Molecular Medicine Reports Molecular Medicine Reports 1791-2997 1791-3004 D.A. Spandidos 10.3892/mmr.2018.8425 mmr-17-03-4753 Articles Tormentic acid inhibits IL-1β-induced chondrocyte apoptosis by activating the PI3K/Akt signaling pathway YangYang 1 * WangYawei 2 * ZhaoMeng 3 JiaHaobo 1 LiBing 1 XingDan 1 Department of Orthopedics, Tianjin Hospital, Tianjin 300211, P.R. China Department of Electromyography, Tianjin Hospital, Tianjin 300211, P.R. China Clinical Laboratory, National Clinical Research Center for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin Medical University Cancer Institute and Hospital, Tianjin 300060, P.R. China Correspondence to: Dr Bing Li or Dr Dan Xing, Department of Orthopedics, Tianjin Hospital, 406 Jiefang South Road, Tianjin 300211, P.R. China, E-mail: bingli_orth@163.com, E-mail: xingdan@bjmu.edu.cn

Contributed equally

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Interleukin-1β (IL-1β) accelerates degradation of the cartilage matrix and induces apoptosis of chondrocytes. Tormentic acid (TA) is a triterpene isolated from the stem bark of the Vochysia divergens plant, which has been demonstrated to exert in vitro inhibitory activity against hepatocyte apoptosis. However, the effects of TA on IL-1β-induced apoptosis of human chondrocytes remain unclear. Therefore, the present study investigated the in vitro effects of TA on human osteoarthritic chondrocyte apoptosis cultivated in the presence of IL-1β. Human chondrocytes were pretreated with or without various concentrations of TA and then co-incubated in the absence or presence of IL-1β for 24 h. Cell viability was determined using the MTT assay, and cell apoptosis was detected using a Nucleosome ELISA kit. Caspase-3 activity was detected using a caspase-3 colorimetric assay kit. The levels of B-cell lymphoma 2 (Bcl-2)-associated X protein (Bax), Bcl-2, phosphorylated (p)-phosphoinositide 3-kinase (PI3K), PI3K, p-protein kinase B (Akt) and Akt were measured by western blotting. The results revealed that pretreatment with TA inhibited IL-1β-induced cytotoxicity and apoptosis in chondrocytes. In addition, TA pretreatment increased B-cell lymphoma (Bcl)-2 expression, and decreased caspase-3 activity and Bax expressionin human chondrocytes. In addition, pretreatment with TA markedly increased the expression of p-PI3K and p-Akt in IL-1β-induced chondrocytes. Collectively, these results indicate that TA inhibits IL-1β-induced chondrocyte apoptosis by activating the PI3K/Akt signaling pathway. Therefore, TA may be considered a potential therapeutic target for the treatment of osteoarthritis.

 tormentic acid chondrocyte apoptosis interleukin-1β phosphoinositide 3-kinase/protein kinase B signaling pathway Introduction

Osteoarthritis is a common arthritic disease in the elderly, which is characterized by progressive destruction of articular cartilage, synovial inflammation, subchondral bone exposure and the formation of osteophytes (1). Although some drugs have been demonstrated to reduce symptoms and slow the progression of osteoarthritis, there are currently no effective pharmacological treatments available to cure osteoarthritis.

Chondrocytes are the only cells that form the articular cartilage; therefore, apoptosis of chondrocytes is a critical step in the pathogenesis of osteoarthritis (2). Previous studies have revealed that osteoarthritic chondrocytes exhibit a loss of mitochondrial function, which precedes the classical signs of apoptosis (3–5). Interleukin-1β (IL-1β) is a cytokine secreted by synovial cells and macrophages, which serves an important role in amplifying inflammation in osteoarthritis (6,7). In response to IL-1β, chondrocytes secrete proinflammatory cytokines, chemokines, neutral metalloproteinases and nitric oxide (NO) (8). IL-1β has previously been demonstrated to increase apoptosis in osteoarthritic chondrocytes (9,10).

