rid="c1-mmr-12-04-5573"/></contrib>
<aff id="af1-mmr-12-04-5573">Department of Orthopaedics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 201900, P.R. China</aff></contrib-group>
<author-notes>
<corresp id="c1-mmr-12-04-5573">Correspondence to: Mr. Xiang Wang, Department of Orthopaedics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, 280 Mohe Road, Shanghai 201900, P.R. China, E-mail: <email>wx20022005@outlook.com</email></corresp></author-notes>
<pub-date pub-type="ppub">
<month>10</month>
<year>2015</year></pub-date>
<pub-date pub-type="epub">
<day>09</day>
<month>07</month>
<year>2015</year></pub-date>
<volume>12</volume>
<issue>4</issue>
<fpage>5573</fpage>
<lpage>5579</lpage>
<history>
<date date-type="received">
<day>01</day>
<month>06</month>
<year>2014</year></date>
<date date-type="accepted">
<day>17</day>
<month>06</month>
<year>2015</year></date></history>
<permissions>
<copyright-statement>Copyright: &#x000A9; Zhu.</copyright-statement>
<copyright-year>2015</copyright-year>
<license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by-nc-nd/4.0">
<license-p>This is an open access article distributed under the terms of a Creative Commons Attribution License</license-p></license></permissions>
<abstract>
<p>Transforming growth factor (TGF)-&#x003B2; regulates the anabolic metabolism of articular cartilage and prevents cartilage degradation. TGF-&#x003B2;1 influences cellular proliferation, differentiation and the extracellular matrix through activation of the extracellular signal-regulated kinase (ERK)1/2 and Smad2/3 signaling pathways. However, it has remained to be fully elucidated precisely how the ERK1/2 and Smad2/3 signaling pathways mediate anabolic processes of articular cartilage. The present study investigated how ERK1/2 and Smad2/3 signaling mediate TGF-&#x003B2;1-stimulated type II collagen and aggrecan expression in rat chondrocytes. The results confirmed that TGF-&#x003B2;1 stimulates type II collagen and aggrecan expression in rat chondrocytes, and furthermore, that the ERK1/2 and Smad2/3 signaling pathways were activated by TGF-&#x003B2;1. Conversely, the TGF-&#x003B2; receptor I (ALK5) kinase inhibitor SB525334 significantly impaired TGF-&#x003B2;1-induced type II collagen and aggrecan expression, coinciding with a reduction of ERK1/2 and Smad3 phosphorylation. In addition, TGF-&#x003B2;1-induced type II collagen and aggrecan expression were significantly suppressed by ERK1/2 inhibitor PD98059. Similarly, TGF-&#x003B2;1-stimulated type II collagen and aggrecan expression were decreased in the presence of a Smad3 phosphorylation inhibitor SIS3. Therefore, the present study demonstrated that the ERK1/2 and Smad2/3 signaling pathways regulate type II collagen and aggrecan expression in rat chondrocytes.</p></abstract>
<kwd-group>
<kwd>transforming growth factor beta 1</kwd>
<kwd>type II collagen</kwd>
<kwd>aggrecan</kwd>
<kwd>extracellular-regulated kinase 1/2</kwd>
<kwd>Smad</kwd>
<kwd>chondrocytes</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>The progressive loss of extracellular matrix (ECM) in cartilage is the characteristic lesion in osteoarthritis (OA). Type II collagen and aggrecan are the main components of cartilage ECM, and decreased production of either may irreversibly lead to cartilage degradation. Transforming growth factor-&#x003B2; (TGF-&#x003B2;) is an important regulator of the anabolic metabolism of articular cartilage. TGF-&#x003B2; enhances ECM production by increasing synthesis of type II collagen and aggrecan, thereby preventing cartilage degradation (<xref rid="b1-mmr-12-04-5573" ref-type="bibr">1</xref>,<xref rid="b2-mmr-12-04-5573" ref-type="bibr">2</xref>). Reduced type II collagen and aggrecan expression is a characteristic of aged, osteoarthritic and passaged chondrocytes. However, TGF-&#x003B2; can stimulate expression of type II collagen and aggrecan in these cells (<xref rid="b3-mmr-12-04-5573" ref-type="bibr">3</xref>). Furthermore, bone-marrow mesenchymal stem cells exposed to TGF-&#x003B2; express chondro-genic markers (type II collagen and aggrecan), implying their differentiation into chondrocytes (<xref rid="b4-mmr-12-04-5573" ref-type="bibr">4</xref>,<xref rid="b5-mmr-12-04-5573" ref-type="bibr">5</xref>). In addition, levels of type II collagen and aggrecan in bovine intervertebral disc cells increase following TGF-&#x003B2;1 exposure, suggesting that it can also act in the prevention of degenerative disc disease (<xref rid="b6-mmr-12-04-5573" ref-type="bibr">6</xref>).</p>
<p>TGF-&#x003B2; activates the Smad2/3 signaling pathway, stimulating expression of type II collagen &#x003B1;1, aggrecan and sex determining region Y-box 9 expression in human OA and bovine chondrocytes (<xref rid="b7-mmr-12-04-5573" ref-type="bibr">7</xref>). TGF-&#x003B2; can also activate extracellular signal-regulated kinase (ERK)1/2 to regulate anabolic activity through upregulation of TIMP-3 expression and chondrocyte cell growth (<xref rid="b8-mmr-12-04-5573" ref-type="bibr">8</xref>,<xref rid="b9-mmr-12-04-5573" ref-type="bibr">9</xref>). Furthermore, TGF-&#x003B2;1 can activate Smad2 and ERK1/2 signaling pathways in human mesenchymal stem cells, subsequently increasing the expression of type II collagen and aggrecan (<xref rid="b10-mmr-12-04-5573" ref-type="bibr">10</xref>). Only a few studies have described the role of ERK1/2 and Smad2/3 signaling pathways in TGF-&#x003B2;1-induced type II collagen and aggrecan expression in rat chondrocytes (<xref rid="b8-mmr-12-04-5573" ref-type="bibr">8</xref>,<xref rid="b11-mmr-12-04-5573" ref-type="bibr">11</xref>).</p>
<p>The present study investigated the effect of TGF-&#x003B2;1 on type II collagen and aggrecan expression in rat chondrocytes as well as the possible mechanistic involvement of ERK1/2 and Smad2/3 signaling pathways. For this, either ERK1/2 or Smad2/3 signaling pathways were blocked with small molecules, and the effect on TGF-&#x003B2;1-induced type II collagen and aggrecan expression was investigated. A previous study by our group suggested that inhibition of ERK1/2 signaling may be used for the pharmacological intervention of cartilage breakdown in OA (<xref rid="b12-mmr-12-04-5573" ref-type="bibr">12</xref>). In addition to the inhibition of the ERK1/2 signaling pathway, subsequent suppression of TGF-&#x003B2;1-induced anabolic activity should be considered according to the results of the present study.</p></sec>
<sec sec-type="methods">
<title>Materials and methods</title>
<sec>
<title>Chondrocyte isolation and culture</title>
<p>A total of 20 female Sprague-Dawley rats (weight, 180&#x02013;200 g) were supplied by the Animal Center, Shanghai Jiao Tong University School of Medicine (Shanghai, China). The rats were sacrificed by cervical dislocation prior to surgical removal of normal rat knee cartilage from the tibial platform and the femoral condyle. The experiments were conducted with approval from the Shanghai Jiao Tong University School of Medicine ethics committee. Cartilage pieces were washed with phosphate-buffered saline (PBS) twice and treated with 0.2 mg/ml collagenase (Sigma-Aldrich, St. Louis, MO, USA) in serum-free Dulbecco's modified Eagle's medium (DMEM; Gibco Life Technologies, Carlsbad, CA, USA) overnight at 37&#x000B0;C. The cells were collected by filtering the disaggregated tissue through a 200-mesh nylon cell strainer, centrifugation at 1,000 &#x000D7; g for 5 min and two washes with PBS. Finally, the cells were re-suspended and cultured in DMEM supplemented with 10% (vol/vol) fetal bovine serum (Invitrogen Life Technologies, Carlsbad, CA, USA), plus 1% penicillin and streptomycin (Gibco Life Technologies). The culture medium was replaced every second day. The chondrocytic phenotype of the cultured cells was confirmed by positive