Characterization of microRNA expression profiles in normal and osteoarthritic human chondrocytes
© Diaz-Prado et al.; licensee BioMed Central Ltd. 2012
Received: 18 February 2012
Accepted: 10 July 2012
Published: 12 August 2012
Osteoarthritis (OA) is a multifactorial disease characterized by destruction of the articular cartilage due to environmental, mechanical and genetic components. The genetics of OA is complex and is not completely understood. Recent works have demonstrated the importance of microRNAs (miRNAs) in cartilage function. MiRNAs are a class of small noncoding RNAs that regulate gene expression and are involved in different cellular process: apoptosis, proliferation, development, glucose and lipid metabolism. The aim of this study was to identify and characterize the expression profile of miRNAs in normal and OA chondrocytes and to determine their role in the OA.
Chondrocytes were moved to aggregate culture and evaluated using histological and qPCR techniques. miRNAs were isolated and analyzed using the Agilent Human miRNA Microarray.
Of the 723 miRNAs analyzed, 7 miRNAs showed a statistically significant differential expression. Amongst these 7 human miRNAs, 1 was up-regulated in OA chondrocytes (hsa-miR-483-5p) and 6 were up-regulated in normal chondrocytes (hsa-miR-149*, hsa-miR-582-3p, hsa-miR-1227, hsa-miR-634, hsa-miR-576-5p and hsa-miR-641). These profiling results were validated by the detection of some selected miRNAs by qPCR. In silico analyses predicted that key molecular pathways potentially altered by the miRNAs differentially expressed in normal and OA chondrocytes include TGF-beta, Wnt, Erb and mTOR signalling; all of them implicated in the development, maintenance and destruction of articular cartilage.
We have identified 7 miRNAs differentially expressed in OA and normal chondrocytes. Our potential miRNA target predictions and the signalling cascades altered by the differentially expressed miRNAs supports the potential involvement of the detected miRNAs in OA pathology. Due to the importance of miRNA in mediating the translation of target mRNA into protein, the identification of these miRNAs differentially expressed in normal and OA chondrocyte micropellets could have important diagnostic and therapeutic potential. Further studies are needed to know the function of these miRNAs, including the search of their target mRNA genes, which could lead to the development of novel therapeutic strategies for the OA treatment.
KeywordsmicroRNA Microarray Chondrocyte Osteoarthritis Human
Osteoarthritis (OA) is a degenerative joint disease characterized by deterioration in the integrity of hyaline cartilage and subchondral bone. OA is the most prevalent articular pathology and the most frequent cause of disability. The etiology for OA is unknown but multiple factors such as obesity, age, anatomic abnormalities, history of joint trauma, joint instability, repeated injury, overuse and joint dysplasia are thought to be involved, resulting in severe joint pain, loss of movement, and irreversible functional disability with a marked decrease in quality of life [1, 2]. This degenerative process is driven by the activation of the single cell type present in the mature cartilage, chondrocytes . The incidence of OA is directly related to age and is expected to increase along with the median age of the population.
MicroRNAs (miRNAs) are single-stranded and small noncoding RNA molecules of 18–24 nt in length that negatively regulate the expression of target genes in a post-transcriptional manner. They bind to messenger RNAs, through incomplete base pairing with the 30-untranslated region (30-UTR) of targets mRNA, to suppress its gene expression via degradation or translational repression [4, 5]. Depending on the degree of base pairing between the target mRNAs and the miRNA, the miRNA either cleavage the mRNAs (perfect pairing) or repress translation (imperfect pairing). Although some algorithms are used to predict potential mRNA targets, only a few miRNAs have been validated and assigned to specific mRNAs. These small RNAs are naturally produced by the cells and they are derived from primary miRNA transcripts (70 to 100 nt) that are processed in the nucleus to precursor miRNAs (pre-miRNAs) by the ribonuclease Drosha. Later, these pre-miRNAs are transported into the cytoplasm where they are further processed into miRNAs by the ribonuclease Dicer. A single miRNA can regulate the expression of many target genes, and a target gene can also be regulated by several miRNAs . These short molecules are conserved from worms to mammals; this high conservation of miRNAs sequences highlights the significance of their function. They contribute to the regulation of a variety of biological functions across diverse organisms such as apoptosis, proliferation, differentiation, development, cell cycle, stem cell maintenance, metabolism and hematopoiesis [6–9]. Recently, specific miRNAs were reported to be involved in chondrogenesis and inflammatory cartilage diseases [10–15]. A recent work by Kobayashi et al.  demonstrated the role of miRNAs in cartilage function. These authors showed that Dicer, a critical enzyme for biogenesis of miRNAs, is essential for normal skeletal development; since they generated cartilage-specific Dicer-null mice that showed a greatly decreased chondrocyte proliferation and accelerated hypertrophy leading to severe growth defects and premature death of mice .
Recent evidences have also indicated that these small RNA molecules play a role in the pathogenesis of human disorders such as birth defects and cancer , exhibiting tissue-specific or developmental stage-specific expression patterns associated with human diseases. Whilst some studies suggested that miRNA genes account for more than 1,000 , predictive algorithms indicated that more than a third of all human genes contain putative single or multiple miRNA recognition elements . MicroRNAs are encoded all over the genome, in intergenic regions, introns, exons, exon overlaps, and UTR regions, and approximately 50 % of known human miRNAs are found in clusters . The clustered miRNAs are often related to each other, in terms of targeting the same gene or different genes in the same biochemical pathway, but can also be unrelated.
The study of miRNA has become a new field in life science. The detection of miRNA expression is a very important first step in miRNA exploration . Current methodologies have been developed and applied successfully in miRNA profiling, including microRNA arrays . The use of microarrays for global characterization of miRNA expression is becoming an increasingly popular research tool [18, 19]. The growing interest in miRNAs has sparked a natural extension of microarray technology to screen the expression level of miRNA in parallel . A number of human diseases are associated with changes in the copy number or expression of microRNAs, indicating that miRNA expression levels are closely associated with developmental and physiological states as well as disease process [6, 8]. Several reports on miRNA profiling human cartilage , cancer  and general human tissues  have already been published. The expression profiles of miRNAs are effective for classification of human cancer , also several published studies showed a probable link between miRNAs and other human diseases , since microRNA signatures have been associated with well-defined clinicopathological features and disease outcome . The potential utility of miRNA expression profiles in diagnosis and disease monitoring has been investigated and some studies have postulated the diagnostic and prognostic utility of circulating RNAs . MiRNA gene signatures may be more useful and provide more discrimination than mRNA expression signatures . In some cases it has been possible to successfully classify poorly differentiated tumors using the expression profiles of these microARNs while the mRNA profiles, from the same samples, were not adequate for this type of classification. Thus it appears that the expression profiles of miRNA are better than those of mRNA to classify tumors .
