TRPA1 expression is downregulated by dexamethasone and aurothiomalate in human chondrocytes : TRPA1 as a novel factor and drug target in arthritis
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Nummenmaa E, e al. RMD Open 2017;3:e000556. doi:10.1136/ mdopen-2017-000556
T ansien ecep o po en ial anky in 1
(TRPA1) is a ligand-ga ed memb ane-bound
ca ion channel. TRPA1 has been la gely
s udied in neu ons, whe e i media es pain
and neu ogenic in lamma ion and ac s
as a chemosenso o ha m ul exogenous
compounds.1 2 Mo e ecen ly, TRPA1 has
been ound o be ac i a ed also by endoge-
nous compounds o med in in lamma o y
condi ions cha ac e is ic o a h i is, such as
eac i e oxygen and ni ogen species.3
We ha e ecen ly disco e ed ha TRPA1
is unc ionally exp essed in p ima y human
os eoa h i ic chond ocy es,4 whe e i
up egula ed he p oduc ion o media o s
ela ed o a h i is: in e leukin (IL)-6, p os-
aglandin E2 and ma ix me allop o einases
1, 3 and 13.4 Fu he mo e, we showed in
monosodium iodoace a e-induced expe i-
men al a h i is ha TRPA1 ac i a ion medi-
a es in lamma ion, ca ilage deg ada ion
and pain.5 TRPA1 hus eme ges as a no el
ac o associa ed wi h a h i is. The e o e,
we in es iga ed he e ec s o disease-mod-
i ying an i heuma ic d ugs me ho exa e,
sul asalazine, hyd oxychlo oquine and
au o hiomala e, glucoco icoid dexame h-
asone and non-s e oidal an i-in lamma o y
d ug ibup o en on he exp ession o TRPA1
in human chond ocy es.
Human T/C28a2 chond ocy es6 we e
cul u ed wi h he a o emen ioned d ugs,
along wi h IL-1β, which was ecen ly ound
o up egula e TRPA1 exp ession in chon-
d ocy es.4 Dexame hasone and au o hioma-
la e inhibi ed TRPA1 mRNA exp ession in a
dose-dependen manne ( igu e 1A), while
me ho exa e (10 µM), sul asalazine (10 µM),
hyd oxychlo oquine (10 µM) and ibup o en
(10 µM) had no e ec . Dexame hasone
and au o hiomala e also dec eased TRPA1
p o ein le els ( igu e 1C).
Nex , we examined i he obse ed d ug
e ec s on TRPA1 exp ession le els a e unc-
ional, ha is, i hey a e ansla ed o changes
in TRPA1-media ed calcium in lux. In chon-
d ocy es, which had been cul u ed in he
p esence o IL-1β, TRPA1-media ed calcium
in lux was inc eased; while ha e ec was
e e sed in cells which had been cul u ed wi h
a combina ion o IL-1β and dexame hasone
o au o hiomala e ( igu e 1D,E), con i ming
Sho epo
TRPA1 exp ession is down egula ed by
dexame hasone and au o hiomala e in
human chond ocy es: TRPA1 as a no el
ac o and d ug a ge in a h i is
Elina Nummenmaa,1 Ma i Hämäläinen,1 Lau i J Moilanen,1 Teemu Moilanen,1,2
Ka iina Vuol eenaho,1 Ee a Moilanen1
To ci e: Nummenmaae,
hämäläinenM, MoilanenLJ,
e al. pA1 exp ession
is down egula ed by
dexame hasone and
au o hiomala e in human
chond ocy es: pA1 as a
no el ac o and d ug a ge
in a h i is. RMD Open
2017;3:e000556. doi:10.1136/
mdopen-2017-000556
►p epublica ion his o y o
his pape is a ailable online.
o iew hese iles please isi
he jou nal online (h p:// dx. doi.
o g/ 10. 1136/ mdopen- 2017-
000556).
ecei ed 10 Augus 2017
Accep ed 14 Augus 2017
1 he Immunopha macology
esea ch G oup, Facul y o
Medicine and Li e Sciences,
Uni e si y o ampe e and
ampe e Uni e si y hospi al,
ampe e, Finland
2Coxa hospi al o Join
eplacemen , ampe e, Finland
Co espondence o
p o esso ee a Moilanen;
ee a. moilanen@ u a. i
In lamma o y a h i is
Key messages
Wha is al eady known abou his subjec ?
