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Frontiers in veterinary science2021; 8; 685824; doi: 10.3389/fvets.2021.685824

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.
Publication Date: 2021-08-05 PubMed ID: 34422942PubMed Central: PMC8375305DOI: 10.3389/fvets.2021.685824Google Scholar: Lookup
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  • Journal Article

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

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

ISSN: 2297-1769
NlmUniqueID: 101666658
Country: Switzerland
Language: English
Volume: 8
Pages: 685824

Researcher Affiliations

Tucker, Laura
  • Department of Veterinary Clinical Sciences, College of Veterinary Medicine, University of Minnesota, Saint Paul, MN, United States.
Trumble, Troy N
  • Department of Veterinary Population Medicine, College of Veterinary Medicine, University of Minnesota, Saint Paul, MN, United States.
Groschen, Donna
  • Department of Veterinary Clinical Sciences, College of Veterinary Medicine, University of Minnesota, Saint Paul, MN, United States.
Dobbs, Erica
  • Department of Veterinary Population Medicine, College of Veterinary Medicine, University of Minnesota, Saint Paul, MN, United States.
Baldo, Caroline F
  • Department of Veterinary Clinical Sciences, College of Veterinary Medicine, University of Minnesota, Saint Paul, MN, United States.
Wendt-Hornickle, Erin
  • Department of Veterinary Clinical Sciences, College of Veterinary Medicine, University of Minnesota, Saint Paul, MN, United States.
Guedes, Alonso G P
  • 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.

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