IGF-II inhibits IL-1β-induced cartilage damage in long bone development +1Tomoya Uchimura, 1Dana Cairns and 1Li Zeng +1Department of Anatomy and Cellular Biology, Tufts University School of Medicine, Boston, MA 02111. [email protected] Introduction: Children with chronic inflammatory conditions such as juvenile rheumatoid arthritis or Crohn’s disease have impaired longitudinal bone growth 1. It is known that the impaired bone growth in these conditions is likely caused by pro-inflammatory cytokines 1. However, the cellular and molecular mechanisms by which these cytokines impair the development of cartilage and bone, as well as the optimal treatment methods remain largely elusive. Our prior work indicated that muscle cell-derived factors attenuate IL-1β and TNFαinduced cartilage damage in a chondrocyte cell line RCS, which led us to hypothesize that factors secreted from muscle cells may modulate pro-inflammatory cytokine-induced cartilage damage during long bone development. Our subsequent work identified IGF-II as a prominent muscle cell-secreted factor. Our objective is to study the effect of proinflammatory cytokine IL-1β and IGF-II on development of long bone growth by performing histological and immunohistochemical analyses on ex vivo cultured developing metatarsal bones. We found that IL-1β treatment caused dramatic changes in the zones of proliferating and hypertrophic chondrocytes, as well as at the articular surface. Strikingly, IGF-II inhibited all IL-1β-induced cartilage damage in these cultured bones suggesting that IGF-II acts as an anti-inflammatory factor to modulate IL1β-induced cartilage damage during long bone growth. Methods: The middle three metatarsal bones were isolated from newborn mice (provided by Drs. Soto and Sonnenschein, Tufts) and were cultured in DMEM containing 0.25% FBS (Hyclone), 1% pen/step, 0.05mg/ml ascorbic acid (Invitrogen) and 1.25mM sodium pyruvate (Sigma) for 7 days. IL-1β and IGF-II (Peprotech) were added to these ex vivo cultures at a final concentration of 10 ng/ml. The growth of the ex vivo bones were monitored daily and photographed with Leica MZ16F stereo microscope using Olympus DP70 digital camera. Longitudinal growth was measured under the dissection microscope. At the end of 7 days, cultured bones were cryo-sectioned at 8um, and histological analysis (alcian blue and H&E staining) and immunohistochemistry (IHC) analyses were conducted. The antibodies used are Col II (generous gift from Dr. Linsenmayer, Tufts University), Col X, MMP13 (Abcam), Col I (generous gift from Dr. Soto and Sonnenschein, Tufts University) and Ki67 (Millipore/Chemicon), Statistically significant differences (i.e. P<0.05.) were determined by one-factor ANOVA with post-hoc Tukey test using the statistics software SYSTAT12 (Systat). Results: 1. Ex vivo culture of newborn mouse metatarsal bones showed that IGF-II, but not IGF-I, prevents IL-1β-induced longitudinal growth arrest. We cultured intact developing metatarsal bones from newborn mice, based on the established ex vivo bone culturing protocols 21. We found that IL-1β (10ng/ml) treatment resulted in curved bones and significantly inhibited the longitudinal bone growth (Fig.1A and 1B). Histological analysis indicated that IL-1β dramatically inhibited cartilage matrix deposition (Fig.1C and 1D). IGF-II (10ng/ml) treatment did not enhance longitudinal growth of the bones per se, but strongly inhibited IL-1β-induced growth arrest and restored cartilage matrix production (Fig.1A-1D). Fig.1. The effects of IGF-II on IL-1β-induced long bone growth arrest. A. Images of cultured metatarsal bones at 7 days of culture. B. Percentage of longitudinal growth normalized by control bone. C. D. Alcian blue and alcian blue/H&E histological analysis on cryo-sectioned bones 2. IGF-II inhibits IL-1βinduced down-regulation of Col II, Col X and chondrocyte proliferation in the growth plate. To investigate whether these phenotypic changes are due to altered protein expression, we performed IHC analysis (Fig.2). We found that IL-1β diminished the expression of cartilage markers collagen II and collagen X, as well as chondrocyte proliferation (marked by Ki67 expression), in the growing cartilage. IGFII co-treatment with IL1β restored the normal expression of these markers (Fig. 2). Fig.2. Immunohistochemistry analysis of growth plate cartilage. A. Alcian blue/H&E staining, Col II, Col X and Ki67 expression. All images are overlaid with Dapi. B. Percentage of Ki67 positive cells in the proliferating zone. 3. IGF-II inhibits IL-1βinduced cartilage damage at the articular surface. Fig.3. Histological and immunohistochemistry analysis of the articular surface. At the articular surface, IL-1β treatment strongly reduced GAG accumulation (alcian blue staining) and Col II expression (Fig.3). In addition, IL1β induced MMP13, Col X and Col I expression (Fig.3). Interestingly, the Collagen I-expressing tissue at the articular surface in IL-1β-treated samples closely resembled the pannus-like tissue (pointed by arrow) often seen in rheumatoid and osteoarthritis 3. Strikingly, IGFII co-treatment strongly inhibited these IL-1β-induced cartilage damage and pannus-like tissue formation at articular surface (Fig.3). Discussion: We demonstrated that IGF-II strongly inhibited all IL-1βinduced cartilage damage in ex vivo developing metatarsal bones. Past studies have indicated that IGF-I also has anti-inflammatory activity1. However, much higher levels of IGF-I may be required 1. While IGF-II is also expressed in the chondrocytes, we found that muscle cells express much higher levels of IGF-II than cartilage. It is still not clear how IGFII inhibits IL-1β-induced cartilage damage, however, our work suggests that IGF-II can be a novel anti-inflammatory cytokine which may be used to attenuate the growth arrest by pro-inflammatory cytokines under disease conditions. References: 1.Martensson K et al J Bone Miner Res 2004;19(11):180512.2.Vortkamp et al. Science 1996;273: 612-22. 3.Woolley et al. Arthritis Res 2000;2(1):65-74. Acknowledgement: NIH Paper No. 260 • ORS 2011 Annual Meeting
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