obesity affects the chondrocyte responsiveness to leptin in patients with osteoarthritis肥胖影响软骨细胞的响应在骨关节炎患者瘦素.pdfVIP
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obesity affects the chondrocyte responsiveness to leptin in patients with osteoarthritis肥胖影响软骨细胞的响应在骨关节炎患者瘦素
Pallu et al. Arthritis Research Therapy 2010, 12:R112
/content/12/3/R112
R E S E A R C H A R T I C L E Open Access
Research article
Obesity affects the chondrocyte responsiveness to
leptin in patients with osteoarthritis
†1 †2 2 2 2 2
Stéphane Pallu , Pierre-Jean Francin , Cécile Guillaume , Pascale Gegout-Pottie , Patrick Netter , Didier Mainard ,
2 2
Bernard Terlain and Nathalie Presle*
Abstract
Introduction: Increasing evidence support the regulatory role of leptin in osteoarthritis (OA). As high circulating
concentrations of leptin disrupt the physiological function of the adipokine in obese individuals, the current study has
been undertaken to determine whether the elevated levels of leptin found in the joint from obese OA patients also
induce changes in the chondrocyte response to leptin.
Methods: Chondrocytes isolated from OA patients with various body mass index (BMI) were treated with 20, 100 or
500 ng/ml of leptin. The expression of cartilage-specific components (aggrecan, type 2 collagen), as well as regulatory
(IGF-1, TGFβ, MMP-13, TIMP 2) or inflammatory (COX-2, iNOS, IL-1) factors was investigated by real-time PCR to evaluate
chondrocyte responsiveness to leptin. Furthermore, the effect of body mass index (BMI) on leptin signalling pathways
was analyzed with an enzyme-linked immunosorbent assay for STATs activation.
Results: Leptin at 20 ng/ml was unable to modulate gene expression in chondrocytes, except for MMP-13 in obese OA
patients. Higher leptin levels induced the expression of IGF-1, type 2 collagen, TIMP-2 and MMP-13. However, the
activity of the adipokine was shown to be critically dependent on both the conce
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