Targeting Soluble Epoxide Hydrolase and Cyclooxygenases Enhance Joint Pain Control, Stimulate Collagen Synthesis, and Protect Chondrocytes From Cytokine-Induced Apoptosis.
Abstract: Objective: To determine the symptomatic and disease-modifying capabilities of sEH and COX inhibitors during joint inflammation. Methods: Using a blinded, randomized, crossover experimental design, 6 adult healthy horses were injected with lipopolysaccharide (LPS; 3 μg) from E. coli in a radiocarpal joint and concurrently received the non-selective cyclooxygenase (COX) inhibitor phenylbutazone (2 mg/kg), the sEH inhibitor t-TUCB (1 mg/kg) or both (2 mg/kg phenylbutazone and 0.1, 0.3, and 1 mg/kg t-TUCB) intravenously. There were at least 30 days washout between treatments. Joint pain (assessed via inertial sensors and peak vertical forces), synovial fluid concentrations of prostanoids (PGE2, TxB2), cytokines (IL-1β, IL-6, TNF-α) and biomarkers of collagen synthesis (CPII) and degradation (C2C) were measured at pre-determined intervals over a 48-h period. The anti-apoptotic effect of COX and sEH inhibitors was determined via ELISA technique in primary equine chondrocytes incubated with TNF-α (10 ng/ml) for 24 h. Apoptosis was also determined in chondrocytes incubated with sEH-generated metabolites. Results: Combined COX and sEH inhibition produced significantly better control of joint pain, prostanoid responses, and collagen synthesis-degradation balance compared to each compound separately. When administered separately, pain control was superior with COX vs. sEH inhibition. Cytokine responses were not different during COX and/or sEH inhibition. In cultured chondrocytes, sEH inhibition alone or combined with COX inhibition, but not COX inhibition alone had significant anti-apoptotic effects. However, sEH-generated metabolites caused concentration-dependent apoptosis. Conclusions: Combined COX and sEH inhibition optimize pain control, attenuate loss of articular cartilage matrix during joint inflammation and cytokine-induced chondrocyte apoptosis.
Copyright © 2021 Tucker, Trumble, Groschen, Dobbs, Baldo, Wendt-Hornickle and Guedes.
Publication Date: 2021-08-05 PubMed ID: 34422942PubMed Central: PMC8375305DOI: 10.3389/fvets.2021.685824Google Scholar: Lookup
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Summary
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The research study explores how pairing inhibitors of the enzymes Soluble Epoxide Hydrolase (sEH) and Cyclooxygenases (COX) can potentially optimize joint pain management, encourage collagen production, and protect cartilage cells during inflammation.
Research Design and Methodology
- Researchers implemented a blinded, randomized, crossover experimental design, featuring six healthy adult horses.
- Each horse received an injection of lipopolysaccharide (LPS), a substance known to induce inflammation, directly into a joint, along with either the non-selective COX inhibitor phenylbutazone, the sEH inhibitor -TUCB, or both.
- A break of at least 30 days was allowed between treatments to clear out any remaining substances from the body.
- Multiple factors such as joint pain, concentrations of pro-inflammatory molecules, and levels of collagen synthesis markers were measured over a period of 48 hours since the injection.
- The study also included an evaluation of the potential anti-apoptotic (anti-cell death) effects of the experimental treatments on chondrocyte cells (cells present in healthy cartilage) exposed to a cytotoxic substance in laboratory conditions.
Results and Findings
- This research revealed that when combined, the COX and sEH inhibitors resulted in improved control of joint pain and enhanced the balance of collagen synthesis-degradation when compared to each compound applied separately.
- When these inhibitors were given separately, the pain control was better with the COX inhibitor than with the sEH one.
- No significant changes were noticed in the cytokine responses when COX and/or sEH were being inhibited.
- In lab-grown chondrocytes, the sEH inhibitor alone or in combination with the COX inhibitor was found to prevent apoptosis to a notable level. On the other hand, the COX inhibitor did not show significant anti-apoptotic effects.
- Interestingly, the research additionally found that certain by-products of sEH enzyme activity induced apoptosis in a concentration-dependent manner.
