Abstract. Interleukin-1β (IL-1β) has a significant role in osteoarthritis (OA). The purinergic receptor, P2X4, has previously been implicated in IL-1β secretion. The NLRP1 inflammasome mediates the production of IL-1β in inflammatory disorders. However, it is unknown whether P2X4 modulates NLRP1-mediated IL-1β release. In the present study, the correlation between the P2X4 receptor and NLRP1 was investigated in OA fibroblast-like synoviocytes (OAFLS). The expression of P2X4 and NLRP1 was detected in the OAFLS. The OAFLS were stimulated with P2X4 and the levels of IL-1β and matrix metalloproteinases (MMPs) were measured. To determine whether P2X4 is involved in NLRP1-triggered IL-1β production, NLRP1 small interfering RNA (siRNA) was used. In the OAFLS, a markedly higher expression of P2X4 and NLRP1 was revealed compared with that in the normal FLS. OAFLS stimulated by P2X4 resulted in concentration-dependent increases in the production of IL-1β, MMP-3 and MMP-9. Furthermore, P2X4-mediated IL-1β production was attenuated by the NLRP1 siRNA. The results of the present study indicate that P2X4 induced IL-1β, MMP-3 and MMP-9 production in the OAFLS. IL-1β induced by P2X4 is mediated via NLRP1. P2X4/NLRP1 may be important in the pathogenesis of OA and may represent a novel therapeutic target.
IntroductionAs the most common form of arthritis, osteoarthritis (OA) is one of the most significant causes of disability in older adults (1), yet its exact etiology remains unknown (2). The diagnosis and evaluation of joint damage are predominantly based on clinical and radiological findings. With medical advances, molecular markers are likely to become promising indicators for evaluating local inflammation, joint alterations and cartilage damage (3).Fibroblast-like synoviocytes (FLS) have been accepted to be key in OA inflammation and joint destruction, primarily through their secretion of a wide range of proinflammatory mediators (4,5). In response to the proinflammatory cytokines, including interleukin-1β (IL-1β), the OAFLS produce chemokines that promote inflammation, neovascularization and cartilage degradation via activation of matrix-degrading enzymes, including matrix metalloproteinases (MMPs) (5). IL-1β is a multifunctional cytokine that contributes to the pathogenesis of OA (6). Investigations into the IL-1β signaling pathway led to the identification of novel potential drugs for the treatment of OA (7). However, current treatment with these drugs remains unsatisfactory, and further research is required to achieve the desired therapeutic goals (7).The inflammasome is a multi-protein complex that mediates the activation of caspase-1, which in turn produces the proinflammatory cytokines, . The human NLRP1 inflammasome was the first caspase-1-activating protein complex to be identified (9). Recent studies have indicated that NLRP3 is involved in the genetic predisposition and pathogenesis of crystal arthritis, including gouty and rheumatoid arthritis (10,11). Recently, a study has revealed that the expression of the P2X4...