immunostaining for type II collagen. Briefly, cells cultured on glass slides were incubated overnight at 4&#x000B0;C with anti-rat type II collagen (1:300 dilution; cat. no. ab34712; Abcam, Cambridge, UK), and immunostaining was performed using immunostaining reagent (Dolichos bifows agglutini Immunohistochemistry kit; Wuhan Boster Biological Technology, Ltd., Wuhan, China), according to the manufacturer's instructions. Positive immunostaining of collagen II was detected using an inverted fluorescence microscope (IX70; Olympus, Tokyo, Japan). Toluidine blue staining (Shanghai Chemical Reagent Co., Ltd., Shanghai, China) of glycosaminoglycans was also conducted. First-passage chondrocytes were used in all experiments.</p></sec>
<sec>
<title>Chondrocyte treatment</title>
<p>First-passage chondrocytes were trypsinized and seeded into six-well plates (3&#x000D7;10<sup>5</sup> cells/well) for 24 h. Chondrocytes were maintained in serum-deficient DMEM for 24 h and subjected to a variety of treatments. Chondrocytes were cultured with or without 10 <italic>&#x000B5;</italic>g/ml recombinant human TGF-&#x003B2;1 (Perprotech, Rocky Hill, NJ, USA) for 48 h. Type II collagen and aggrecan expression was evaluated by reverse transcription quantitative polymerase chain reaction (RT-qPCR) and western blotting. Chondrocytes were cultured with 10 <italic>&#x000B5;</italic>g/ml TGF-&#x003B2;1. Following 0, 1, 5, 10, 15, 30, 60 and 180 min of incubation, phosphorylated (p)-Smad3, Smad2/3, p-ERK1/2, and ERK1/2 levels were examined by western blotting. For inhibition studies, chondrocytes were pre-treated in serum-free medium with or without TGF-&#x003B2; receptor I (ALK5) kinase inhibitor SB525334 (1 <italic>&#x000B5;</italic>M; Selleckchem, Houston, TX, USA), the pharmacological ERK1/2 inhibitor PD98059 (10 <italic>&#x000B5;</italic>M; Promega Corporation, Madison, WI, USA), and pharmacological Smad3 phosphorylation inhibitor SIS3 (10 <italic>&#x000B5;</italic>M; Santa Cruz Biotechnology, Inc. Dallas, TX, USA) for 60 min and then stimulated with or without 10 <italic>&#x000B5;</italic>g/ml TGF-&#x003B2;1 for 48 h. Expression of type II collagen and aggrecan was evaluated by RT-qPCR and western blotting. To examine the involvement of the ERK1/2 and Smad signaling pathways, chondrocytes were pre-treated in serum-free medium with SB525334, PD98059 or SIS3 for 60 min, followed by stimulation with 10 <italic>&#x000B5;</italic>g/ml TGF-&#x003B2;1. Following 0, 1, 5, 10, 15, 30, 60 or 180 min of incubation, p-Smad3, Smad2/3, p-ERK1/2, and ERK1/2 levels were examined by western blotting.</p></sec>
<sec>
<title>RNA extraction and RT-qPCR</title>
<p>Total RNA was extracted from chondrocytes using TRIzol reagent (Invitrogen Life Technologies) according to the manufacturer's instructions. For first-strand cDNA synthesis, 2 <italic>&#x000B5;</italic>g mRNA was reverse-transcribed using the Reverse Transcriptase Moloney murine leukemia virus (M-MLV) cDNA Synthesis kit (Takara, Tokyo, Japan) according to the manufacturer's instructions. Briefly, a 12-<italic>&#x000B5;</italic>l reaction mixture containing 2 <italic>&#x000B5;</italic>l oligo d(T)18 primer (50 <italic>&#x000B5;</italic>M), 2 <italic>&#x000B5;</italic>g total RNA and RNase-free dH<sub>2</sub>O was incubated at 70&#x000B0;C for 10 min. Subsequently, 1 <italic>&#x000B5;</italic>l deoxynucleotide triphosphate mixture (10 mM each), 4 <italic>&#x000B5;</italic>l 5X M-MLV buffer, 0.5 <italic>&#x000B5;</italic>l ribonuclease inhibitor (40 U/<italic>&#x000B5;</italic>l), 1 <italic>&#x000B5;</italic>l reverse transcriptase M-MLV (RNase H-free; 200 U/<italic>&#x000B5;</italic>l) and RNase-free dH<sub>2</sub>O were added to a final volume of 20 <italic>&#x000B5;</italic>l and the mixture was incubated for 60 min at 42&#x000B0;C. Next, the reaction was inactivated by heating at 70&#x000B0;C for 15 min. Subsequently, 2 ml of the 20 