However, at present, little is known if aberrant microRNA expression is associated with OA development. For example, miR-146a, miR-155, miR-132 and miR-16 were found to be up-regulated in rheumathoid arthritis (RA) patients compared with OA ones [16, 24, 25]. Moreover, it was demonstrated that high levels of miR-146 and miR-16 expression were correlated with active disease, whereas low expression levels correlate with inactive disease . Furthermore two recent works identified, by microarray and Real Time PCR assays, 16 and 17 microRNAs differentially expressed in OA compared to normal cartilage [9, 15]. The problem is that both studies tested the expression of a small number of miRNAs, in particular 365 and 157 miRNAs respectively, of the total 1,048 different mature microRNAs identified in humans and recently released by the Sanger miRBase (release 16.0, September 2010) , although many more miRNAs are still to be identified. Also, contradictory results were postulated in these two recent studies. In this sense, Jones et al.  demonstrated that miR-25 is upregulated in OA chondrocytes whereas Iliopoulos et al.  stated that this miRNA was downregulated in OA cartilage. In the present study, to better understand the molecular mechanisms involved in the pathogenesis of OA, we identify and characterize the expression profiles of 723 human miRNAs from normal and OA chondrocytes, which could have important diagnostic and therapeutic potential.
Harvest of human cartilage and isolation of chondrocytes
Human cartilage samples, four healthy donors (3 males and 1 female with a mean age of 68 years and a range from 58 to 79 years) with a Mankin score of 1, and six III and IV grade OA donors (4 males and 2 females with a mean age of 64 years and a range from 42 to 80 years) with a Mankin score of 10 (additional file 1), were provided by the Autopsy Service and the Orthopaedic Department at Hospital Universitario A Coruña, Spain. These samples came from patient who underwent replacement surgery or limb amputations. This study was approved by the Ethic Committee of Clinical Investigation of Galicia, and informed consent was obtained from all donors.
Cartilage sections were aseptically removed from each donor, sliced full thickness and washed in Dulbecco′s modified Eagle′s medium (DMEM) (Gibco, Life Technologies, Paisley, Scotland) supplemented only with antibiotic penicillin (100 units/ml)-streptomycin (100 μg/ml) (Gibco Invitrogen, USA) as previously described . Briefly, slices were minced with a scalpel and transferred to a digestion buffer containing 1% trypsin (Sigma, St. Louis, MO) for 15 min at 37°C until digestion was complete. The supernatant (without chondrocytes) was discarded and, after trypsin removal, the trypsinized cartilage was incubated in a second digestion buffer containing 2 mg/l of type IV Collagenase (Sigma, St. Louis, MO) for 12 to 16 h at 37°C overnight. After this time cells were washed three times with DMEM and centrifuged at 200 xg for 10 minutes before being used for culture. The number of chondrocytes obtained was counted by a Neubauer Chamber using the 0.4% tripan blue dye (Sigma, St. Louis, MO) to assess the viability of the sample.
Chondrocytes were cultured in a 25 cm2 culture flask with DMEM supplemented with 100 units/ml penicillin, 100 μg/ml streptomycin, 1% glutamine and 10% FBS (Fetal Bovine Serum) (Gibco, Life Technologies, Paisley, Scotland) in humidified 5% CO2 atmosphere at 37°C (Steri-Cult 200 Incubator HEPA class 100, Hucoa Erlöss). Chondrocytes in first sub-culture (S1) were employed for micropellet studies.
Adherent cells in culture from different donors were treated with trypsin-EDTA. 5x105 cells were centrifuged at 200xg for 10 minutes and the cellular aggregate was cultured in DMEM with 10% FBS for 1 week. The culture medium was changed every 3–4 days. 5 micropellets were developed for each of the donors. After 1 week the micropellets were quickly frozen or embedded in paraffin or included in OCT freezing medium and subsequently they were used for RNA isolation or for histological and immunohistochemical stainings.
Histological and immunohistochemical analyses
For general histological analyses, 4 μm-thick paraffin sections of micropellets were deparaffinized in xylol, rehydrated in a graded series of ethanol, and stained with Hematoxylin-Eosin (HE), Alcian Blue (AB), Safranin O (SO) and Masson′s Trichromic (MT). HE staining allowed performing a general assessment of the structure of the micropellets, differentiating the nucleus of the cells with respect to their cytoplasms and the synthesised extracellular matrix. AB and SO stainings revealed the presence of proteoglycans. MT staining allowed performing a general assessment of the structure of the micropellets, as in the HE staining, but also revealing the presence of collagens.
Frozen sections (4 μm-thick) were incubated with different primary antibodies to detect the presence of collagen types I (Abcam, Spain) and II (BioNova Científica, Spain), aggrecan C-20 (Santa Cruz Biotechnology Inc., Germany) and metalloproteinase 13 (Thermo Fisher Scientific, Spain). The peroxidase/DAB ChemMateTM DAKO EnVisionTM detection kit (Dako Citomation, USA) was used to determine antigen-antibody interaction. Negative staining controls were achieved by omitting the primary monoclonal antibody. Samples were visualized using an optical microscope.
For aggrecan quantification we used qPCR analysis. Isolation of total RNA, coming from 2 to 3 micropellets from the same donor, was performed using Trizol Reagent (Invitrogen, Spain) according to manufacturer′s instructions. From each micropellet, 5x105 cells were obtained for RNA isolation. Total RNA was further processed in RT-PCR or stored at −80°C until its use. RNA integrity was confirmed by 2% agarose gel electrophoresis and stained with ethidium bromide. RNA also was assessed for quantity at 260 nm using a NanoDropTM spectrophotometer (Thermo Scientific, Spain). A260/A280 relation was calculated for quality and purity.
For miRNA microarray and miRNA qPCR analyses, total RNA (including microRNAs) was isolated with mirVana TM miRNA Isolation kit (Applied Biosystems, Spain), according to manufacturer′s protocol, and analyzed by the DNA microarray hibridization Service at CNIO (Centro Nacional de Investigaciones Oncológicas, Spain). As a rigorous step, and before label reaction, samples were analyzed by means of a LabChip system using a 2100 Agilent Bioanalyzer (Agilent Technologies, Spain) in order to known RNA concentration and RNA Integrity Number (RIN). This analysis was designed to reveal the ability of RNA samples for the microarray hybridization experiment .
