Role of fibrillin-1 in protecting against osteoarthritis.

Lead Research Organisation: University of Liverpool
Department Name: Musculoskeletal & Ageing Science

Abstract

Importance
Osteoarthritis is the most common form of arthritis in the UK. It causes joints to become painful and stiff and although symptoms can be mild for some people, for others the pain and mobility issues prevent everyday activities. In the UK osteoarthritis in the knee alone affects 18% of people aged over 45 years. The proportion of the UK population in this age group is growing, and it is predicted that that UK care costs for arthritic conditions will grow to £120 billion per year by 2030. Osteoarthritis is a degenerative condition - one which gets worse over time - and there is currently no drug that can slow or stop osteoarthritis from getting worse.

Our goals
The protein fibrillin-1 (FBN1) is a key component of the network that forms the structure of tissues such as ligaments and bones. We recently discovered that FBN1 may play an important role in osteoarthritis. In addition to other groups' findings that FBN1 levels change in human osteoarthritis, we also found that mice with an abnormal FBN1 protein had early onset osteoarthritis, which was particularly severe in male mice. These findings support a sex-dependent role for FBN1 in osteoarthritis, with FBN1 being critical for avoiding joint failure. In this project we aim to
- Define whether loss of FBN1 makes osteoarthritis get worse once it has been triggered or makes joints more susceptible to initial damage in the first place.
- Determine the mechanism by which FBN1 causes osteoarthritis.
- Test whether preventing FBN1 from breaking down can protect joints from worsening osteoarthritis.

Our approach
We have created a team with the range of skills needed to fully understand the role of FBN1 in osteoarthritis, including expertise in the biology of osteoarthritis progression, ligament biology and strength measurements in humans and animals using a mixed engineering and biological approach, creating and using mouse models to understand osteoarthritis and protein breakdown. We will generate mouse strains where FBN1 is deleted in whole limbs or just part of the joint, and also with a variant of FBN1 that is more difficult to break down than the usual form. The mice will be analysed over several months looking at their walking gait, general behaviour, and images of their joints to understand how lack of FBN1/lack of FBN1 breakdown affects joint health and function. We will also use human samples to investigate the mechanism of FBN1 action at a cellular level.

Impact
Together, our experiments will:
- determine whether FBN1 controls progression of osteoarthritis only, or whether it also plays a role in initiation. This information is important to determine the timing for treatment targeting FBN1.
- unravel the mechanisms by which FBN1 loss accelerates osteoarthritis, and therefore reveal potential targets for therapy.
- discover whether preventing FBN1 from breaking down is a valid potential strategy for slowing progression of osteoarthritis.
Our work will deliver new scientific insights into the role of FBN1 in osteoarthritis. This paves the way for future work developing new therapies against this increasingly important disease.

Technical Summary

We aim to test the hypothesis that that FBN1 serves sex-specific roles protecting against the advance of osteoarthritis (OA) and that deciphering these roles for FBN1 will provide therapeutic targets to slow progression. All experiments will be achieved in male and female individuals/samples to assess the sex-specific roles of FBN1 in OA. The work will be carried out through three linked sets of experiments:
Aim 1. To define the direct role of FBN1 (loss) on OA initiation and progression:
- measure OA severity in wild-type mice and those lacking FBN1 in limbs (heterozygous (HET) and homozygous (KO)) using our established non-invasive joint loading model of OA to understand the role of FBN1 in OA progression and initiation independently,
- investigate OA severity with cartilage-specific FBN1 depletion.
Aim 2. To determine mechanisms by which FBN1 (loss) promotes OA progression:
- assess responses of joint cells to injury and FBN1 loss using whole genome RNA-sequencing on mechanically injured mouse knee joints and determine the effect of KO/silencing of the key signalling pathways using cell lines and human primary cells.
- quantify mechanical properties of mouse knee ligaments in FBN1 WT, HET and KO mice to build a joint biomechanical model and assess the effects of ligament pathology on joint stability.
Aim 3. To test whether targeting FBN1 degradation can protect joints from OA progression:
-assess FBN1 breakdown from MMP-13 (a major OA enzyme) and develop an FBN1 mutant that is insensitive to MMP-13 cleavage in vitro using CRISPR-Cas9 technology.
-introduce the non-cleavable FBN1 mutant in a mouse model and measure FBN1 degradation from joint tissues and OA severity in our joint loading OA model.
The project will elucidate the role of FBN1 in controlling sex-specific OA development and/or progression and discover potential tissue-dependent cellular mechanisms of action for FBN1. These data will underpin discovery of future targeted therapy against OA.

Publications

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