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Rheumatology 2002; 41: 1413-1418
© 2002 British Society for Rheumatology

Original Papers

Increased expression of nerve growth factor (NGF) and high affinity NGF receptor (p140 TrkA) in human osteoarthritic chondrocytes

F. Iannone, C. De Bari, F. Dell'Accio, M. Covelli, V. Patella1, G. Lo Bianco1 and G. Lapadula

Rheumatology Unit, DIMIMP and
1 Orthopaedics Clinic II, CISO (Centro Interdipartimentale di Studi sull'Osteoartrosi), University of Bari, Italy

Objective. We aimed to investigate the expression of nerve growth factor (NGF) and high affinity NGF receptor (p140 TrkA) on chondrocytes from human healthy and osteoarthritic cartilage.

Methods. We recruited 12 patients with osteoarthritis (OA) undergoing surgical knee replacement. Articular cartilage was split into two zones showing macroscopically and histologically the lowest (MIN) and highest (MAX) degree of osteoarthritic damage. Additional specimens of cartilage were obtained from three healthy donors. Chondrocytes were isolated by enzymatic digestion and freshly processed for NGF protein, Trk A detection and mRNA extraction. NGF-ß mRNA was determined by a reverse transcriptase–polymerase chain reaction (RT–PCR). NGF-ß and TrkA expression was evaluated by immunofluorescence and flow cytometry analysis.

Results. NGF-ß-specific mRNA was detected in normal and osteoarthritic chondrocytes. NGF-ß protein levels were low in normal chondrocytes, increased in MIN osteoarthritic cartilage and further enhanced in MAX osteoarthritic cartilage. Likewise, TrkA was scarcely expressed on normal chondrocytes and progressively increased on osteoarthritic chondrocytes based on the extent of anatomic damage.

Conclusions. This is the first study showing that human chondrocytes synthesize NFG-ß and express on their surface the high affinity NGFR (p140 TrkA). Of note, NGF-ß and TrkA were upregulated in osteoarthritic chondrocytes suggesting a role of NGF in the pathophysiology of OA. We can speculate that NGF, like other growth factors, stimulates chondrocyte metabolism in the osteoarthritic process.

KEY WORDS: Cartilage, NGF-ß, NGFR, Trk A.

Correspondence to: G. Lapadula, Cattedra di Reumatologia, Piazza G. Cesare 11, 70124 Policlinico, Bari, ltaly.


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