Conclusion
- The findings conclude that combined therapy of COX and sEH inhibitors can potentially improve pain control, reduce cartilage loss during joint inflammation, and protect chondrocytes from cytokine-induced apoptosis.
Cite This Article
APA
Tucker L, Trumble TN, Groschen D, Dobbs E, Baldo CF, Wendt-Hornickle E, Guedes AGP.
(2021).
Targeting Soluble Epoxide Hydrolase and Cyclooxygenases Enhance Joint Pain Control, Stimulate Collagen Synthesis, and Protect Chondrocytes From Cytokine-Induced Apoptosis.
Front Vet Sci, 8, 685824.
https://doi.org/10.3389/fvets.2021.685824 Publication
Researcher Affiliations
- Department of Veterinary Clinical Sciences, College of Veterinary Medicine, University of Minnesota, Saint Paul, MN, United States.
- Department of Veterinary Population Medicine, College of Veterinary Medicine, University of Minnesota, Saint Paul, MN, United States.
- Department of Veterinary Clinical Sciences, College of Veterinary Medicine, University of Minnesota, Saint Paul, MN, United States.
- Department of Veterinary Population Medicine, College of Veterinary Medicine, University of Minnesota, Saint Paul, MN, United States.
- Department of Veterinary Clinical Sciences, College of Veterinary Medicine, University of Minnesota, Saint Paul, MN, United States.
- Department of Veterinary Clinical Sciences, College of Veterinary Medicine, University of Minnesota, Saint Paul, MN, United States.
- Department of Veterinary Clinical Sciences, College of Veterinary Medicine, University of Minnesota, Saint Paul, MN, United States.
Conflict of Interest Statement
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
References
This article includes 71 references
- Loeuille D, Chary-Valckenaere I, Champigneulle J, Rat AC, Toussaint F, Pinzano-Watrin A. Macroscopic and microscopic features of synovial membrane inflammation in the osteoarthritic knee: correlating magnetic resonance imaging findings with disease severity.. Arthritis Rheum (2005) 52:3492–501.
- Orita S, Koshi T, Mitsuka T, Miyagi M, Inoue G, Arai G. Associations between proinflammatory cytokines in the synovial fluid and radiographic grading and pain-related scores in 47 consecutive patients with osteoarthritis of the knee.. BMC Musculoskelet Disord (2011) 12:144.
- Neogi T, Guermazi A, Roemer F, Nevitt MC, Scholz J, Arendt-Nielsen L. Association of joint inflammation with pain sensitization in knee osteoarthritis: the Multicenter Osteoarthritis Study.. Arthritis Rheumatol (2016) 68:654–61.
- Mathiessen A, Conaghan PG. Synovitis in osteoarthritis: current understanding with therapeutic implications.. Arthritis Res Ther (2017) 19:18.
- Wallace G, Cro S, Dore C, King L, Kluzek S, Price A. Associations between clinical evidence of inflammation and synovitis in symptomatic knee osteoarthritis: a cross-sectional substudy.. Arthritis Care Res (2017) 69:1340–8.
- Bertone AL, Palmer JL, Jones J. Synovial fluid cytokines and eicosanoids as markers of joint disease in horses.. Vet Surg (2001) 30:528–38.
- Stannus O, Jones G, Cicuttini F, Parameswaran V, Quinn S, Burgess J. Circulating levels of IL-6 and TNF-alpha are associated with knee radiographic osteoarthritis and knee cartilage loss in older adults.. Osteoarthritis Cartilage (2010) 18:1441–7.
- Bertuglia A, Pagliara E, Grego E, Ricci A, Brkljaca-Bottegaro N. Pro-inflammatory cytokines and structural biomarkers are effective to categorize osteoarthritis phenotype and progression in Standardbred racehorses over five years of racing career.. BMC Vet Res (2016) 12:246.
- Leung YY, Huebner JL, Haaland B, Wong SBS, Kraus VB. Synovial fluid pro-inflammatory profile differs according to the characteristics of knee pain.. Osteoarthritis Cartilage (2017) 25:1420–7.
