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(American Journal of Pathology. 2006;169:491-502.)
© 2006 American Society for Investigative Pathology
DOI: 10.2353/ajpath.2006.050738

Regulation of Type II Collagen Synthesis during Osteoarthritis by Prolyl-4-Hydroxylases

Possible Influence of Low Oxygen Levels

Claudia Grimmer*, Nadine Balbus*, Ute Lang*, Thomas Aigner{dagger}, Thorsten Cramer{ddagger}, Lutz Müller§, Bernd Swoboda* and David Pfander*

From the Division of Orthopedic Rheumatology,* Department of Orthopedic Surgery, University of Erlangen-Nuremberg, Erlangen; the Department of Pathology,{dagger} University of Leipzig, Leipzig; the Department of Hepatology and Gastroenterology,{ddagger} Charité-Universitätsmedizin Berlin, Campus Virchow-Klinikum, Berlin; and the Department of Orthopedic Surgery,§ University of Erlangen-Nuremberg, Erlangen, Germany

Osteoarthritic (OA) chondrocytes are metabolically active, displaying increased synthesis of type II collagen. Here, we show by immunohistochemistry and polymerase chain reaction that in comparison with healthy cartilage, OA articular chondrocytes exhibit increased in vivo synthesis of collagen prolyl-4-hydroxylase type II, a pivotal enzyme in collagen triple helix formation. Exposure of primary human articular chondrocytes to 1% oxygen enhanced accumulation of native type II collagen and stabilized hypoxia-inducible factor-1{alpha} (HIF-1{alpha}). This effect was abolished by addition of the HIF-1 inhibitor 2-methoxyestradiol. Real-time polymerase chain reaction analyses of mRNAs from these cultures revealed increased transcript levels of both {alpha}-subunits of prolyl-4-hydroxylase (P4HA1, ~2-fold; P4HA2, ~2.3-fold) and of classical HIF-1 target genes (glucosetransporter-1, ~2.1-fold; phosphoglyceratekinase-1, ~2.2-fold). Treatment of hypoxic chondrocytes with 2-methoxyestradiol reduced transcriptional activity of HIF-1 and synthesis of {alpha}(II), and to a lesser extent {alpha}(I), subunits of collagen prolyl-4-hydroxylases. mRNA levels of type II collagen (Col2A1) and the ß-subunit (P4HB) of prolyl-4-hydroxylase, however, displayed only modest changes at 1% oxygen. From these results and our in vivo data, we inferred that besides increased Col2A1 mRNA expression by OA chondrocytes, accelerated posttranslational modification processes might contribute to the increased synthesis and accumula-tion of type II collagen during OA and experimen-tal hypoxia.




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