ml reverse transcription reaction was subjected to PCR amplification using PCR Master Mix (cat. no. M7502, Promega Corporation) with initial denaturation at 95&#x000B0;C for 10 min, then 35 cycles of 94&#x000B0;C for 30 sec, 60&#x000B0;C for 30 sec and 72&#x000B0;C for 45 sec. Products were quantified using a melting curve analysis. Amplification of GAPDH was performed to quantify PCR products and confirm the use of equal amounts of RNA. Relative gene expression was analyzed using the 2<sup>&#x00394;&#x00394;Ct</sup> method (<xref rid="b13-mmr-12-04-5573" ref-type="bibr">13</xref>). Primer sequences (Shanghai Sangon Biotechnology Co., Ltd., Shanghai, China) of rat genes were as follows: Type II collagen forward, 5&#x02032;-TCCTAAGGGTGCCAATGGTGA-3&#x02032;, and reverse, 5&#x02032;-GGACCAACTTTGCCTTGAGGAC-3&#x02032;; aggrecan forward, 5&#x02032;-TCCGCTGGTCTGATGGACAC-3&#x02032;, and reverse, 5&#x02032;-CCAGATCATCACTACGCAGTCCTC-3&#x02032;; and GAPDH forward, 5&#x02032;-CAAGTTCAACGGCACAGTCAAG-3&#x02032;, and reverse, 5&#x02032;-ACATACTCAGCACCAGCATCAC-3&#x02032;.</p></sec>
<sec>
<title>Protein extraction and western blot analysis</title>
<p>Whole-cell lysates were prepared using radioimmunoprecipitation assay buffer &#x0005B;50 mM Tris-HCl (pH 7.4), 150 mM NaCl, 1% Triton X-100, 0.1% SDS, 2 mM EDTA and 2 mM phenylmethanesulfonylfluoride&#x0005D; in the presence of protease and phosphatase inhibitors. For the detection of p-Smad3, Smad2/3, p-ERK1/2, ERK1/2 and aggrecan protein levels, equal amounts of total cellular extracts from rat chondrocytes were then loaded on a 10% SDS-polyacrylamide gel, subjected to electrophoresis and transferred to polyvinylidene fluoride membranes (EMD Millipore, Billerica, MA, USA) by electroblotting. For type II collagen protein levels, equal amounts of total cellular extracts were separated by 8% SDS-polyacrylamide gel electrophoresis. Membranes were then blocked with 5% skimmed milk. Polyclonal anti-rat type II collagen (1:5,000 dilution; cat. no. ab34712; Abcam), polyclonal anti-rat aggrecan (1:200 dilution; cat. no. 251591; Abbiotec, San Diego, CA, USA), monoclonal anti-rat p-Smad3 (1:1,000 dilution; cat. no. ab52903; Abcam), polyclonal anti-rat Smad2/3 (1:500 dilution; cat. no. R-1002&#x02013;100; Novus, Littleton, CO, USA), monoclonal anti-rat p-ERK1/2 (1:1,000 dilution; cat. no. ab32538; Abcam) and polyclonal anti-rat ERK1/2 antibody (1:1,000; cat. no. 9102; Cell Signaling Technology Inc., Danvers, MA, USA) were incubated with the membranes overnight at 4&#x000B0;C. The membranes were then washed and reacted with secondary horseradish peroxidase-conjugated secondary antibody &#x0005B;donkey anti-rabbit immunoglobulin G for type II collagen, aggrecan, p-Smad3, Smad2/3, p-ERK1/2, and ERK1/2 (1:2,000; cat. no. sc-2305; Santa Cruz Biotechnology, Inc.)&#x0005D; at room temperature for 2 h. Finally, protein bands were visualized by chemiluminescence (EMD Millipore) using the Tanon 4200 SF Imaging Analysis system (Tanon Science and Technology Co., Ltd., Shanghai, China). Western blots were re-probed with a monoclonal anti-GAPDH antibody (1:1,000 dilution; cat. no. 2118; Cell Signaling Technology Inc.) as a control.</p></sec>
<sec>
<title>Statistical analysis</title>
<p>All experiments were performed three times and the results are expressed as the mean &#x000B1; standard deviation. Statistical significance was determined using the Mann-Whitney U test or Kruskal-Wallis analysis of variance test, when appropriate, using SPSS 13.0 statistical software (SPSS, Inc., Chicago, IL, USA). P&lt;0.05 was considered to indicate a statistically significant difference between values.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>ERK1/2 and Smad2/3 signaling pathways mediate TGF-&#x003B2;1-stimulated type II collagen and aggrecan expression in rat chondrocytes</title>
