Background: Arthritis is a cartilage degenerative
disease that is mainly induced by the degradation of the cartilage
extracellular matrix (ECM), which is found to be regulated by the
expression level of a disintegrin and metalloproteinase with thrombospondin
motifs 5 (ADAMT-5), an enzyme degrading Aggrecans in the ECM. Feprazone
is a classic nonsteroidal anti-inflammatory drug with promising efficacy
in arthritis. The present study aims to investigate the protective
effect of Feprazone on the degraded Aggrecan in the human chondrocytes
induced with tumor necrosis factor-α (TNF-α) and to clarify
the underlying mechanism. Methods: To investigate
the effect of Feprazone, the CHON-001 chondrocytes were stimulated
with TNF-α (10 ng/mL) in the presence or absence of Feprazone
(3, 6 μM) for 24 h. Mitochondrial membrane potential was evaluated
using the Rhodamine 123 assay. The gene expressions of interleukin-1β
(IL-1β), interleukin-8 (IL-8), monocyte chemotactic protein
1 (MCP-1), and ADAMTS-5 in the treated chondrocytes were detected
using real-time quantitative polymerase chain reaction (qRT-PCR),
and the protein levels of these targets were determined using enzyme-linked
immunosorbent assay (ELISA). SOX-4 was knocked down by transfecting
the siRNA into the chondrocytes. Western blot analysis was utilized
to evaluate the expression levels of SOX-4, Aggrecan, and protein
kinase C (PKCα). Results: First, the reduced
mitochondrial membrane potential (ΔΨm) and
secretion of proinflammatory factors (IL-1β, IL-8, and MCP-1)
induced by TNF-α were significantly reversed by treatment with
Feprazone. Second, the expression of Aggrecan was significantly decreased
by stimulation with TNF-α via upregulation of ADAMTS-5 but was
dramatically reversed by the introduction of Feprazone. Third, we
found that TNF-α elevated the expression of ADAMTS-5 by upregulating
SOX-4, which was observed to be related to the activation of PKCα.
Lastly, the elevated expression of SOX-4 induced by TNF-α was
significantly reversed by Feprazone. Conclusions:
Feprazone might ameliorate TNF-α-induced loss of Aggrecan via
the inhibition of the SOX-4/ADAMTS-5 signaling pathway.