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Rspo2 exacerbates rheumatoid arthritis by targeting aggressive phenotype of fibroblast-like synoviocytes and disrupting chondrocyte homeostasis via Wnt/β-catenin pathway

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机构: [1]Southern Med Univ, Affiliated Hosp 3, Ctr Orthopaed Surg, Dept Orthoped Surg, Guangzhou 510630, Peoples R China [2]Guangdong Prov Key Lab Bone & Joint Degenerat Dis, Guangzhou 510630, Peoples R China [3]Beijing Univ Chinese Med Longgang, Shenzhen Hosp, Shenzhen 518100, Peoples R China [4]Sun Yat Sen Univ, Sun Yat Sen Mem Hosp, Dept Orthoped, Guangzhou 510120, Peoples R China [5]Sen Univ, Shantou Cent Hosp, Affiliated Shantou Hosp Sun Yat, Dept Orthoped Surg, Shantou 515031, Peoples R China
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关键词: Rspo2 Fibroblast-like synoviocyte Chondrocyte Synovitis Wnt/ beta-catenin Rheumatoid arthritis

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Background The aggressive phenotype of fibroblast-like synoviocytes (FLS) has been identified as a contributing factor to the exacerbation of rheumatoid arthritis (RA) through the promotion of synovitis and cartilage damage. Regrettably, there is currently no effective therapeutic intervention available to address this issue. Recent research has shed light on the crucial regulatory role of R-spondin-2 (Rspo2) in cellular proliferation, cartilage degradation, and tumorigenesis. However, the specific impact of Rspo2 on RA remains poorly understood. We aim to investigate the function and mechanism of Rspo2 in regulating the aggressive phenotype of FLS and maintaining chondrocyte homeostasis in the context of RA.Methods The expression of Rspo2 in knee joint synovium and cartilage were detected in RA mice with antigen-induced arthritis (AIA) and RA patients. Recombinant mouse Rspo2 (rmRspo2), Rspo2 neutralizing antibody (Rspo2-NAb), and recombinant mouse DKK1 (rmDKK1, a potent inhibitor of Wnt signaling pathway) were used to explore the role and mechanism of Rspo2 in the progression of RA, specifically in relation to the aggressive phenotype of FLS and chondrocyte homeostasis, both in vivo and in vitro.Results We indicated that Rspo2 expression was upregulated both in synovium and articular cartilage as RA progressed in RA mice and RA patients. Increased Rspo2 upregulated the expression of leucine-rich repeat-containing G-protein-coupled receptor 5 (LGR5), as the ligand for Rspo2, and beta-catenin in FLS and chondrocytes. Subsequent investigations revealed that intra-articular administration of rmRspo2 caused striking progressive synovitis and articular cartilage destruction to exacerbate RA progress in mice. Conversely, neutralization of Rspo2 or inhibition of the Wnt/beta-catenin pathway effectively alleviated experimental RA development. Moreover, Rspo2 facilitated FLS aggressive phenotype and disrupted chondrocyte homeostasis primarily through activating Wnt/beta-catenin pathway, which were effectively alleviated by Rspo2-NAb or rmDKK1.Conclusions Our data confirmed a critical role of Rspo2 in enhancing the aggressive phenotype of FLS and disrupting chondrocyte homeostasis through the Wnt/beta-catenin pathway in the context of RA. Furthermore, the results indicated that intra-articular administration of Rspo2 neutralizing antibody or recombinant DKK1 might represent a promising therapeutic strategy for the treatment of RA.

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出版当年[2022]版:
大类 | 2 区 医学
小类 | 2 区 风湿病学
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大类 | 2 区 医学
小类 | 2 区 风湿病学
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Q1 RHEUMATOLOGY
最新[2023]版:
Q1 RHEUMATOLOGY

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第一作者机构: [1]Southern Med Univ, Affiliated Hosp 3, Ctr Orthopaed Surg, Dept Orthoped Surg, Guangzhou 510630, Peoples R China [2]Guangdong Prov Key Lab Bone & Joint Degenerat Dis, Guangzhou 510630, Peoples R China
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通讯机构: [1]Southern Med Univ, Affiliated Hosp 3, Ctr Orthopaed Surg, Dept Orthoped Surg, Guangzhou 510630, Peoples R China [2]Guangdong Prov Key Lab Bone & Joint Degenerat Dis, Guangzhou 510630, Peoples R China
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