Expression levels of 723 microRNAs (miRNA Sanger Base release 10.1) were studied using Human miRNA microarray kit (version 2) (Agilent Technologies, Spain). Total RNA fraction was used to determine its RIN, which were in the range of 7.4 to 9.6, by Lab-chip technology on an Agilent 2100 Bioanalyzer (Agilent Technologies, Spain). 120 ng of total RNA was labelled and hybridized using the commercial miRNA Microarray System with miRNA Complete and Hyb Kit (Agilent Technologies, Spain) by following manufacturer's instructions. The entire labelled sample was used for the hybridization reaction which was performed at 55 °C during 40 hours in a total volumen of 45 μl. Images were scanned on a G2565CA microarray scanner (Agilent Technologies, Spain) and quantified using Agilent Feature Extraction (FE) Software (ver. 10.1.1) (Agilent Technologies, Spain). Also, microarray data were normalized and analyzed using Agilent FeatureExtraction (FE) Software and GeneSpring GX10 (Agilent Technologies, Spain). All microarray hybridization experiments and data analysis were performed by the miRNA expression profiling Service of CNIO (Madrid, Spain). The sequence of events involved in the processing of the text raw data files is thresholding to 1 and normalization [=log (base 2) transformation and 75 percentile shift]. Baseline transformation has not been performed.
For aggrecan quantification reverse-transcription (RT-PCR) was performed from 1 μg of total RNA using SuperScriptTM First-Strand Synthesis System for RT-PCR (InvitrogenTM, Spain) up to a total volume of 20 μl in a Thermocycler (Gene Amp PCR System 9700, Applied Biosystem, Spain). 1 μg of total RNA, 2.5 nM random hexamers, 0.5 mM of dNTP mix, and 3 μl of DEPC-treated water were denatured at 65°C for 5 minutes and chilled on ice for at least 1 minute. On the other hand, 2 μl of 10xRT buffer, 5 mM MgCl2, 0.01 M DTT, and 40 U of RNaseOUT Recombinant Ribonuclease Inhibitor were mixed, collected by centrifugation, and incubated at 25°C for 2 minutes. After incubation, 50 U of SuperScriptTM RT were added and incubated at 25°C for 10 minutes, 42°C for 50 minutes and 70°C for 15 minutes in a Thermocycler (Gene Amp PCR System 9700, Applied Biosystem, Spain). Finally, samples were chilled on ice and incubated with 2 U of RNAse H for 20 minutes at 37°C before proceeding to amplification the target cDNA.
Samples were stored at −20 °C before cDNA target was amplified. Positive and negative controls were included in each experiment. RNA extraction, reverse transcription-PCR assay setup and post reverse transcription-PCR product analysis were carried out in separate designated rooms to prevent cross-contamination.
Real-Time Quantitative PCR
Primer sequences, conditions and annealing temperature of PCR assay for aggrecan mRNA amplification
AGG 1 F
5′ GCCTACGAAGCAGGCTATGA 3′
5′ GCACGCCATAGGTCCTGA 3′
HPRT 1 F
5′ TGACCTTGATTTATTTTGCATACC 3′
5′ CGAGCAAGACGTTCAGTCCT 3′
An initial activation at 95°C for 5 minutes was followed by an amplification target sequence 50 cycles of 95°C for 10 s, 60°C for 10s, and 72°C 7 s were used. For melting curve analysis 1 cycle of 95°C for 5 s, 70°C for 15 s, and 95°C for 1 s was used. Finally, a cooling step was used at 40°C for 10 s.
We verified that amplifications and the expected size of each PCR product were specific. 1.8% agarose gel electrophoresis of all PCR products revealed a single band that corresponded to the single-amplified products as predicted by the melting curve analysis of the PCR. Each assay was done at least in triplicate and included marker-positive and marker-negative controls and reagent with no template controls.
PCR primers for mRNA amplification were carefully designed using the web-based ProbeFinder software (Universal ProbeLibrary Design Center) accessible via Roche Applied Science home page . PCR primers have been positioned to span exon-intron boundaries, reducing the risk of detecting genomic DNA. Primers were purchased from Roche (Mannheim, Germany).
PCR amplification of microRNAs (hsa-miR-145, hsa-miR-149, hsa-miR-483-5p, hsa-miR-582-3p, hsa-miR-634 and hsa-miR-641; as annotated in the miRBase ver 10.0 and 11.0) was carried out on the LightCycler® 480 Instrument (Roche, Mannheim, Germany) using miRCURY LNATM microRNA PCR System (Exiqon, Vedbaek, Denmark). U6 snRNA was used as endogenous control.
An initial activation at 95°C for 10 minutes was followed by an amplification target sequence 60 cycles of 95°C for 10 s and 60°C for 10s were used. For melting curve analysis 1 cycle of 95°C for 5 s, 60°C for 1 min, and 97°C for 1 s was used. Finally, a cooling step was used at 50°C for 20 s. Relative levels of expression were calculated by the 2-ΔΔCt.
DNA Sequencing Analysis
After aggrecan quantification by qPCR, at least one PCR product coming from each PCR experiment was used as template DNA in order to verify that amplifications corresponded to the aggrecan cDNA. PCR products were purified by enzymatic method (ExoSAP-IT, Amersham Biosciences, Spain). DNA sequencing was performed in a reference facility on ABI 3100 (Applied Biosystems, Spain) using Big Dye terminators. Forward and Reverse specific primers were used.
Standard procedures for manipulation of nucleic acids were essentially those of Sambrook et al. .
All statistical analyses regarding miRNA microarray data were facilitated, together with the results, by the miRNA expression profiling Service of CNIO (Madrid, Spain). The miRNA data were analyzed with the GeneSpring GX10.0 software. In order to analyze the miRNAs with differential expression in healthy and OA donors, T test unpaired was used. For the cluster tree analysis, the k-means clustering algorithm was performed on all the samples. The rest of the analyses were performed using SPSS 17.0 software for Windows, p-values <0.05 were considered to be statistically significant.