- Ruiz-Romero C, Carreira V, Rego I, Remeseiro S, López-Armada MJ, Blanco FJ. Proteomic analysis of human osteoarthritic chondrocytes reveals protein changes in stress and glycolysis.. Proteomics (2008) 8:495–507.
- Nugent AE, Speicher DM, Gradisar I, McBurney DL, Baraga A, Doane KJ. Advanced osteoarthritis in humans is associated with altered collagen VI expression and upregulation of ER-stress markers Grp78 and bag-1.. J Histochem Cytochem (2009) 57:923–31.
- Takada K, Hirose J, Senba K, Yamabe S, Oike Y, Gotoh T. Enhanced apoptotic and reduced protective response in chondrocytes following endoplasmic reticulum stress in osteoarthritic cartilage.. Int J Exp Pathol (2011) 92:232–42.
- de Seny D, Bianchi E, Baiwir D, Cobraiville G, Collin C, Deliège M. Proteins involved in the endoplasmic reticulum stress are modulated in synovitis of osteoarthritis, chronic pyrophosphate arthropathy and rheumatoid arthritis, and correlate with the histological inflammatory score.. Sci Rep (2020) 10:14159.
- Smith SR, Deshpande BR, Collins JE, Katz JN, Losina E. Comparative pain reduction of oral non-steroidal anti-inflammatory drugs and opioids for knee osteoarthritis: systematic analytic review.. Osteoarthritis Cartilage (2016) 24:962–72.
- Contino EK. Management and rehabilitation of joint disease in sport horses.. Vet Clin North Am Equine Pract (2018) 34:345–58.
- Tsutsumi S, Gotoh T, Tomisato W, Mima S, Hoshino T, Hwang HJ. Endoplasmic reticulum stress response is involved in nonsteroidal anti-inflammatory drug-induced apoptosis.. Cell Death Differ (2004) 11:1009–16.
- Timur UT, Caron MMJ, Jeuken RM, Bastiaansen-Jenniskens YM, Welting TJM, Van Rhijn LW. Chondroprotective actions of selective COX-2 inhibitors in vivo: a systematic review.. Int J Mol Sci (2020) 21:6962.
- Valdes AM, Ravipati S, Pousinis P, Menni C, Mangino M, Abhishek A. Omega-6 oxylipins generated by soluble epoxide hydrolase are associated with knee osteoarthritis.. J Lipid Res (2018) 59:1763–70.
- Schmelzer KR, Kubala L, Newman JW, Kim IH, Eiserich JP, Hammock BD. Soluble epoxide hydrolase is a therapeutic target for acute inflammation.. Proc Natl Acad Sci USA (2005) 102:9772–7.
- Inceoglu B, Jinks SL, Schmelzer KR, Waite T, Kim IH, Hammock BD. Inhibition of soluble epoxide hydrolase reduces LPS-induced thermal hyperalgesia and mechanical allodynia in a rat model of inflammatory pain.. Life Sci (2006) 79:2311–9.
- Inceoglu B, Schmelzer KR, Morisseau C, Jinks SL, Hammock BD. Soluble epoxide hydrolase inhibition reveals novel biological functions of epoxyeicosatrienoic acids (EETs).. Prostaglandins Other Lipid Mediat (2007) 82:42–9.
- Inceoglu B, Jinks SL, Ulu A, Hegedus CM, Georgi K, Schmelzer KR. Soluble epoxide hydrolase and epoxyeicosatrienoic acids modulate two distinct analgesic pathways.. Proc Natl Acad Sci USA (2008) 105:18901–6.
- Inceoglu B, Wagner K, Schebb NH, Morisseau C, Jinks SL, Ulu A. Analgesia mediated by soluble epoxide hydrolase inhibitors is dependent on cAMP.. Proc Natl Acad Sci USA (2011) 108:5093–7.
- Inceoglu B, Wagner KM, Yang J, Bettaieb A, Schebb NH, Hwang SH. Acute augmentation of epoxygenated fatty acid levels rapidly reduces pain-related behavior in a rat model of type I diabetes.. Proc Natl Acad Sci USA (2012) 109:11390–5.