<p>To confirm that TGF-&#x003B2;1 induced upregulation of type II collagen and aggrecan expression in chondrocytes, rat chondrocytes were cultured with or without TGF-&#x003B2;1 for 48 h. RT-qPCR and western blotting were then performed to examine the expression of type II collagen and aggrecan. As shown in <xref rid="f1-mmr-12-04-5573" ref-type="fig">Fig. 1A and B</xref>, significant upregulation of type II collagen and aggrecan occurred following treatment with TGF-&#x003B2;1. Western blotting also indicated that type II collagen and aggrecan protein levels were increased following TGF-&#x003B2;1 treatment (<xref rid="f1-mmr-12-04-5573" ref-type="fig">Fig. 1C</xref>). These results confirmed that TGF-&#x003B2;1 stimulated type II collagen and aggrecan expression in rat chondrocytes.</p>
<p>Furthermore, it was evaluated whether the ERK1/2 and Smad2/3 signaling pathways were involved in TGF-&#x003B2;1 stimulation of type II collagen and aggrecan. Rat chondrocytes were cultured in the presence of TGF-&#x003B2;1, and at the indicated time-points, the activation of ERK1/2 and phosphorylation of Smad3 were examined by western blotting. <xref rid="f1-mmr-12-04-5573" ref-type="fig">Fig. 1D</xref> demonstrates that TGF-&#x003B2;1 induced rapid phosphorylation of ERK1/2 and Smad3. These observations suggested that the ERK1/2 and Smad2/3 signaling pathways may have an important role in TGF-&#x003B2;1-stimulated type II collagen and aggrecan induction in rat chondrocytes.</p></sec>
<sec>
<title>Blockade of TGF-&#x003B2;1 receptor represses the stimulation of type II collagen and aggrecan expression</title>
<p>To further investigate the involvement of the ERK1/2 and Smad2/3 signaling pathways in TGF-&#x003B2;1-induced type II collagen and aggrecan expression, chondrocytes were pre-treated with or without ALK5 kinase inhibitor SB525334 and then stimulated with or without TGF-&#x003B2;1. After 48 h, RT-qPCR and western blotting confirmed that TGF-&#x003B2;1 stimulated type II collagen and aggrecan expression was inhibited by SB525334 (<xref rid="f2-mmr-12-04-5573" ref-type="fig">Fig. 2A&#x02013;C</xref>). At the indicated time-points, western blotting demonstrated that phosphorylation of ERK1/2 and Smad3 was blocked by SB525334 (<xref rid="f2-mmr-12-04-5573" ref-type="fig">Fig. 2D</xref>). These results further validated the role of the ERK1/2 and Smad2/3 signaling pathways in type II collagen and aggrecan induction by TGF-&#x003B2;1.</p></sec>
<sec>
<title>Blockade of TGF-&#x003B2;1-stimulated type II collagen and aggrecan expression by inhibition of ERK1/2 signaling</title>
<p>Next, the the role of ERK1/2 in type II collagen and aggrecan induction by TGF-&#x003B2;1 was examined. Chondrocytes were pre-treated with or without ERK1/2 inhibitor PD98059 followed by culture with or without TGF-&#x003B2;1 for 48 h. RT-qPCR and western blotting revealed that TGF-&#x003B2;1-induced expression of type II collagen and aggrecan was significantly suppressed in the presence of PD98059 (<xref rid="f3-mmr-12-04-5573" ref-type="fig">Fig. 3A&#x02013;C</xref>). ERK1/2 signaling pathway activation was then assessed in chondrocytes pre-treated with PD98059 followed by culture with TGF-&#x003B2;1. Activation of the ERK1/2 signaling pathway was inhibited by PD98059 (<xref rid="f3-mmr-12-04-5573" ref-type="fig">Fig. 3D</xref>). These results suggested that the ERK1/2 signaling pathway may have an important role in type II collagen and aggrecan induction by TGF-&#x003B2;1.</p></sec>
<sec>
<title>Blockade of TGF-&#x003B2;1-stimulated type II collagen and aggrecan expression by inhibition of p-Smad3</title>