Bioinformatic analyses for mRNA target and molecular pathway prediction
Putative target genes regulated by the miRNAs differentially expressed in normal and OA chondrocyte micropellets were predicted bioinformatically and combining the prediction of their supposed targets with the bibliographic information of chondrocyte gene expression. For this purpose miRanda algorithm and the miRGen database were used. miRanda computes optimal sequence complementarity between a set of mature microRNAs and a given mRNA using a weighted dynamic programming algorithm . miRGen is a database that aims to provide comprehensive information about the position of human and mouse microRNA coding transcripts and their regulation by transcription factors, including a unique compilation of both predicted and experimentally supported data . miRanda and miRGen are freely available at  and . Moreover the TargetScan Human resource, which provide miRNA target predictions based on sequence complementary to target sites with emphasis on perfect base-pairing in the seed region and sequence conservation , was used. TargetScan is freely available at . These web-based computational tools are based on different algorithms which are based on several parameters calculated individually for each miRNA.
In order to identify molecular pathways potentially altered by the expression of multiple miRNAs, we used the DIANA-mirPath web-based computational tool , free available at . The software performs an enrichment analysis of multiple miRNA target genes comparing each set of miRNA targets to all known KEGG (K yoto E ncyclopedia of G enes and G enomes) pathways . The combinatorial effect of co-expressed miRNAs in the modulation of a given pathway is taken into account by the simultaneous analysis of multiple miRNAs. The graphical output of the program provides an overview of the parts of the pathway modulated by microRNAs, facilitating the interpretation and presentation of the analysis results.
Evaluation of chondrocyte micropellets of donors using histological, immunohistochemical and molecular biology techniques
Chondrocyte micropellets from healthy samples showed the presence of collagens, in general, and type II collagen in particular. Moreover, they were negative for MMP13 and type I collagen immunostainings (data not shown). Regarding Safranin O stainings, surprisingly all healthy chondrocyte micropellets from healthy donors showed absence or weakly presence of proteoglycans by histochemistry. Due to the limitations of this histological technique to detect low amounts of a specific compound, we therefore assessed the presence of aggrecan mRNA by qPCR. All healthy chondrocyte micropellets from healthy donors showed amplification of aggrecan mRNA. In this regard aggrecan mRNA R.E.L. ranged from 4.64 to 26.37 (mean ± S.E.: 14.22 ± 5.41).
On the other hand, chondrocyte micropellets of OA donors were also positive for alcian blue, Masson′s trichromic and type II collagen stainings whereas they were negative for MMP13 and type I collagen immunostainings (data not shown). As for the case of healthy donors, chondrocyte micropellets from OA patients showed absence or weakly expression of proteoglycans by histochemistry but by means of qPCR we detected the presence of aggrecan mRNA in 3 of 6 donors. For OA chondrocyte micropellets, aggrecan mRNA R.E.L. ranged from 0 to 31.8 (mean ± S.E.: 7.74 ± 5.27).
MicroRNA profiling of normal and OA chondrocytes
miRNA differentially expressed in normal (N) versus OA
Real Time Quantitative PCR analyses of miRNAs differentially expressed in normal and OA chondrocytes micropellets
Bioinformatic prediction of putative target mRNA genes regulated by the miRNAs differentially expressed in normal and OA chondrocytes micropellets
To pursue the study, we performed a bioinformatic prediction in order to know the putative target genes regulated by all the miRNAs differentially expressed in normal and OA chondrocyte micropellets. For this purpose the following computational tools were used: miRanda , miRGen  and TargetScan , which utilize distinct parameters to predict the probability of a specific miRNA to bind within the 3′-UTR sequence of a given mRNA gene. All the computational programs predicted potential target mRNA genes for the 7 miRNAs differentially expressed in normal and OA chondrocytes micropellets and also for the hsa-miR-145. These potential mRNA targets were grouped by their function. Of the 7 miRNAs differentially expressed, and the hsa-miR-145, the largest number of predicted putative targets included binding proteins (21 to 25%) except for the hsa-miR-483-5p whose largest number of putative targets included enzymes (18%). The number of transcription proteins obtained as putative mRNA targets regulated by hsa-miR-145, hsa-miR-576-5p and hsa-miR-1227 were also high (18% to 19%), whereas secretory, membrane, surface or receptor proteins as predicted targets regulated by hsa-miR-149, hsa-miR-483-5p, hsa-miR-582-3p, hsa-miR-634 and hsa-miR-641 were also elevated (15 to 19%). Lower percentages of potential targets were related with cell adhesion, translation, transporter proteins among others.
OA is the most common disease of joints in adults around the world , being the knee OA the most common type. About one-third of all adults have radiological signs of OA. The likelihood of developing OA increases with age. The prevalence of OA of the knee is higher among 70- to 74-year-old. Epidemiological studies have revealed that there are both endogenous and exogenous risk factors for OA. The pathogenesis of OA is characterized by the progressive destruction of articular cartilage. Many factors contribute to the overall degradation of cartilage observed in OA, either directly or indirectly by modulating anabolic factors . The capacity of articular cartilage to repair is very limited, mainly because it is an avascular tissue . Currently, there are no effective pharmacological treatments to treat OA although some drugs slow its progression. Surgical treatments are not a way to treat OA even so they still constitute an important tool in cartilage repair of those injuries which if not treated or repaired properly could inevitably end up producing a secondary OA.
Some miRNA-related studies on cancers and genetic diseases are based on their different expression profile in pathologic compared to normal tissues [19, 20]. Most of these studies postulate that differential expression of candidate miRNAs is a possible approach to investigate the function of miRNAs in human diseases. In attempting to understand the biological pathways and processes that underlie the pathogenesis and progression of OA, genomic approaches have identified miRNAs genes associated with cartilage development and homeostasis, extracellular matrix components and IL-1 signal transduction pathway among others [11, 14, 43, 44]. Tissue miRNAs have been noted not only as key molecules in intracellular regulatory networks for gene expression, but also as biomarkers for various pathological conditions . For example, the expression of miR-146 has been shown to be intensely expressed in low grade OA cartilage, indicating that it might play a role in OA cartilage pathogenesis . In addition, it has been demonstrated that miR-27b regulates the expression of MMP13 (Matrix Metalloproteinase 13) in human OA chondrocytes, suggesting that up-regulation of miR-27b in vivo would represent a novel therapeutic approach in OA . In recent years, a putative role for miR-140 in the pathogenesis of OA was evidenced [11, 14, 43], since its expression is significantly reduced in OA tissue and that in vitro treatment of chondrocytes with IL-1ß, a cytokine involved in the pathogenesis of OA, suppresses miR-140 expression . Recent studies have also demonstrated that several miRNAs might play a role in OA pathogenesis [9, 47].
