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      MicroRNA‐34a‐5p Promotes Joint Destruction During Osteoarthritis

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          Abstract

          Objective

          MicroRNA‐34a‐5p (miR‐34a‐5p) expression is elevated in the synovial fluid of patients with late‐stage knee osteoarthritis (OA); however, its exact role and therapeutic potential in OA remain to be fully elucidated. This study was undertaken to examine the role of miR‐34a‐5p in OA pathogenesis.

          Methods

          Expression of miR‐34a‐5p was determined in joint tissues and human plasma (n = 71). Experiments using miR‐34a‐5p mimic or antisense oligonucleotide (ASO) treatment were performed in human OA chondrocytes, fibroblast‐like synoviocytes (FLS) (n = 7–9), and mouse OA models, including destabilization of the medial meniscus (DMM; n = 22) and the accelerated, more severe model of mice fed a high‐fat diet and subjected to DMM (n = 11). Wild‐type (WT) mice (n = 9) and miR‐34a–knockout (KO) mice (n = 11) were subjected to DMM. Results were expressed as the mean ± SEM and analyzed by t‐test or analysis of variance, with appropriate post hoc tests. P values less than 0.05 were considered significant. RNA sequencing was performed on WT and KO mouse chondrocytes.

          Results

          Expression of miR‐34a‐5p was significantly increased in the plasma, cartilage, and synovium of patients with late‐stage OA and in the cartilage and synovium of mice subjected to DMM. Plasma miR‐34a‐5p expression was significantly increased in obese patients with late‐stage OA, and in the plasma and knee joints of mice fed a high‐fat diet. In human OA chondrocytes and FLS, miR‐34a‐5p mimic increased key OA pathology markers, while miR‐34a‐5p ASO improved cellular gene expression. Intraarticular miR‐34a‐5p mimic injection induced an OA‐like phenotype. Conversely, miR‐34a‐5p ASO injection imparted cartilage‐protective effects in the DMM and high‐fat diet/DMM models. The miR‐34a–KO mice exhibited protection against DMM‐induced cartilage damage. RNA sequencing of WT and KO chondrocytes revealed a putative miR‐34a‐5p signaling network.

          Conclusion

          Our findings provide comprehensive evidence of the role and therapeutic potential of miR‐34a‐5p in OA.

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          Most cited references41

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          Osteoarthritis cartilage histopathology: grading and staging.

          Current osteoarthritis (OA) histopathology assessment methods have difficulties in their utility for early disease, as well as their reproducibility and validity. Our objective was to devise a more useful method to assess OA histopathology that would have wide application for clinical and experimental OA assessment and would become recognized as the standard method. An OARSI Working Group deliberated on principles, standards and features for an OA cartilage pathology assessment system. Using current knowledge of the pathophysiology of OA morphologic features, a proposed system was presented at OARSI 2000. Subsequently, this was widely circulated for comments amongst experts in OA pathology. An OA cartilage pathology assessment system based on six grades, which reflect depth of the lesion and four stages reflecting extent of OA over the joint surface was developed. The OARSI cartilage OA histopathology grading system appears consistent and simple to apply. Further studies are required to confirm the system's utility.
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            Role of proinflammatory cytokines in the pathophysiology of osteoarthritis.

            Osteoarthritis (OA) is associated with cartilage destruction, subchondral bone remodeling and inflammation of the synovial membrane, although the etiology and pathogenesis underlying this debilitating disease are poorly understood. Secreted inflammatory molecules, such as proinflammatory cytokines, are among the critical mediators of the disturbed processes implicated in OA pathophysiology. Interleukin (IL)-1β and tumor necrosis factor (TNF), in particular, control the degeneration of articular cartilage matrix, which makes them prime targets for therapeutic strategies. Animal studies provide support for this approach, although only a few clinical studies have investigated the efficacy of blocking these proinflammatory cytokines in the treatment of OA. Apart from IL-1β and TNF, several other cytokines including IL-6, IL-15, IL-17, IL-18, IL-21, leukemia inhibitory factor and IL-8 (a chemokine) have also been shown to be implicated in OA and could possibly be targeted therapeutically. This Review discusses the current knowledge regarding the role of proinflammatory cytokines in the pathophysiology of OA and addresses the potential of anticytokine therapy in the treatment of this disease.
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              Identification of novel genes coding for small expressed RNAs.