<p>To determine whether the Smad2/3 signaling pathway affected TGF-&#x003B2;1-induced type II collagen and aggrecan, SIS3 was used to suppress Smad3 phosphorylation. First, chondrocytes were cultured with or without TGF-&#x003B2;1 for 48 h following pre-treatment with or without SIS3. RT-qPCR and western blotting indicated that TGF-&#x003B2;1-induced type II collagen and aggrecan expression were significantly inhibited by SIS3 (<xref rid="f4-mmr-12-04-5573" ref-type="fig">Fig. 4A&#x02013;C</xref>). Next, chondrocytes were treated with TGF-&#x003B2;1 following pre-treatment with SIS3. At the indicated time-points, western blotting showed that Smad3 phosphorylation was markedly suppressed by SIS3 (<xref rid="f4-mmr-12-04-5573" ref-type="fig">Fig. 4C</xref>). These results suggested that the Smad2/3 signaling pathway may also have an important role in type II collagen and aggrecan induction by TGF-&#x003B2;1.</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>TGF-&#x003B2; exerts profound effects on cellular proliferation, differentiation and modulation of ECM, regulating the anabolic process of articular cartilage and preventing cartilage degradation. It can stimulate full-depth explants of human OA knee articular cartilage to expression of type II collagen and aggrecan (<xref rid="b1-mmr-12-04-5573" ref-type="bibr">1</xref>). A study found that adenoviral vector-mediated gene transduction of TGF-&#x003B2;1 increased type II collagen and aggrecan expression in normal and osteoarthritic human chondrocytes (<xref rid="b2-mmr-12-04-5573" ref-type="bibr">2</xref>). In addition, in bovine articular chondrocytes, transgene-mediated TGF-&#x003B2; overexpression increased type II collagen and aggrecan expression (<xref rid="b14-mmr-12-04-5573" ref-type="bibr">14</xref>). In analogy with this the present study showed that TGF-&#x003B2;1 significantly induced type II collagen and aggrecan expression in rat chondrocytes. These results suggested that TGF-&#x003B2;1 regulates the anabolic metabolism of articular cartilage and prevents cartilage degradation.</p>
<p>TGF-&#x003B2;1 signals are transmitted through phosphorylation of the Smad2/3 by activation of type I (TGF-&#x003B2;RI) and type II (TGF-&#x003B2;RII) receptors (<xref rid="b15-mmr-12-04-5573" ref-type="bibr">15</xref>&#x02013;<xref rid="b17-mmr-12-04-5573" ref-type="bibr">17</xref>). Phosphorylated Smad2 and Smad3 form hetero-oligomeric complexes with Smad4 and migrate to the nucleus, where they regulate the transcription of target genes (<xref rid="b17-mmr-12-04-5573" ref-type="bibr">17</xref>&#x02013;<xref rid="b19-mmr-12-04-5573" ref-type="bibr">19</xref>). TGF-&#x003B2; also activates ERK1/2 to regulate the expression of target genes and cellular proliferation (<xref rid="b20-mmr-12-04-5573" ref-type="bibr">20</xref>&#x02013;<xref rid="b23-mmr-12-04-5573" ref-type="bibr">23</xref>). Either or both the ERK1/2 or Smad2/3 signaling pathways are involved in TGF-&#x003B2;1 sub-family-induced type II collagen gene expression (<xref rid="b24-mmr-12-04-5573" ref-type="bibr">24</xref>&#x02013;<xref rid="b26-mmr-12-04-5573" ref-type="bibr">26</xref>). The results of the present study revealed that TGF-&#x003B2;1 rapidly induced phosphorylation of ERK1/2 and Smad3, suggesting that activation of ERK1/2 as well as Smad2/3 signaling may account for TGF-&#x003B2;1-induced type II collagen and aggrecan expression. Furthermore, the present study demonstrated that the ALK5 inhibitor SB525334 significantly impaired TGF-&#x003B2;1-induced type II collagen and aggrecan expression. In addition, SB525334 suppressed TGF-&#x003B2;1-stimulated phosphorylation of ERK1/2 and Smad3. In conclusion, these results strongly implicated ERK1/2 and Smad2/3 signaling in TGF-&#x003B2;1-induced type II collagen and aggrecan expression.</p>
