Abstract | BACKGROUND AND PURPOSE: Degenerating cartilage releases potential danger signals that react with Toll-like receptor (TLR) type danger receptors. We investigated the presence and regulation of TLR1, TLR2, and TLR9 in human chondrocytes. METHODS: We studied TLR1, TLR2, TLR4, and TLR9 mRNA (qRT-PCR) and receptor proteins (by immunostaining) in primary mature healthy chondrocytes, developing chondrocytes, and degenerated chondrocytes in osteoarthritis (OA) tissue sections of different OARSI grades. Effects of a danger signal and of a pro-inflammatory cytokine on TLRs were also studied. RESULTS: In primary 2D-chondrocytes, TLR1 and TLR2 were strongly expressed. Stimulation of 2D and 3D chondrocytes with a TLR1/2-specific danger signal increased expression of TLR1 mRNA 1.3- to 1.8-fold, TLR2 mRNA 2.6- to 2.8-fold, and TNF-α mRNA 4.5- to 9-fold. On the other hand, TNF-α increased TLR1 mRNA] expression 16-fold, TLR2 mRNA expression 143- to 201-fold, and TNF-α mRNA expression 131- to 265-fold. TLR4 and TLR9 mRNA expression was not upregulated. There was a correlation between worsening of OA and increased TLR immunostaining in the superficial and middle cartilage zones, while chondrocytes assumed a CD166(×) progenitor phenotype. Correspondingly, TLR expression was high soon after differentiation of mesenchymal stem cells to chondrocytes. With maturation, it declined (TLR2, TLR9). INTERPRETATION: Mature chondrocytes express TLR1 and TLR2 and may react to cartilage matrix/chondrocyte-derived danger signals or degradation products. This leads to synthesis of pro-inflammatory cytokines, which stimulate further TLR and cytokine expression, establishing a vicious circle. This suggests that OA can act as an autoinflammatory disease and links the old mechanical wear-and-tear concept with modern biochemical views of OA. These findings suggest that the chondrocyte itself is the earliest and most important inflammatory cell in OA.
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Authors | Tarvo Sillat, Gonçalo Barreto, Paul Clarijs, Antti Soininen, Mari Ainola, Jukka Pajarinen, Matti Korhonen, Yrjö T Konttinen, Regina Sakalyte, Mika Hukkanen, Pekka Ylinen, Dan C E Nordström |
Journal | Acta orthopaedica
(Acta Orthop)
Vol. 84
Issue 6
Pg. 585-92
(Dec 2013)
ISSN: 1745-3682 [Electronic] Sweden |
PMID | 24237425
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
- RNA, Messenger
- TLR2 protein, human
- TLR9 protein, human
- Toll-Like Receptor 1
- Toll-Like Receptor 2
- Toll-Like Receptor 9
- Toll-Like Receptors
- Tumor Necrosis Factor-alpha
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Topics |
- Cartilage, Articular
(immunology)
- Cell Differentiation
(immunology)
- Cells, Cultured
- Chondrocytes
(immunology, pathology)
- Chondrogenesis
(immunology)
- Female
- Gene Expression Regulation
(immunology)
- Humans
- Male
- Mesenchymal Stem Cells
(cytology, immunology)
- Osteoarthritis, Knee
(immunology, pathology)
- RNA, Messenger
(genetics)
- Severity of Illness Index
- Toll-Like Receptor 1
(biosynthesis, genetics)
- Toll-Like Receptor 2
(biosynthesis, genetics)
- Toll-Like Receptor 9
(biosynthesis, genetics)
- Toll-Like Receptors
(biosynthesis, genetics)
- Tumor Necrosis Factor-alpha
(biosynthesis, genetics, immunology)
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