Tormentic acid (TA), which is a triterpene isolated from the stem bark of the Vochysia divergens plant, has been reported to exhibit anticancer, antioxidant, anti-inflammatory and antiallodynic properties (11–13). An et al (14) reported that TA inhibited the expression of lipopolysaccharide-induced tumor necrosis factor (TNF)-α, inducible NO synthase and cyclooxygenase 2 in RAW264.7 cells. In addition, TA has exhibited in vitro inhibitory activity against hepatocyte apoptosis by decreasing the levels of cytochrome c, as well as caspases-3, −8 and −9 (15). However, the effects of TA on IL-1β-induced apoptosis of human chondrocytes remain unclear. Therefore, the present study investigated the in vitro effects of TA on the apoptosis of IL-1β-treated human osteoarthritic chondrocytes.

 Materials and methods <sec> <title>Culture of human articular cartilage chondrocytes

Chondrocytes were isolated from cartilage as previously described (16). The cartilage was dissected and crushed into small pieces. The slices were digested primarily with 1% pronase (Sigma-Aldrich; Merck KGaA, Darmstadt, Germany) for 2 h at 37°C and subsequently with 0.2% (v/v) collagenase (Sigma-Aldrich; Merck KGaA) for 4 h at 37°C. Primary chondrocytes were cultured in Dulbecco's Modified Eagle Medium (DMEM; Invitrogen; Thermo Fisher Scientific, Inc., Waltham, MA, USA) supplemented with 10% fetal bovine serum (FBS; Invitrogen; Thermo Fisher Scientific, Inc.), 100 U/ml penicillin and 100 mg/ml streptomycin(Sigma-Aldrich; Merck KGaA) at 1×106 cells/ml in a 25-cm2 plastic culture flask at 37°C in an atmosphere containing 5% CO2. Once cells reached 80% confluence, they were passaged; chondrocytes from passage one were used for subsequent experiments. Cartilage samples were derived from eight patients (female; age, 64.3±5.2 years) with end-stage osteoarthritisin Tianjin Hospital between May 2014 and October 2015. Informed written consent was obtained from patients and the present study was approved by the Ethics Committee of Tianjin Hospital (Tianjin, China).

 Cell treatment

Human chondrocytes (1×104 cells/well) in 96-well plates were pretreated with various concentrations (2.5, 5 and 10 µM) of TA (Sigma-Aldrich; Merck KGaA) for 2 h and then co-incubated in the absence or presence of IL-1β (10 ng/ml; Sigma-Aldrich; Merck KGaA) for 24 h at 37°C. Chondrocytes exposed to medium alone at room temperature served as the control group.

 Cell viability assay

A 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay was used to detect cell viability. Briefly, chondrocytes at a density of 1×104 cells/well were plated in 96-well culture plates. Following treatment, MTT was added to the cells at a final concentration of 0.5 mg/ml and incubated for 4 h at 37°C. Subsequently, the supernatant was removed, and the crystals were dissolved in 100 µl dimethyl sulfoxide (Sigma-Aldrich; Merck KGaA). The absorbance was measured at 490 nm using a Bio-Rad microplate reader (Bio-Rad Laboratories Inc., Hercules, CA, USA).

Nucleosome ELISA assay for the detection of apoptosis. The apoptosis of human chondrocytes was detected using a Nucleosome ELISA kit (catalog no. KA1091; Abnova, Taipei, Taiwan) according to the manufacturer's protocol. Following treatment, chondrocytes were lysed in lysis buffer and the homogenates were centrifuged at 10,000 × g at 4°C for 30 min to remove large genomic DNA. The supernatant was added to ELISA plates coated with anti-histone antibodies and incubated with a peroxidase-conjugated anti-DNA antibody at 37°C for 1 h. Nucleosome detection was based on a colorimetric change in substrate added to the wells following conjugation.