              In Caenorhabditis elegans, lin-4 and let-7 encode 22- and 21-nucleotide (nt) RNAs, respectively, which function as key regulators of developmental timing. Because the appearance of these short RNAs is regulated during development, they are also referred to as small temporal RNAs (stRNAs). We show that many 21- and 22-nt expressed RNAs, termed microRNAs, exist in invertebrates and vertebrates and that some of these novel RNAs, similar to let-7 stRNA, are highly conserved. This suggests that sequence-specific, posttranscriptional regulatory mechanisms mediated by small RNAs are more general than previously appreciated.
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                Author and article information

                Contributors
                mohit.kapoor@uhnresearch.ca
                Journal
                Arthritis Rheumatol
                Arthritis Rheumatol
                10.1002/(ISSN)2326-5205
                ART
                Arthritis & Rheumatology (Hoboken, N.j.)
                John Wiley and Sons Inc. (Hoboken )
                2326-5191
                2326-5205
                08 February 2021
                March 2021
                : 73
                : 3 ( doiID: 10.1002/art.v73.3 )
                : 426-439
                Affiliations
                [ 1 ] Krembil Research Institute University Health Network, and University of Toronto Toronto Ontario Canada
                [ 2 ] Krembil Research Institute University Health Network Toronto Ontario Canada
                [ 3 ] McCaig Institute for Bone and Joint Health University of Calgary Calgary Alberta Canada
                [ 4 ] Krembil Research Institute, and Toronto Western Hospital University Health Network Toronto Ontario Canada
                [ 5 ] Igor Jurisica,: Krembil Research Institute University Health Network University of Toronto, Toronto, Ontario, Canada, and Institute of Neuroimmunology Slovak Academy of Sciences Bratislava Slovakia
                [ 6 ] Krembil Research Institute University Health Network, and University of Toronto Toronto Ontario Canada
                Author notes
                [*] [* ] Address correspondence to Mohit Kapoor, PhD, 60 Leonard Avenue, Toronto, Ontario M5T 0S8, Canada. Email: mohit.kapoor@ 123456uhnresearch.ca .

                Author information
                https://orcid.org/0000-0001-9877-0772
                Article
                ART41552
                10.1002/art.41552
                7986901
                33034147
                53b7b765-ba09-4a08-a366-751b90b68ead
                © 2020 The Authors. Arthritis & Rheumatology published by Wiley Periodicals LLC on behalf of American College of Rheumatology.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

                History
                : 20 September 2019
                : 29 September 2020
                Page count
                Figures: 6, Tables: 0, Pages: 14, Words: 17468
                Funding
                Funded by: Natural Sciences Research Council
                Award ID: #203475
                Funded by: Krembil Postdoctoral Fellowship Award
                Funded by: Ontario Research Fund
                Award ID: #34876
                Funded by: The Krembil Foundation
                Funded by: Canadian Foundation for Innovation
                Award ID: #225404
                Award ID: #30865
                Funded by: The Arthritis Program, University Health Network
                Funded by: Natural Sciences and Engineering Research Council of Canada (NSERC)
                Funded by: Canadian Institute of Health Research Operating grant
                Funded by: The Toronto General and Western Hospital Foundation
                Funded by: Canada Research Chairs , open-funder-registry 10.13039/501100001804;
                Categories
                Full Length
                Osteoarthritis
                Custom metadata
                2.0
                March 2021
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.0.0 mode:remove_FC converted:23.03.2021

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