► ansien ecep o po en ial anky in 1 ( pA1) is
a memb ane-associa ed ca ion channel p ima ily
s udied in senso y neu ons, whe e i ac s as a
chemosenso o pungen compounds and media es
pain.
► pA1 has ecen ly eme ged as a po en ial ac o /
media o in a h i is; we ha e shown pA1 o
media e in lamma o y and ca abolic esponses
in p ima y human chond ocy es, as well as
ca ilage deg ada ion, in lamma ion and pain in an
expe imen al model o a h i is.
Wha does his s udy add?
► his s udy shows ha an i-in lamma o y d ugs
dexame hasone and au o hiomala e down egula e
he exp ession o unc ional pA1 in human
chond ocy es.
How migh his impac on clinical p ac ice?
► hese esul s show a p e iously unknown
mechanism o ac ion o dexame hasone and
au o hiomala e ia down egula ion o pA1, and
hus p o ides a no el concep o he de elopmen
o d ugs o a h i is wi h analgesic and disease
modi ying p ope ies.
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2Nummenmaa e, e al. RMD Open 2017;3:e000556. doi:10.1136/ mdopen-2017-000556
RMD Open
Figu e 1 Dexame hasone and au o hiomala e inhibi TRPA1 exp ession in human chond ocy es. Human chond ocy es
(p ima y human chond ocy es o T/C28a2 chond ocy e cell line) we e cul u ed wi h IL-1β alone o in combina ion wi h he an i-
in lamma o y compound dexame hasone o au o hiomala e, o wi h he selec i e NF-κB inhibi o PDTC a concen a ions gi en
in he igu e. (A, B) Fo TRPA1 mRNA exp ession analysis, human T/C28a2 chond ocy es (A) we e incuba ed o 6 hou s and
he expe imen s we e ca ied ou in quad uplica e; p ima y chond ocy es (B) we e incuba ed o 24 hou s and he expe imen s
we e ca ied ou in duplica e and epea ed wi h cells om six dono pa ien s. To al RNA was ex ac ed and TRPA1 mRNA
le els we e measu ed by quan i a i e RT-PCR (TaqMan Gene Exp ession Assay o human TRPA1, Hs00175798_m1), and he
esul s we e no malised agains GAPDH mRNA le els. (C) Fo TRPA1 p o ein analysis human T/C28a2 chond ocy es we e
incuba ed o 24 hou s a e which p o eins we e ex ac ed and immunop ecipi a ed wi h TRPA1 an ibody (SAB2105082,
Sigma-Ald ich), and TRPA1 was de ec ed wi h Wes e n blo (wi h p ima y an ibody: NB110-40763, No usBiologicals). The
igu e shows one ep esen a i e blo o six independen expe imen s wi h simila esul s. (D, E) Fo Ca2+in lux analysis human
T/C28a2 chond ocy es we e incuba ed wi h IL-1β alone o in combina ion wi h dexame hasone o au o hiomala e o 24 hou s.
The ea e , he cells we e loaded wi h Fluo-3-AM and he TRPA1-media ed Ca2+in lux was measu ed by Vic o 3 mul ilabel
coun e a exci a ion/emission wa eleng hs o 485/535 nm a 1/s equency. In he measu emen s, basal luo escence was
i s eco ded o 15 s and he ea e he selec i e TRPA1 agonis AITC was added and he measu emen s we e con inued
o 30 s. The esul s we e no malised agains he backg ound and exp essed as a mean o eigh measu emen s. In (E), AUC
om 15 o 45 s was calcula ed. Resul s a e exp essed as mean+SEM, esul s in (A–C) a e exp essed as a pe cen age in
compa ison o IL-1β- ea ed samples which we e se as 100%. S a is ical signi icance o he esul s was calcula ed wi h
one-way o epea ed measu es ANOVA ollowed by Bon e oni pos - es . Da a we e analysed using G aphPad InS a V.3.0.