 Measurement of caspase activity

Caspase-3 activity was detected usingacaspase-3 colorimetric assay kit (catalog no. E13183; Invitrogen; Thermo Fisher Scientific, Inc.). Briefly, following treatment, chondrocytes were lysed in lysis buffer and centrifuged at 10,000 × g for 1 min, and the supernatants were collected. Subsequently, equal amounts of protein were reacted with the aminomethylcoumarin (AMC)-derived substrate Z-DEVD-AMC at 37°C for 90 min. The activity of caspase-3 was determined using a plate reader set at 405 nm.

 Western blot analysis

Chondrocytes were lysed in 100 µl lysis buffer (1% Triton X-100, 1% deoxycholic acid, 20 mM NaCl and 25 mM Tris; pH 7.4). The cell lysate supernatants were harvested by centrifugation at 10,000 × g for 10 min at 4°C. Protein concentrations of the cell supernatants were measured using a bicinchoninic acid protein assay kit. Equal amounts of protein (30 µg) were separated by 12% SDS-PAGE and transferred onto a nitrocellulose membrane (Bio-Rad Laboratories, Inc.). Following blocking with 5% non-fat milk in Tris-buffered saline (TBS) with 0.1% Tween-20 (TBST) at room temperature for 1 h, the blots were incubated with primary antibodies overnight at 4°C. The following antibodies were used: Mouse anti-B-cell lymphoma (Bcl)-2 (dilution, 1:1,000; catalog no. sc-7382), mouse anti-Bcl-2-associated X protein (Bax; dilution, 1:1,000; catalog no. sc-7480), rabbit anti-phosphorylated (p)-phosphoinositide 3-kinase (PI3K; dilution, 1:1,500; catalog no. sc-293115), mouse anti-PI3K (dilution, 1:1,500; catalog no. sc-71892), mouse anti-p-protein kinase B(p-Akt; dilution, 1:1,000; catalog no. sc-52940), mouse anti-Akt (dilution, 1:1,000; catalog no. sc-5298) and mouse anti-GAPDH (dilution, 1:3,000; catalog no. sc-365062). All primary antibodies were purchased from Santa Cruz Biotechnology, Inc. (Dallas, TX, USA). Subsequently, the membranes were incubated with rabbit anti-mouse (dilution, 1:3,000; catalog no. 61–6520) or goat anti-rabbit (dilution, 1:3,000; catalog no. 65–6120) immunoglobulin G-horseradish peroxidase-labeled secondary antibodies(Invitrogen; Thermo Fisher Scientific, Inc.) at room temperature for 1 h. Finally, protein bands were visualized using an enhanced chemiluminescence kit (Amersham; GE Healthcare Life Sciences, Little Chalfont, UK). Semi-quantitative analysis was performed using Gel-Pro Analyzer version 4.0 software (Media Cybernetics, Inc., Rockville, MD, USA).

 Statistical analysis

Data was analyzed using SPSS software version 13.0 (SPSS, Inc., Chicago, IL, USA). Results from at least three independent experiments were expressed as the mean ± standard deviation. Differences were analyzed using a Student's t-test or one-way analysis of variance followed by Tukey's posthoc test. P<0.05 was considered to indicate a statistically significant difference.

 Results <sec> <title>Effects of TA on human chondrocyte viability

The effects of TA on IL-1β-stimulated human chondrocytes were evaluated using an MTT assay. As shown in Fig. 1A, human chondrocyte cell viability was unaffected by TA. Following incubation with IL-1β (10 ng/ml), cell viability was significantly decreased in human chondrocytes. However, when IL-1β-stimulated chondrocytes were pretreated with various doses of TA for 2 h, cell viability increased significantly (Fig. 1B).

 TA suppresses IL-1β-induced apoptosis of chondrocytes

A Nucleosome ELISA assay was performed to measure the effects of TA on apoptosis of IL-1β-stimulated human chondrocytes. The results revealed that IL-1β treatment significantly induced chondrocyte apoptosis. However, TA pretreatment significantly inhibited apoptosis induced by IL-1β (Fig. 2A). Caspase-3 activity was also determined in the various groups using the caspase-3 colorimetric assay kit. As shown in Fig. 2B, TA significantly suppressed IL-1β-induced caspase-3 activation in human chondrocytes.

