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Rheumatology Advance Access originally published online on February 19, 2008
Rheumatology 2008 47(4):425-431; doi:10.1093/rheumatology/kem376
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© The Author 2008. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Effects of advanced glycation end products on the expression of COX-2, PGE2 and NO in human osteoarthritic chondrocytes

S.-S. Nah1, I.-Y. Choi2, C. K. Lee1, J. S. Oh1, Y. G. Kim1, H.-B. Moon1 and B. Yoo1

1Department of Internal Medicine, Division of Allergy and Rheumatology, University of Ulsan College of Medicine, Asan Medical Center and 2Asan Institute for Life Science, Seoul, Republic of Korea.

Correspondence to: B. Yoo, Division of Allergy and Rheumatology, Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, 388-1, Pungnap-dong, Songpa-gu, Seoul 138-736, Korea. E-mail: byoo{at}amc.seoul.kr


   Abstract

Objective. Advanced glycation end products (AGE) accumulate in articular cartilage with age. We investigated the effects of AGE in primary-cultured human OA chondrocytes.

Methods. Chondrocytes were cultured with/or without AGE-bovine serum albumin (AGE-BSA) and the expression levels of inducible nitric oxide (iNOS), cyclooxygenase (COX)-2 microsomal prostaglandin E synthase-1 (mPGES-1) were evaluated using RT-PCR and western blot analysis. Prostaglandin E2 (PGE2) was analysed by ELISA and nitric oxide (NO) was analysed by Griess reaction assay. Pharmacological studies to elucidate the involved pathway were executed using specific inhibitors of MAPK and receptor for AGE (RAGE).

Results. We found that treatment of OA chondrocytes with AGE–BSA increased COX-2, mPGES-1 and iNOS mRNA and protein, as well as elevating production of PGE2 and NO. Pre-treatment with the MAPK inhibitors SP600125 (JNK inhibitor), SB202190 (p38 inhibitor) or PD98059 (ERK inhibitor) significantly inhibited AGE–BSA induction of COX-2 expression and production of PGE2. In contrast, SN50, a nuclear factor-{kappa}B (NF-{kappa}B) inhibitor, had no effect on levels of COX-2 and PGE2. SB202190 and SN50, but not SP600125 and PD98059, decreased AGE–BSA-induced production of NO. Pre-treatment with soluble receptor for AGE (sRAGE) also reduced AGE-stimulated COX-2, iNOS and PGE2, implicating the involvement of RAGE.

Conclusions. These results show that AGE may augment inflammatory responses in OA chondrocytes by increasing PGE2 and NO levels, possibly via the MAPK pathway for PGE2 and the NF-{kappa}B pathway for NO.

KEY WORDS: Advanced glycation end products, Osteoarthritis, Chondrocyte, Cyclo-oxygenase-2, Microsomal prostaglandin E synthase-1, Nitric oxide, Prostaglandin E2

Submitted 28 May 2007; revised version accepted 18 December 2007.
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