In the present study, to better understand the molecular mechanisms involved in the pathogenesis of OA and to investigate a possible role of miRNAs in cartilage-related genes regulation and OA development, we comprehensively isolated and analyzed miRNAs of normal and OA chondrocyte micropellets, using miRNA microarray analysis. From a technical point of view, it is difficult to obtain a high number of chondrocytes from articular cartilage explants. Chondrocytes from a healthy cartilage represent only the 2% of the total volume of the cartilage. Therefore it is also complicated obtain large amounts of RNA, enriched in miRNAs, of excellent quality to performed the microarrays. This difficulty is even higher when using OA cartilage samples, since OA cartilage has a smaller number of cells than the healthy one. The micropellet model is different to the tissue, since it allows maintaining the cells in a three-dimensional position, these cells can synthesize extracellular matrix and allows obtaining a greater number of chondrocytes. For this reason chondrocytes micropellets, and not the cartilage explants, were employed for miRNAs isolation.
This study identified and characterized the expression profiles of 723 human miRNAs from normal and OA chondrocytes, of which 1 miRNA up-regulated in OA chondrocyte and 6 were up-regulated in normal chondrocyte micropellets. Unsupervised clustering performed by using processed data from miRNA microarray analysis highlighted differential expression profiles of 48 miRNAs, interestingly clustering the samples into 2 groups, OA versus normal chondrocyte micropellets. Therefore these miRNAs could represent valid markers in discriminating normal versus OA chondrocyte samples although further studies focused in a large number of samples should be performed to determine the potential of these miRNAs for clinical application in the diagnosis of OA pathology.
Our profiling results were further validated by the detection of some selected miRNAs by qPCR. Some of these selected miRNAs (e.g. hsa-miR-145 and hsa-miR-483-5p) have already been described in the literature [15, 40, 48]. Of particular interest was the finding that hsa-miR-483-5p was up-regulated in OA chondrocyte micropellets as previously described Iliopoulus et al., . In this regard, Iliopoulos et al.  reported their finding of a 16-miRNA OA gene signature from their studies comparing osteoarthritic and nondiseased human cartilage. These authors found that hsa-miR-483-5p was upregulated in OA cartilage, not only by miRNA microarray analysis but also by qPCR techniques. These findings are in agreement with our miRNA microarray and qPCR results since we observed an upregulation of hsa-miR-483-5p in OA chondrocyte micropellets with the highest fold (8.45) obtained by qPCR. On the other hand, Zuntini et al.  also verified that hsa-miR-145 and hsa-miR-483 are both upregulated in osteochondromas when they are compared to normal cartilage. A recent study postulated that aberrant expression miR-483-5p together with miR-195 allow the identification of a subset of poorer prognosis adrenocortical carcinomas . Moreover, Patterson et al.  found that the high expression of miR-483-5p appears to be a defining characteristic of adrenocortical malignancies, indicating that it can thus be used to accurately distinguish between benign and malignant adrenocortical tumors. However Dunn et al. , profiling miRNA expression in bovine articular cartilage, found that hsa-miR-145 were downregulated in monolayers of tissue cultured chondrocytes as compared with levels determined directly from intact native cartilage. Our microarray analyses showed that the relative expression levels for hsa-miR-145 were −2.87 for healthy and 1.85 for OA samples. Moreover, qPCR experiments showed that this miRNA was also up regulated in OA donors, in particular 4.4 fold. However neither the microarray nor the qPCR results achieve the statistical significance previously published in the literature. Perhaps it could be due to the use of different microarray technologies, or to the use of cultured cell instead of tissue samples.
In our study miR-149* was down regulated in OA chondrocyte micropellets, in agreement with a recent study published by Jones et al. . These authors, studying the expression profiles of 157 human miRNA, identified 17 differentially expressed miRNAs in human OA in comparison to normal cartilage and they determined their relevance to chondrocyte function. In this sense, they postulated that miR-149 was downregulated in OA cartilage, this result is in agreement with our miRNA microarray analysis regarding miR-149, which was also downregulated in OA chondrocyte micropellets.
In previous reports hsa-miR-140 was down regulated and hsa-miR-146 was up regulated in OA cartilage [9, 12, 15]. In our study, the expression levels of hsa-miR-140 and hsa-miR-146 in the microarray analyses showed no statistical significant differences when comparing healthy and OA samples. However, hsa-miR-140 showed a tendency to be down regulated in OA and hsa-miR-146 showed a tendency to be up regulated in this pathology. Such discrepancies found among our results and those published on the literature could be due to the use of different microarray technologies, or to the use of cultured cell instead of tissue samples, or to the use of OA samples obtained from the different zones of the cartilage.
It is noteworthy that some of the miRNAs differentially expressed in chondrocyte that we identified in our study are novel as compared with those identified and published in the literature, e.g. hsa-miR-576-5p, hsa-miR-582-3p, hsa-miR-634, hsa-miR-641, hsa-miR-1227, suggesting that they may therefore represent new targets in articular cartilage.
The key molecular pathways potentially altered by the miRNAs differentially expressed in normal and OA chondrocyte micropellets, as predicted by the DIANA-mirPath web-based computational tool, include TGF-beta, Wnt, MAPK and mTOR signalling, focal adhesion and regulation of actin cytoskeleton among others. These results should be considered since Wnt signalling pathway has a role in OA pathology [51, 52]. In particular these pathways are key inducers and regulators of joint development, and are involved in formation of bone, cartilage and also synovium . For these reasons Wnt-family of proteins and signalling pathways are attractive targets for OA therapy. In this sense, products of the Wnt, frizzled, secreted frizzled-related protein (sFRP), Dickkopf and LDL-receptor-related protein gene families have crucial roles in the development and maintenance of bone, cartilage and joints . In this sense, genes of the Wnt pathway are upregulated in the OA bone, suggesting their involvement not only in cartilage distortion but also in subchondral bone changes . On the other hand, TGF-beta 1 induces cartilage extracellular matrix synthesis and tissue inhibitor of metalloproteinases-3 (TIMP-3), an important natural inhibitor of matrix metalloproteinases, aggrecanasses and TNF-alpha-converting enzyme, which are implicated in cartilage degradation and joint inflammation . Moreover, genes belonging to the TGF-beta signalling pathway, which are supposedly targeted by the miRNAs differentially expressed in our work, regulate the chondrocyte differentiation and potentially the OA development . Also, TGF-beta pathway regulates the expression of the superficial zone protein (SZP) in the superficial zone chondrocytes, protein implicated in the lubrication of the articular cartilage surface .