***p<0.001.AITC, allyl iso hiocyana e; ANOVA, analysis o a iance; AUC, a ea unde he cu e; GAPDH, glyce aldehyde-
3-phospha e dehyd ogenase; IL, in e leukin; NF-κB, nuclea ac o kappa B; OA, os eoa h i ic; PDTC,ammonium
py olidinedi hioca bama e; RT-PCR, e e se ansc ip ion PCR; TRPA1, ansien ecep o po en ial anky in 1.
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Nummenmaa e, e al. RMD Open 2017;3:e000556. doi:10.1136/ mdopen-2017-000556
In lamma o y a h i is
he unc ional down egula ion o TRPA1 exp ession by
hese wo d ugs.
To con i m he e ec s o dexame hasone and
au o hiomala e in p ima y human chond ocy es, cells
we e isola ed om ca ilage samples ob ained om join
eplacemen su ge y and cul u ed as desc ibed p e i-
ously.4 Dexame hasone and au o hiomala e down eg-
ula ed IL-1β-induced TRPA1 exp ession also in hese
p ima y chond ocy es ( igu e 1B).
The cu en esul s show o he i s ime ha wo
an i-in lamma o y d ugs which a e e ec i e in he
ea men o a h i is and e a d ca ilage deg ada ion,
namely dexame hasone and au o hiomala e, down-
egula e he exp ession o TRPA1 in human chond o-
cy es. No ably, inhibi ion o he ansc ip ion ac o
nuclea ac o kappa B (NF-κB) also down egula ed
TRPA1 exp ession ( igu e 1A,B). Acco dingly, Ha ano
e al7 epo ed ecen ly ha he TRPA1 p omo e has a
leas six pu a i e NF-κB binding si es; hey also showed
NF-κB o be in ol ed in he induc ion o TRPA1 in syno -
iocy es. Glucoco icoids8 as well as au o hiomala e9 ha e
been shown o inhibi NF-κB ac i a ion. The e o e, he
down egula ion o TRPA1 exp ession by hese d ugs may
occu , a leas in pa , ia inhibi ion o NF-κB.
The p esen indings, oge he wi h p e ious esul s,4 5 7
s ongly sugges TRPA1 as a no el ac o and d ug a ge
in a h i is.
Acknowledgemen s We wish o hank Ms e hi Salonen, heini B ande and ella
Leh o o excellen echnical assis ance and Ms heli Mää ä o skil ul sec e a ial help.
Con ibu o s eN, Mh, LJM, M, KV and eM con ibu ed o he design o he s udy
and o he acquisi ion, analysis and in e p e a ion o da a. eM concei ed and
supe ised he s udy. eN d a ed he manusc ip . All au ho s e ised he manusc ip
c i ically o impo an in ellec ual con en and ha e app o ed i s inal e sion o
submission.
Funding he s udy was suppo ed by g an s om he Compe i i e esea ch
Funding o he pi kanmaa hospi al Dis ic , Finland; Finnish Cul u al Founda ion,
Finland; esea ch Founda ion o heuma ic Diseases, Finland; and pa ien
o ganiza ion o heuma oid A h i is ( ampe een eumayhdis ys), Finland.
Compe ing in e es s None decla ed.
Pa ien consen W i en in o med consen was ob ained om all pa ien s.
E hics app o al e hics Commi ee o he pi kanmaa hospi al Dis ic , Finland.
P o enance and pee e iew No commissioned; ex e nally pee e iewed.
Da a sha ing s a emen All he da a is epo ed in he manusc ip .
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d ug a ge in a h i is
chond ocy es: TRPA1 as a no el ac o and
humandexame hasone and au o hiomala e in
TRPA1 exp ession is down egula ed by
Moilanen, Ka iina Vuol eenaho and Ee a Moilanen
Elina Nummenmaa, Ma i Hämäläinen, Lau i J Moilanen, Teemu
doi: 10.1136/ mdopen-2017-000556
2017 3: RMD Open
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