<p>Additional evidence of a role for ERK1/2 signaling in TGF-&#x003B2;1-induced type II collagen and aggrecan expression was provided by the finding that PD98059 significantly inhibited TGF-&#x003B2;1-induced type II collagen and aggrecan expression. Furthermore, TGF-&#x003B2;1-stimulated phosphorylation of ERK1/2 was inhibited by PD98059. This indicated that activation of ERK1/2 signaling is an essential mechanism by which TGF-&#x003B2;1 induces type II collagen and aggrecan expression. Therefore, inhibition of ERK1/2 signaling may impair TGF-&#x003B2;1-stimulated anabolic metabolism of articular cartilage. The present study also investigated inhibition of Smad2/3 signaling pathway in TGF-&#x003B2;1-induced type II collagen and aggrecan expression in rat chondrocytes using SIS3, a specific inhibitor of Smad3 phosphorylation. The results showed that TGF-&#x003B2;1-induced type II collagen and aggrecan expression was significantly impaired by SIS3. Furthermore, TGF-&#x003B2;1-stimulated phosphorylation of Smad3 was suppressed by SIS3. These results further suggested a crucial role for Smad2/3 signaling in the regulation of TGF-&#x003B2;1-induced type II collagen and aggrecan expression.</p>
<p>The results of the present study strongly implicated the ERK1/2 and Smad2/3 signaling pathways in TGF-&#x003B2;1-induced type II collagen and aggrecan expression. The results provided a functional link between ECM proteins, TGF-&#x003B2;1 activity and disease, suggesting novel therapeutic opportunities for intervention in osteoarthritis. The ERK1/2 signaling pathway transduces signals from the cell membrane to the nucleus in response to a variety of stimuli, controlling a wide spectrum of cellular processes, including growth, differentiation and the expression of multiple genes. It is well documented that interleukin (IL)-1&#x003B2; is an important mediator of cartilage destruction during the OA process. IL-1&#x003B2; selectively induces ERK1/2 activation and stimulates the production of matrix metalloproteinases and aggrecanases (<xref rid="b27-mmr-12-04-5573" ref-type="bibr">27</xref>,<xref rid="b28-mmr-12-04-5573" ref-type="bibr">28</xref>), which may contribute to cartilage loss and induce degradation of cartilage. This suggests that ERK1/2 signaling may have an important role in IL-1-induced degradation of cartilage. A previous study by our group showed such a requirement of ERK1/2 pathways for IL-&#x003B2; inhibition of type II collagen and aggrecan in human chondrocytes (<xref rid="b12-mmr-12-04-5573" ref-type="bibr">12</xref>). Therefore, ERK1/2 represents a potential therapeutic drug target for OA.</p>
<p>PD98059 prevents cyclosporine A-induced nuclear trans-location of Smad2/3 and apoptosis in renal proximal tubular cells, suggesting the existence of crosstalk between ERK1/2 and Smad2/3 (<xref rid="b29-mmr-12-04-5573" ref-type="bibr">29</xref>). ERK1/2 is also capable of phosphorylating Smads (<xref rid="b30-mmr-12-04-5573" ref-type="bibr">30</xref>). Based on the results of the present study, exploiting ERK1/2 as a therapeutic drug target for OA may lead to decreased TGF-&#x003B2;1-induced anabolic metabolism or impaired repair responses in chondrocytes through inhibition of ERK1/2 and indirect inhibition of Smad2/3. Although TGF-&#x003B2;1 and IL-&#x003B2; have opposing effects on type II collagen and aggrecan expression, they exert their effects through the same signaling pathway, possibly by activating different downstream transcription factors. Further studies are required to examine the downstream transcription factors influenced by ERK1/2 activation by various stimuli.</p>
<p>In conclusion, the present study showed that the ERK1/2 and Smad2/3 signaling pathways are required for the induction of type II collagen and aggrecan expression by TGF-&#x003B2;1. This regulation of type II collagen and aggrecan expression may be pivotal in TGF-&#x003B2;-induced ECM protein synthesis and maintenance, and in the cartilage repair response. In addition, although inhibition of ERK1/2 signaling represents a valuable potential therapeutic drug target for OA (<xref rid="b12-mmr-12-04-5573" ref-type="bibr">12</xref>), the side effects of suppression of TGF-&#x003B2;1-induced metabolism of articular cartilage should be considered.</p></sec></body>
<back>
<ack>
<title>Acknowledgments</title>