Our potential miRNAtarget predictions and the signalling cascades (previously published in the literature to be involved in development, maintenance degradation of cartilage) altered by the differentially expressed miRNAs supports the potential involvement of the detected miRNAs in OA pathology. Taken together, we identified 7 miRNAs differentially expressed in normal and OA chondrocyte micropellets whose expression profiling may provide a useful clue for the pathophysiology research of OA. Due to the importance of miRNA in mediating the translation of target mRNA into protein, the identification of miRNA differentially expressed in normal and OA chondrocyte micropellets we report in this work could have important diagnostic and therapeutic potential. The study of miRNAs may lead to finding novel methods to diagnosis, treat and prevent OA. Further studies are needed to know the function of these miRNAs including the search of their target mRNA genes, which could lead to the development of novel therapeutic strategies for the OA treatment.
This study was supported by grants from the Catedra Bioiberica de la Universidade da Coruña and the Instituto de Salud Carlos III CIBER BBN CB06-01-0040. Silvia Díaz Prado was the beneficiary of an Isidro Parga Pondal program, Xunta de Galicia, A Coruna, Spain. Emma MuiÃ±os-Lopez was supported by a grant GEN-SER (Fundacion EspaÃ±ola de Reumatologia). We would like to thank P Filgueira for technical assistance.
- Carossino AM, Recenti R, Carossino R, Piscitelli E, Gozzini A, Martineti V, Mavilia C, Franchi A, Danielli D, Aglietti P, Ciardullo A, Galli G, Tognarini I, Moggi Pignone A, Cagnoni M, Brandi ML: Methodological models for in vitro amplification and maintenance of human articular chondrocytes from elderly patients. Biogerontology. 2007, 8: 483-498. 10.1007/s10522-007-9088-4.View ArticlePubMedGoogle Scholar
- Scharstuhl A, Schewe B, Benz K, Gaissmaier C, Bühring HJ, Stoop R: Chondrogenic potential of human adult mesenchymal stem cells in independent of age or osteoarthritis etiology. Stem Cells. 2007, 25: 3244-3251. 10.1634/stemcells.2007-0300.View ArticlePubMedGoogle Scholar
- Aigner T, Kurz B, Fukui N, Sandell L: Roles of chondrocytes in the pathogenesis of osteoarthritis. Curr Opin Rheumatol. 2002, 14: 578-584. 10.1097/00002281-200209000-00018.View ArticlePubMedGoogle Scholar
- Sun BK, Tsao H: Small RNAs in development and disease. J Am Acad Dermatol. 2008, 59: 725-737. 10.1016/j.jaad.2008.08.017.View ArticlePubMedGoogle Scholar
- Si Y, Jin Y: MicroRNA in cell differentiation and development. Sci China C Life Sci. 2009, 52: 205-211. 10.1007/s11427-009-0040-5.View ArticleGoogle Scholar
- Li W, Ruan K: MicroRNA detection by microarray. Anal Bioanal Chem. 2009, 394: 1117-1124. 10.1007/s00216-008-2570-2.View ArticlePubMedGoogle Scholar
- Pauley KM, Satoh M, Chan AL, Bubb MR, Reeves WH, Chan EKL: Upregulated miR-146a expression in peripheral blood mononuclear cells from rheumathoid arthritis patients. Arthritis Res Ther. 2008, 10: R101-10.1186/ar2493.View ArticlePubMedPubMed CentralGoogle Scholar
- Betel D, Wilson M, Gabow A, Marks DS, Sander C: The microRNA.org resource: targets and expression. Nucleic Acids Res. 2008, 36: D149-153.View ArticlePubMedGoogle Scholar
- Jones SW, Watkins G, Le Good N, Roberts S, Murphy CL, Brockbank SM, Needham MR, Read SJ, Newham P: The identification of differentially expressed microRNA in osteoarthritic tissue that modulate the production of TNF-alpha and MMP13. Osteoarthr Cartilage. 2009, 17: 464-472. 10.1016/j.joca.2008.09.012.View ArticleGoogle Scholar
- Lin EA, Kong L, Bai X, Luan Y, Liu CJ: miR-199a, a bone morphogenic protein 2-responsive MicroRNA, regulates chondrogenesis via direct targeting to Smad1. J Biol Chem. 2009, 284: 11326-11335.View ArticlePubMedPubMed CentralGoogle Scholar
- Miyaki S, Nakasa T, Otsuki S, Grogan SP, Higashiyama R, Inoue A, Kato Y, Sato T, Lotz MK, Asahara H: MicroRNA-140 is expressed in differentiated human articular chondrocytes and modulates IL-1 responses. Arthritis Rheum. 2009, 60: 2723-2730. 10.1002/art.24745.View ArticlePubMedPubMed CentralGoogle Scholar
- Yamasaki K, Nakasa T, Miyaki S, Ishikawa M, Deie M, Adachi N, Yasunaga Y, Asahara H, Ochi M: Expression of microRNA-146 in osteoarthritis cartilage. Arthritis Rheum. 2009, 60: 1035-1041. 10.1002/art.24404.View ArticlePubMedPubMed CentralGoogle Scholar
- Tuddenham L, Wheeler G, Ntounia-Fousara S, Waters J, Hajihosseini MK, Clark I, Dalmay T: The cartilage specific microRNA-140 targets histone deacetylase 4 in mouse cells. FEBS Lett. 2006, 580: 4214-4217. 10.1016/j.febslet.2006.06.080.View ArticlePubMedGoogle Scholar
- Tardif G, Hum D, Pelletier J-P, Duval N, Martel-Pelletier J: Regulation of the IGFBP-5 and MMP-13 genes by the microRNAs miR-140 and miR-27a in human osteoarthritic chondrocytes. BMC Musculoskelet Disord. 2009, 10: 148-10.1186/1471-2474-10-148.View ArticlePubMedPubMed CentralGoogle Scholar
- Iliopoulos D, Malizos KN, Oikonomou P, Tsezou A: Integrative microRNA and proteomic approaches identify novel osteoarthritis genes and their collaborative metabolic and inflammatory networks. PLoS One. 2008, 3: e3740-10.1371/journal.pone.0003740.View ArticlePubMedPubMed CentralGoogle Scholar
