The CH25H-CYP7B1-RORα axis of cholesterol metabolism regulates osteoarthritis.

Abstract:

:Osteoarthritis-the most common form of age-related degenerative whole-joint disease1-is primarily characterized by cartilage destruction, as well as by synovial inflammation, osteophyte formation and subchondral bone remodelling2,3. However, the molecular mechanisms that underlie the pathogenesis of osteoarthritis are largely unknown. Although osteoarthritis is currently considered to be associated with metabolic disorders, direct evidence for this is lacking, and the role of cholesterol metabolism in the pathogenesis of osteoarthritis has not been fully investigated4-6. Various types of cholesterol hydroxylases contribute to cholesterol metabolism in extrahepatic tissues by converting cellular cholesterol to circulating oxysterols, which regulate diverse biological processes7,8. Here we show that the CH25H-CYP7B1-RORα axis of cholesterol metabolism in chondrocytes is a crucial catabolic regulator of the pathogenesis of osteoarthritis. Osteoarthritic chondrocytes had increased levels of cholesterol because of enhanced uptake, upregulation of cholesterol hydroxylases (CH25H and CYP7B1) and increased production of oxysterol metabolites. Adenoviral overexpression of CH25H or CYP7B1 in mouse joint tissues caused experimental osteoarthritis, whereas knockout or knockdown of these hydroxylases abrogated the pathogenesis of osteoarthritis. Moreover, retinoic acid-related orphan receptor alpha (RORα) was found to mediate the induction of osteoarthritis by alterations in cholesterol metabolism. These results indicate that osteoarthritis is a disease associated with metabolic disorders and suggest that targeting the CH25H-CYP7B1-RORα axis of cholesterol metabolism may provide a therapeutic avenue for treating osteoarthritis.

journal_name

Nature

journal_title

Nature

authors

Choi WS,Lee G,Song WH,Koh JT,Yang J,Kwak JS,Kim HE,Kim SK,Son YO,Nam H,Jin I,Park ZY,Kim J,Park IY,Hong JI,Kim HA,Chun CH,Ryu JH,Chun JS

doi

10.1038/s41586-019-0920-1

subject

Has Abstract

pub_date

2019-02-01 00:00:00

pages

254-258

issue

7743

eissn

0028-0836

issn

1476-4687

pii

10.1038/s41586-019-0920-1

journal_volume

566

pub_type

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