- Wagner K, Inceoglu B, Dong H, Yang J, Hwang SH, Jones P. Comparative efficacy of 3 soluble epoxide hydrolase inhibitors in rat neuropathic and inflammatory pain models.. Eur J Pharmacol (2013) 700:93–101.
- Bettaieb A, Nagata N, AbouBechara D, Chahed S, Morisseau C, Hammock BD. Soluble epoxide hydrolase deficiency or inhibition attenuates diet-induced endoplasmic reticulum stress in liver and adipose tissue.. J Biol Chem (2013) 288:14189–99.
- Inceoglu B, Bettaieb A, Trindade da Silva CA, Lee KS, Haj FG, Hammock BD. Endoplasmic reticulum stress in the peripheral nervous system is a significant driver of neuropathic pain.. Proc Natl Acad Sci USA (2015) 112:9082–7.
- Trindade-da-Silva CA, Bettaieb A, Napimoga MH, Lee KSS, Inceoglu B, Ueira-Vieira C. Soluble epoxide hydrolase pharmacological inhibition decreases alveolar bone loss by modulating host inflammatory response, RANK-related signaling, endoplasmic reticulum stress, and apoptosis.. J Pharmacol Exp Ther (2017) 361:408–16.
- Panigrahy D, Kalish BT, Huang S, Bielenberg DR, Le HD, Yang J. Epoxyeicosanoids promote organ and tissue regeneration.. Proc Natl Acad Sci USA (2013) 110:13528–33.
- Wagner K, Gilda J, Yang J, Wan D, Morisseau C, Gomes AV. Soluble epoxide hydrolase inhibition alleviates neuropathy in Akita (Ins2 Akita) mice.. Behav Brain Res (2017) 326:69–76.
- Schmelzer KR, Inceoglu B, Kubala L, Kim IH, Jinks SL, Eiserich JP. Enhancement of antinociception by coadministration of nonsteroidal anti-inflammatory drugs and soluble epoxide hydrolase inhibitors.. Proc Natl Acad Sci USA (2006) 103:13646–51.
- Goswami SK, Wan D, Yang J, Trindade da Silva CA, Morisseau C, Kodani SD. Anti-ulcer efficacy of soluble epoxide hydrolase inhibitor TPPU on diclofenac-induced intestinal ulcers.. J Pharmacol Exp Ther (2016) 357:529–36.
- Guedes AGP, Aristizabal F, Sole A, Adedeji A, Brosnan R, Knych H. Pharmacokinetics and antinociceptive effects of the soluble epoxide hydrolase inhibitor t-TUCB in horses with experimentally induced radiocarpal synovitis.. J Vet Pharmacol Ther (2018) 41:230–8.
- Guedes AG, Morisseau C, Sole A, Soares JH, Ulu A, Dong H. Use of a soluble epoxide hydrolase inhibitor as an adjunctive analgesic in a horse with laminitis.. Vet Anaesth Analg (2013) 40:440–8.
- Guedes A, Galuppo L, Hood D, Hwang SH, Morisseau C, Hammock BD. Soluble epoxide hydrolase activity and pharmacologic inhibition in horses with chronic severe laminitis.. Equine Vet J (2017) 49:345–51.
- Eitner A, Pester J, Nietzsche S, Hofmann GO, Schaible HG. The innervation of synovium of human osteoarthritic joints in comparison with normal rat and sheep synovium.. Osteoarthritis Cartilage (2013) 21:1383–91.
- Pujol R, Girard CA, Richard H, Hassanpour I, Binette MP, Beauchamp G. Synovial nerve fiber density decreases with naturally-occurring osteoarthritis in horses.. Osteoarthritis Cartilage (2018) 26:1379–88.
- Jones E, Vinuela-Fernandez I, Eager RA, Delaney A, Anderson H, Patel A. Neuropathic changes in equine laminitis pain.. Pain (2007) 132:321–31.