- Kobayashi T, Lu J, Cobb BS, Rodda SJ, McMahon AP, Schipani E, Merkenschlager M, Kronenberg HM: Dicer-dependent pathways regulate chondrocyte proliferation and differentiation. Proc Natl Acad Sci USA. 2008, 105: 1949-1954. 10.1073/pnas.0707900105.View ArticlePubMedPubMed CentralGoogle Scholar
- Bates DJ, Liang R, Li N, Wang E: The impact of noncoding RNA on the biochemical and molecular mechanisms of aging. Biochim Biophys Acta. 2009, 1790: 970-979. 10.1016/j.bbagen.2009.03.028.View ArticlePubMedGoogle Scholar
- Sarkar D, Parkin R, Wyman S, Bendoraite A, Sather C, Delrow J, Godwin AK, Drescher C, Huber W, Gentleman R, Tewari M: Quality assessment and data analysis for microRNA expression arrays. Nucleic Acids Res. 2009, 37: e17-10.1093/nar/gkp355.View ArticlePubMedGoogle Scholar
- Liang Y, Ridzon D, Wong L, Chen C: Characterization of microRNA expression profiles in normal human tissues. BMC Genomics. 2007, 8: 166-10.1186/1471-2164-8-166.View ArticlePubMedPubMed CentralGoogle Scholar
- Lu J, Getz G, Miska EA, Alvarez-Saavedra E, Lamb J, Peck D, Sweet-Cordero A, Ebert BL, Mak RH, Ferrando AA, Downing JR, Jacks T, Horvitz HR, Golub TR: MicroRNA expression profiles classify human cancers. Nature. 2005, 435: 834-838. 10.1038/nature03702.View ArticlePubMedGoogle Scholar
- Dai Y, Sui W, Lan H, Yan Q, Huang H, Huang Y: Comprehensive analysis of microRNA expression patterns in renal biopsies of lupus nephritis patients. Rheumatol Int. 2009, 29: 749-754. 10.1007/s00296-008-0758-6.View ArticlePubMedGoogle Scholar
- Calin GA, Croce CM: MicroRNA signatures in human cancers. Nat Rev Cancer. 2006, 6: 857-866. 10.1038/nrc1997.View ArticlePubMedGoogle Scholar
- Cho WC: MiroRNAs: Potential biomarkers for cancer diagnosis, prognosis and targets for theraphy. Int J Biochem Cell Biol. 2010, 8: 1273-1281.View ArticleGoogle Scholar
- Stanczyk J, Pedrioli DM, Brentano F, Sanchez-Pernaute O, Kolling C, Gay RE, Detmar M, Gay S, Kyburz D: Altered expression of microRNA in synovial fibroblasts and synovial tissue in rheumatoid arthritis. Arthritis Rheum. 2008, 58: 1001-1009. 10.1002/art.23386.View ArticlePubMedGoogle Scholar
- Nakasa T, Miyaki S, Okubo A, Hashimoto M, Nishida K, Ochi M, Asahara M: Expression of microRNA-146 in rheumatoid arthritis synovial tissue. Arthritis Rheum. 2008, 58: 1284-1292. 10.1002/art.23429.View ArticlePubMedPubMed CentralGoogle Scholar
- Kozomara A, Griffiths-Jones S: miRBase: integrating microRNA annotation and deep-sequencing data. Nucleic Acids Res. 2011, 39: D152-157. 10.1093/nar/gkq1027.View ArticlePubMedGoogle Scholar
- Blanco FJ, Guitian R, Vázquez-Martul E, de Toro FJ, Galdo F: Osteoarthritis chondrocytes death by apoptosis: A possible pathway for OA pathology. Arthritis Rheum. 1998, 41: 284-289. 10.1002/1529-0131(199802)41:2<284::AID-ART12>3.0.CO;2-T.View ArticlePubMedGoogle Scholar
- Imbeaud S, Graudens E, Boulanger V, Barlet X, Zaborski P, Eveno E, Mueller O, Schroeder A, Auffray C: Towards standarization of RNA quality assessment using user-independent classifiers of microcapillary electrophoresis traces. Nucleic Acids Res. 2005, 33: e56-10.1093/nar/gni054.View ArticlePubMedPubMed CentralGoogle Scholar
- Roche Applied Science: [database on the Internet]. Universal ProbeLibrary. Universal ProbeLibrary interest site. Assay Design Center/ProbeFInder. Homo sapiens (Human).Availablefromhttp://www.roche-applied-science.com,
- Livak KJ, Schmittgen TD: Analysis of relative gene expression data using Real-Time quantitative PCR and the 2-ΔΔCt method. Methods. 2001, 25: 402-408. 10.1006/meth.2001.1262.View ArticlePubMedGoogle Scholar
- Sambrook J, Maniatis T, Fritsch EF: Molecular Cloning: A Laboratory Manual. 1989, Cold Spring Harbor Laboratory Press, New YorkGoogle Scholar
- Alexiou P, Vergoulis T, Gleditzsch M, Prekas G, Dalamagas T, Megraw M, Grosse I, Sellis T, Hatzigeorgiou AG: miRGen 2.0: a database of microRNA genomic information and regulation. Nucleic Acids Res. 2010, 38: D137-D141. 10.1093/nar/gkp888.View ArticlePubMedGoogle Scholar
- - miRanda:[algorithmontheInternet].Availablefromhttp://www.microrna.org,
- miRGen: [database on the Internet]. Available from http://www.diana.pcbi.upenn.edu/cgi-bin/miRGen/v3/Targets.cgi
- Lewis BP, Shih IH, Jones-Rhoades MW, Bartel DP, Burge CB: Prediction of mammalian microRNA targets. Cell. 2003, 115: 787-798. 10.1016/S0092-8674(03)01018-3.View ArticlePubMedGoogle Scholar
- TargetScan Human resource: [algorithm on the Internet]. Available from http://www.targetscan.org
- Papadopoulos GL, Alexiou P, Maragkakis M, Reczko M, Hatzigeorgiou AG: DIANA-mirPath: integrating human and mouse microRNAs in pathways. Bioinformatics. 2009, 25: 1991-1993. 10.1093/bioinformatics/btp299.View ArticlePubMedGoogle Scholar
- DIANA-miRPath: [web-based computational tool]. Available from http://diana.cslab.ece.ntua.gr/pathways/
- Kanehisa M, Goto S: KEGG: kyoto encyclopedia of genes and genomes. Nucleic Acids Res. 2000, 28: 27-30. 10.1093/nar/28.1.27.View ArticlePubMedPubMed CentralGoogle Scholar