 TA promotes anti-apoptotic protein and inhibits proapoptotic protein expression in chondrocytes

To evaluate whether TA modulates the expression of apoptosis-associated proteins, the effects of TA on Bax and Bcl-2 expression in IL-1β-stimulated human chondrocytes were investigated by western blot analysis. The results demonstrated that IL-1β significantly increased the expression of Bax protein and inhibited the expression of Bcl-2 protein. Conversely, in the TA-pretreated group, Bax expression was downregulated and the expression of Bcl-2 was upregulated in human chondrocytes (Fig. 3).

 TA reduces IL-1β-induced apoptosis of human chondrocytes via the PI3K/Akt pathway

The present study also determined whether the PI3K/Akt pathway is associated with the protective effects of TA on IL-1β-induced apoptosis of human chondrocytes. As shown in Fig. 4, the expression levels of p-PI3K and p-Akt were significantly decreased following 24 h of IL-1β stimulation compared with the control group. However, pretreatment with TA for 2 h significantly increased p-PI3K and p-Akt expression in IL-1β-induced chondrocytes.

 Discussion

It has previously been reported that there are significant associations between increasing chondrocyte apoptosis and the severity of osteoarthritis in in vitro and in vivo studies (17–19). Therefore, it is essential to elucidate the molecular mechanisms underlying chondrocyte apoptosis in osteoarthritis. The present study investigated the effects of TA on IL-1β-induced chondrocyte apoptosis, and revealed that TA promotes cell viability and inhibits cell apoptosis in IL-1β-stimulated human chondrocytes.

Proinflammatory cytokines, such as TNF-α and IL-1β, serve important roles in degenerative joint diseases including OA. Previous studies have demonstrated that IL-1β promotes the imbalance between excessive cartilage destruction and cartilage repair (20,21). IL-1β has been widely used to mimic the osteoarthritic microenvironment in in vitro studies (22). In the present study, IL-1β-induced human chondrocytes were chosen as a model to study the protective effects of TA on chondrocytes. A significant decrease in cell viability was observed in IL-1β-stimulated chondrocytes. However, when TA was added to IL-1β-treated chondrocytes, there was a significant restoration in chondrocyte viability.

Chondrocyte apoptosis is responsible for the development and progression of osteoarthritis. During the progression of osteoarthritis, apoptotic cells are the main source of numerous catabolic factors, including proteases, proinflammatory mediators, NO and oxygen radicals (23,24). The present study demonstrated that IL-1β treatment significantly induced chondrocyte apoptosis. These in vitro observations are consistent with previous reports, which revealed that IL-1β suppresses viability and induces apoptotic signaling in human chondrocytes harvested from articular cartilage and osteoarthritic cartilage (4,25). However, TA pretreatment markedly inhibited apoptosis induced by IL-1β.

Caspases area family of cysteine proteases, which act as common death effector molecules in several apoptotic pathways (26). A previous study reported that caspase-3 activity is markedly enhanced in chondrocyte apoptosis induced by IL-1β (27). In addition, the Bax/Bcl-2 family consists of many important regulators of apoptosis; therefore, alterations in the levels of anti- and proapoptotic proteins mayaffect the apoptotic process (28,29). The present study revealed that TA markedly suppressed caspase-3 activity induced by IL-1β in human chondrocytes, and downregulated Bax expression and upregulated Bcl-2 expression in IL-1β-stimulated human chondrocytes. These results indicated that TA exhibited protective effects on human chondrocytes in the presence of IL-1β by inhibiting chondrocyte apoptosis.

Previous studies have suggested that the PI3K/Akt signaling pathway may be involved in the regulation of chondrocyte apoptosis (30–32). p-Akt activates the Bcl-2-associated death promoter protein, a downstream substrate of Akt, leading to the release of Bcl-2 and subsequently, the inhibition of apoptosis (33). Conversely, suppression of PI3K/Akt signaling blocks proteoglycan synthesis in chondrocytes and reduces chondrocyte survival (34,35). The present study demonstrated that pretreatment with TA for 2 h markedly increased p-PI3K and p-Akt expression in chondrocytes treated with IL-1β. These results indicated that TA may inhibit IL-1β-induced chondrocyte apoptosis via activation of the PI3K/Akt signaling pathway.