- Trindade-da-Silva CA, Clemente-Napimoga JT, Abdalla HB, Rosa SM, Ueira-Vieira C, Morisseau C. Soluble epoxide hydrolase inhibitor, TPPU, increases regulatory T cells pathway in an arthritis model.. FASEB J (2020) 34:9074–86.
- McReynolds CB, Hwang SH, Yang J, Wan D, Wagner K, Morisseau C. Pharmaceutical effects of inhibiting the soluble epoxide hydrolase in canine osteoarthritis.. Front Pharmacol (2019) 10:533.
- Jones PD, Tsai HJ, Do ZN, Morisseau C, Hammock BD. Synthesis and SAR of conformationally restricted inhibitors of soluble epoxide hydrolase.. Bioorg Med Chem Lett (2006) 16:5212–6.
- Morisseau C, Newman JW, Tsai HJ, Baecker PA, Hammock BD. Peptidyl-urea based inhibitors of soluble epoxide hydrolases.. Bioorg Med Chem Lett (2006) 16:5439–44.
- Rose TE, Morisseau C, Liu JY, Inceoglu B, Jones PD, Sanborn JR. 1-Aryl-3-(1-acylpiperidin-4-yl)urea inhibitors of human and murine soluble epoxide hydrolase: structure-activity relationships, pharmacokinetics, and reduction of inflammatory pain.. J Med Chem (2010) 53:7067–75.
- Tsai HJ, Hwang SH, Morisseau C, Yang J, Jones PD, Kasagami T. Pharmacokinetic screening of soluble epoxide hydrolase inhibitors in dogs.. Eur J Pharm Sci (2010) 40:222–38.
- Welch RD, Watkins JP, DeBowes RM, Leipold HW. Effects of intra-articular administration of dimethylsulfoxide on chemically induced synovitis in immature horses.. Am J Vet Res (1991) 52:934–9.
- Smith G, Bertone AL, Kaeding C, Simmons EJ, Apostoles S. Anti-inflammatory effects of topically applied dimethyl sulfoxide gel on endotoxin-induced synovitis in horses.. Am J Vet Res (1998) 59:1149–52.
- Keegan KG, Yonezawa Y, Pai PF, Wilson DA, Kramer J. Evaluation of a sensor-based system of motion analysis for detection and quantification of forelimb and hind limb lameness in horses.. Am J Vet Res (2004) 65:665–70.
- Keegan KG, Kramer J, Yonezawa Y, Maki H, Pai PF, Dent EV. Assessment of repeatability of a wireless, inertial sensor-based lameness evaluation system for horses.. Am J Vet Res (2011) 72:1156–63.
- de Grauw JC, Brama PA, Wiemer P, Brommer H, van de Lest CH, van Weeren PR. Cartilage-derived biomarkers and lipid mediators of inflammation in horses with osteochondritis dissecans of the distal intermediate ridge of the tibia.. Am J Vet Res (2006) 67:1156–62.
- Beretta C, Garavaglia G, Cavalli M. COX-1 and COX-2 inhibition in horse blood by phenylbutazone, flunixin, carprofen and meloxicam: an in vitro analysis.. Pharmacol Res (2005) 52:302–6.
- Keegan KG, Messer NT, Reed SK, Wilson DA, Kramer J. Effectiveness of administration of phenylbutazone alone or concurrent administration of phenylbutazone and flunixin meglumine to alleviate lameness in horses.. Am J Vet Res (2008) 69:167–73.
- Westacott CI, Barakat AF, Wood L, Perry MJ, Neison P, Bisbinas I. Tumor necrosis factor alpha can contribute to focal loss of cartilage in osteoarthritis.. Osteoarthritis Cartilage (2000) 8:213–21.
- Larsson S, Englund M, Struglics A, Lohmander LS. Interleukin-6 and tumor necrosis factor alpha in synovial fluid are associated with progression of radiographic knee osteoarthritis in subjects with previous meniscectomy.. Osteoarthritis Cartilage (2015) 23:1906–14.
- Latourte A, Cherifi C, Maillet J, Ea HK, Bouaziz W, Funck-Brentano T. Systemic inhibition of IL-6/Stat3 signalling protects against experimental osteoarthritis.. Ann Rheum Dis (2017) 76:748–55.
