[HTML][HTML] Synovial fluid interleukin-16 contributes to osteoclast activation and bone loss through the JNK/NFATc1 signaling cascade in patients with periprosthetic joint …

Y Chang, Y Hsiao, CC Hu, CH Chang, CY Li… - International Journal of …, 2020 - mdpi.com
Y Chang, Y Hsiao, CC Hu, CH Chang, CY Li, SWN Ueng, MF Chen
International Journal of Molecular Sciences, 2020mdpi.com
Because of lipopolysaccharide (LPS)-mediated effects on osteoclast differentiation and
bone loss, periprosthetic joint infection (PJI) caused by Gram-negative bacteria increases
the risk of aseptic loosening after reimplantation. Synovial fluid interleukin-16 (IL-16)
expression was higher in patients with PJI than in patients without joint infection. Thus, we
explored the effects of IL-16 on bone. We investigated whether IL-16 modulates osteoclast
or osteoblast differentiation in vitro. An LPS-induced bone loss mice model was used to …
Because of lipopolysaccharide (LPS)-mediated effects on osteoclast differentiation and bone loss, periprosthetic joint infection (PJI) caused by Gram-negative bacteria increases the risk of aseptic loosening after reimplantation. Synovial fluid interleukin-16 (IL-16) expression was higher in patients with PJI than in patients without joint infection. Thus, we explored the effects of IL-16 on bone. We investigated whether IL-16 modulates osteoclast or osteoblast differentiation in vitro. An LPS-induced bone loss mice model was used to explore the possible advantages of IL-16 inhibition for the prevention of bone loss. IL-16 directly activated p38 and c-Jun N-terminal kinase (JNK)/mitogen-activated protein kinase (MAPK) signaling and increased osteoclast activation markers, including tartrate-resistant acid phosphatase (TRAP), cathepsin K, and nuclear factor of activated T cells 1 (NFATc1). IL-16 directly caused monocytes to differentiate into TRAP-positive osteoclast-like cells through NFATc1 activation dependent on JNK/MAPK signaling. Moreover, IL-16 did not alter alkaline phosphatase activity or calcium deposition during osteoblastic differentiation. Finally, IL-16 inhibition prevented LPS-induced trabecular bone loss and osteoclast activation in vivo. IL-16 directly increased osteoclast activation through the JNK/NFATc1 pathway. IL-16 inhibition could represent a new strategy for treating infection-associated bone loss.
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