In conclusion, the results of the present study suggested that TA attenuated IL-1β-induced apoptosis via activation of the PI3K/Akt signaling pathway in human chondrocytes. Therefore, TA may be a potential therapeutic target for the treatment of osteoarthritis.

 Acknowledgements

The present study was funded by the Tianjin Hospital Science Foundation (grant no. TJYY1601) and by the National Natural Science Foundation of China (grant no. 81702208 and 81501919).

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Effects of TA on cell viability in human chondrocytes. (A) Human chondrocytes (1×104 cells/well) in 96-well plates were pretreated with various concentrations of TA (2.5, 5 and 10 µM) for 24 h, and an MTT assay was performed to detect cell viability. (B) Human chondrocytes (1×104 cells/well) in 96-well plates were pretreated with or without various concentrations of TA (2.5, 5 and 10 µM) for 2 h and then co-incubated in the absence or presence of IL-1β (10 ng/ml) for 24 h. Cell viability was determined using an MTT assay. Data are expressed as the mean ± standard deviation of at least three independent experiments. *P<0.05 vs. the control group; #P<0.05 vs. the IL-1β group. TA, tormentic acid; IL-1β, interleukin-1β.

TA suppresses IL-1β-induced apoptosis of chondrocytes. Human chondrocytes (1×104 cells/well) in 96-well plates were pretreated with or without various concentrations of TA (2.5, 5 and 10 µM) for 2 h and then co-incubated in the absence or presence of IL-1β (10 ng/ml) for 24 h. (A) Apoptosis of human chondrocytes was detected using a Nucleosome ELISA kit. (B) Caspase-3 activity was detected using a caspase-3 colorimetric assay kit. Data are expressed as the mean ± standard deviation of at least three independent experiments. *P<0.05 vs. the control group; #P<0.05 vs. the IL-1β group. TA, tormentic acid; IL-1β, interleukin-1β.

TA promotes the expression of anti-apoptotic proteins and inhibits the expression of proapoptotic proteins in chondrocytes. Human chondrocytes (1×104 cells/well) in 96-well plates were pretreated with or without various concentrations of TA (2.5, 5 and 10 µM) for 2 h and then co-incubated in the absence or presence of IL-1β (10 ng/ml) for 24 h. (A) Protein expression levels of Bax and Bcl-2 were measured by western blotting. (B) Semi-quantification analysis was performed using Gel-Pro Analyzer version 4.0 software. Data are expressed as the mean ± standard deviation of at least three independent experiments. *P<0.05 vs. the control group; #P<0.05 vs. the IL-1β group. TA, tormentic acid; IL-1β, interleukin-1β; Bcl-2, B-cell lymphoma 2; Bax, Bcl-2-associated X protein.

TA inhibits IL-1β-induced chondrocyte apoptosis via PI3K/Akt signaling. Human chondrocytes (1×104 cells/well) in 96-well plates were pretreated with or without various concentrations of TA (2.5, 5 and 10 µM) for 2 h and then co-incubated in the absence or presence of IL-1β (10 ng/ml) for 24 h. (A) Equal amounts (30 µg protein/lane) of total proteins were separated by SDS-PAGE and analyzed by immunoblotting with anti-p-PI3K, anti-PI3K, anti-p-Akt and anti-Akt antibodies. Semi-quantification of (B) p-PI3K/PI3K and (C) p-Akt/Akt was conducted. Data are expressed as the mean ± standard deviation of at least three independent experiments. *P<0.05 vs. the control group; #P<0.05 vs. the IL-1β group. TA, tormentic acid; IL-1β, interleukin-1β; PI3K, phosphoinositide 3-kinase; Akt, protein kinase B; p, phosphorylated.