<p>The present study was supported by the National Natural Science Foundation of China (grant no. 81101380).</p></ack>
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<floats-group>
<fig id="f1-mmr-12-04-5573" position="float">
<label>Figure 1</label>
<caption>
<p>TGF-&#x003B2;1-stimulated type II collagen and aggrecan expression is mediated via ERK1/2 and Smad2/3 signaling pathways. (A and B) Type II collagen and aggrecan mRNA levels. Values are expressed as the mean &#x000B1; standard deviation. <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01 vs. control. (C) Type II collagen and aggrecan protein levels as evaluated by western blot analysis. (D) At the indicated time-points, ERK1/2, p-ERK1/2, p-Smad3, and Smad2/3 levels were assessed by western blotting. The blots were stripped and re-probed with regular antibodies to detect the total amount of the respective proteins. p-ERK, phosphorylated extracellular signal-regulated kinase; TGF, transforming growth factor.</p></caption>
<graphic xlink:href="MMR-12-04-5573-g00.jpg"/></fig>
<fig id="f2-mmr-12-04-5573" position="float">
<label>Figure 2</label>
<caption>
<p>Inhibition of ERK1/2 and Smad2/3 signaling prevents TGF-&#x003B2;1-stimulated type II collagen and aggrecan expression. (A and B) Type II collagen and aggrecan mRNA levels. Values are expressed as the mean &#x000B1; standard deviation. <sup>&#x0002A;</sup>P&lt;0.01; <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01. (C) Type II collagen and aggrecan protein levels as evaluated by western blot analysis. (D) Chondrocytes were treated with TGF-&#x003B2;1 following pre-treatment with TGF-&#x003B2; receptor I kinase inhibitor SB525334. At the indicated time-points, ERK1/2, p-ERK1/2, p- Smad3, and Smad2/3 levels were determined by western blotting. The blots were stripped and re-probed with regular antibodies to detect the total amount of the respective proteins. p-ERK, phosphorylated extracellular signal-regulated kinase; TGF, transforming growth factor.</p></caption>
<graphic xlink:href="MMR-12-04-5573-g01.jpg"/></fig>
<fig id="f3-mmr-12-04-5573" position="float">
<label>Figure 3</label>
<caption>
<p>Blockade of TGF-&#x003B2;1-stimulated type II collagen and aggrecan expression by inhibition of the ERK1/2 pathway. (A and B) Type II collagen and aggrecan mRNA levels. Values are expressed as the mean &#x000B1; standard deviation. <sup>&#x0002A;</sup>P&lt;0.05. (C) Type II collagen and aggrecan protein levels as evaluated by western blot analysis. (D) Chondrocytes were treated with TGF-&#x003B2;1 following pre-treatment with ERK1/2 inhibitor PD98059. At the indicated time-points, p-ERK1/2 and ERK1/2 levels were measured by western blotting. The blots were stripped and re-probed with regular antibodies to detect the total amount of the respective proteins. p-ERK, phosphorylated extracellular signal-regulated kinase; TGF, transforming growth factor.</p></caption>
<graphic xlink:href="MMR-12-04-5573-g02.jpg"/></fig>
<fig id="f4-mmr-12-04-5573" position="float">
<label>Figure 4</label>
<caption>
<p>Blockade of TGF-&#x003B2;1-stimulated type II collagen and aggrecan expression by inhibition of p-Smad3. (A and B) Type II collagen and aggrecan mRNA levels. Values are expressed as the mean &#x000B1; standard deviation. P&lt;0.05, <sup>&#x0002A;&#x0002A;</sup>P&lt;0.01. (C) Type II collagen and aggrecan protein levels as evaluated by western blot analysis. (D) Chondrocytes were treated with TGF-&#x003B2;1 following pre-treatment with Smad3 phosphorylation inhibitor SIS3. At the indicated time-points, p-Smad3 and Smad2/3 levels were assessed by western blotting. The blots were stripped and re-probed with regular antibodies to detect the total amount of the respective proteins. TGF, transforming growth factor; p, phosphorylated.</p></caption>
<graphic xlink:href="MMR-12-04-5573-g03.jpg"/></fig></floats-group></article>