- Wagner K, Lee KS, Yang J, Hammock BD. Epoxy fatty acids mediate analgesia in murine diabetic neuropathy.. Eur J Pain (2017) 21:456–65.
- Terashvili M, Tseng LF, Wu HE, Narayanan J, Hart LM, Falck JR. Antinociception produced by 14,15-epoxyeicosatrienoic acid is mediated by the activation of beta-endorphin and met-enkephalin in the rat ventrolateral periaqueductal gray.. J Pharmacol Exp Ther (2008) 326:614–22.
- Li X, Ellman M, Muddasani P, Wang JHC, Cs-Szabo G, Van Wijnen AJ. Prostaglandin E2 and its cognate EP receptors control human adult articular cartilage homeostasis and are linked to the pathophysiology of osteoarthritis.. Arthritis Rheum (2009) 60:513–23.
- McIlwraith CW, Kawcak CE, Frisbie DD, Little CB, Clegg PD, Peffers MJ. Biomarkers for equine joint injury and osteoarthritis.. J Orthop Res (2018) 36:823–31.
- Akeson G, Malemud C. A role for soluble IL-6 receptor in osteoarthritis.. J Funct Morphol Kinesiol (2017) 2:27.
- Zhou Y-Q, Liu Z, Liu Z-H, Chen S-P, Li M, Shahveranov A. Interleukin-6: an emerging regulator of pathological pain.. J Neuroinflammation (2016) 13:141.
- Cibere J, Zhang H, Garnero P, Poole AR, Lobanok T, Saxne T. Association of biomarkers with pre-radiographically defined and radiographically defined knee osteoarthritis in a population-based study.. Arthritis Rheum (2009) 60:1372–80.
- Young DA, Barter MJ, Wilkinson DJ. Recent advances in understanding the regulation of metalloproteinases.. F1000Res (2019) 8:195.
- Xu D, Li N, He Y, Timofeyev V, Lu L, Tsai HJ. Prevention and reversal of cardiac hypertrophy by soluble epoxide hydrolase inhibitors.. Proc Natl Acad Sci USA (2006) 103:18733–8.
- Cahue S, Sharma L, Dunlop D, Ionescu M, Song J, Lobanok T. The ratio of type II collagen breakdown to synthesis and its relationship with the progression of knee osteoarthritis.. Osteoarthritis Cartilage (2007) 15:819–23.
- Notoya K, Jovanovic DV, Reboul P, Martel-Pelletier J, Mineau F, Pelletier JP. The induction of cell death in human osteoarthritis chondrocytes by nitric oxide is related to the production of prostaglandin E2 via the induction of cyclooxygenase-2.. J Immunol (2000) 165:3402–10.
- Charlier E, Relic B, Deroyer C, Malaise O, Neuville S, Collée J. Insights on molecular mechanisms of chondrocytes death in osteoarthritis.. Int J Mol Sci (2016) 17:2146.
- Fischer BA, Mundle S, Cole AA. Tumor necrosis factor-alpha induced DNA cleavage in human articular chondrocytes may involve multiple endonucleolytic activities during apoptosis.. Microsc Res Tech (2000) 50:236–42.
- Linn S, Murtaugh B, Casey E. Role of sex hormones in the development of osteoarthritis.. PM R (2012) 4:S169–73.
- Freedman LJ, Garcia MC, Ginther OJ. Influence of photoperiod and ovaries on seasonal reproductive activity in mares.. Biol Reprod (1979) 20:567–74.
- Freystaetter G, Fischer K, Orav EJ, Egli A, Theiler R, Munzer T. Total serum testosterone and western Ontario and McMaster Universities osteoarthritis index pain and function among older men and women with severe knee osteoarthritis.. Arthritis Care Res (2020) 72:1511–8.
- Huang ZY, Stabler T, Pei FX, Kraus VB. Both systemic and local lipopolysaccharide (LPS) burden are associated with knee OA severity and inflammation.. Osteoarthritis Cartilage (2016) 24:1769–75.
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