- Zuntini M, Salvatore M, Pedrini E, Parra A, Sgariglia F, Magrelli A, Taruscio D, Sangiorgi L: MicroRNA profiling of multiple osteochondromas: identification of disease-specific and normal cartilage signatures. Clin Genet. 2010, 78: 507-516. 10.1111/j.1399-0004.2010.01490.x.View ArticlePubMedGoogle Scholar
- Felson DT: Epidemiology of knee and hip osteoartritis. Epidemiol Rev. 1988, 10: 1-28.PubMedGoogle Scholar
- Fuentes-Boquete IM, Arufe Gonda MC, Díaz Prado SM, Hermida Gómez T, de Toro Santos FJ, Blanco FJ: Cell and tissue transplant strategies for joint lesions. The Open Transplantation Journal. 2008, 2: 21-28. 10.2174/1874418400802010021.View ArticleGoogle Scholar
- Miyaki S, Sato T, Inoue A, Otsuki S, Ito Y, Yokoyama S, Kato Y, Takemoto F, Nakasa T, Yamashita S, Takada S, Lotz MK, Ueno-Kudo H, Asahara H: MicroRNA-140 plays dual roles in both cartilage development and homeostasis. Genes Dev. 2010, 24: 1173-1185. 10.1101/gad.1915510.View ArticlePubMedPubMed CentralGoogle Scholar
- Akhtar N, Rasheed Z, Ramamurthy S, Anbazhagan AN, Voss FR, Haqqi TM: MicroRNA-27b regulates the expression of matrix metalloproteinase 13 in human osteoarthritis chondrocytes. Arthritis Rheum. 2010, 62: 1361-1371.View ArticlePubMedPubMed CentralGoogle Scholar
- Murata K, Yoshitomi H, Tanida S, Ishikawa M, Nishitani K, Ito H, Nakamura T: Plasma and synovial fluid microRNAs as potential biomarkers of rheumatoid arthritis and osteoarthritis. Arthritis Res Ther. 2010, 12: R86-10.1186/ar3013.View ArticlePubMedPubMed CentralGoogle Scholar
- Araldi E, Schipani E: MicroRNA-140 and the silencing of osteoarthritis. Genes Dev. 2010, 24: 1075-1080. 10.1101/gad.1939310.View ArticlePubMedPubMed CentralGoogle Scholar
- Abouheif MM, Nakasa T, Shibuya H, Niimoto T, Kongcharoensombat W, Ochi M: Silencing microRNA-34a inhibits chondrocyte apoptosis in a rat osteoarthritis model in vitro. Rheumatology (Oxford). 2010, 49: 2054-2060. 10.1093/rheumatology/keq247.View ArticleGoogle Scholar
- Dunn W, DuRaine G, Reddi AH: Profiling microRNA expression in bovine articular cartilage and implications for machanotransduction. Arthritis Rheum. 2009, 60: 2333-2339. 10.1002/art.24678.View ArticlePubMedGoogle Scholar
- Soon PS, Tacon LJ, Gill AJ, Bambach CP, Sywak MS, Campbell PR, Yeh MW, Wong SG, Clifton-Bligh RJ, Robinson BG, Sidhu SB: miR-195 and miR-483-5p identified as predictors of poor prognosis in adrenocortical cancer. Clin Cancer Res. 2009, 15: 7684-7692. 10.1158/1078-0432.CCR-09-1587.View ArticlePubMedGoogle Scholar
- Patterson EE, Holloway AK, Weng J, Fojo T, Kebebew E: MicroRNA profiling of adrenocortical tumors reveals miR-483 as a marker of malignancy. Cancer. 2011, 117: 1630-1639. 10.1002/cncr.25724.View ArticlePubMedGoogle Scholar
- Blom AB, Brockbank SM, van Lent PL, van Beuningen HM, Geurts J, Takahashi N, van der Kraan PM, van de Loo FA, Schreurs BW, Clements K, Newham P, van den Berg WB: Involvement of the Wnt signalling pathway in experimental and human osteoarthritis: prominent role of Wnt-induced signalling protein. Arthritis Rheum. 2009, 60: 501-512. 10.1002/art.24247.View ArticlePubMedGoogle Scholar
- Lodewyckx L, Lories RJ: WNT Signalling in osteoarthritis and osteoporosis: what is the biological significance for the clinician?. Curr Rheumatol Rep. 2009, 11: 23-30. 10.1007/s11926-009-0004-6.View ArticlePubMedGoogle Scholar
- Blom AB, van Lent PL, van der Kraan PM, van den Berg WB: To seek shelter from the WNT in osteoarthritis? WNT-signaling as a targer for osteoarthritis therapy. Curr Drug Targets. 2010, 11: 620-629. 10.2174/138945010791011901.View ArticlePubMedGoogle Scholar
- Corr M: Wnt-beta-catenin signalling in the pathogenesis of osteoarthritis. Nat Clin Pract Rheumatol. 2008, 4: 550-556. 10.1038/ncprheum0904.View ArticlePubMedGoogle Scholar
- Velasco J, Zarrabeitia MT, Prieto JR, Perez-Castrillon JL, Perez-Aguilar MD, Perez-Nuñez MI, Sañudo C, Hernandez-Elena J, Calvo I, Ortiz F, Gonzalez-Macias J, Riancho JA: Wnt pathway genes in osteoporosis and osteoartritis: differential expresión and genetic association study. Osteoporos Int. 2010, 21: 109-118. 10.1007/s00198-009-0931-0.View ArticlePubMedGoogle Scholar
- Qureshi HY, Ahmad R, Sylvester J, Zafarullah M: Requirement of phosphatidylinositol 3-kinase/Akt signaling pathway for regulation of tissue inhibitor of metalloproteinases-3 gene expresión by TGF-beta in human chondrocytes. Cell Signal. 2007, 19: 1643-1651. 10.1016/j.cellsig.2007.02.007.View ArticlePubMedGoogle Scholar
- Van der Kraan PM, Blaney Davidson EN, Blom A, Van den Berg WB: TGF-beta signaling in chondrocyte terminal differentiation and osteoarthritis: modulation and integration of signaling pathways through receptor-Smads. Osteoarthr Cartil. 2009, 17: 1539-1545. 10.1016/j.joca.2009.06.008.View ArticlePubMedGoogle Scholar
- Duraine GD, Chan SM, Reddi AH: Effects of TGF-ß1 on alternative splicing of superficial zone protein in articular cartilage cultures. Osteoarthr Cartil. 2011, 19: 103-110. 10.1016/j.joca.2010.10.008.View ArticlePubMedGoogle Scholar
- The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2474/13/144/prepub