Key result
IL-6 time-dependently and dose-dependently increased periostin (POSTN) production in human ACL remnants (P < 0.001), an effect that could be attenuated by a PI3K/Akt blocker.
Why the study?
Periostin and IL-6 are consistently elevated after ACL injury, but evidence was lacking on whether IL-6 induces ACL remnants to produce periostin.
p-value: p=<0.001
IL-6 induces periostin production in ACL remnants via the PI3K/Akt pathway, potentially accelerating post-traumatic osteoarthritis.
IL-6–driven POSTN production in ACL remnants may accelerate PTOA; leaves open whether pathway inhibition alters post-injury outcomes.
OBJECTIVE: Perostin (POSTN) and IL-6 consistently elevated after ACL injury, and ACL has been proposed as the major source of POSTN. However, there is a lack of evidence whether IL-6 induces ACL remnants to produce POSTN. This study aimed to investigate the effect of IL-6 on POSTN production in ACL fibroblasts, which may help us understand more about the mechanism of PTOA after ACL injury and ACL reconstruction. METHODS: ACL remnants were harvested from 27 patients undergoing ACL reconstruction. Quantitative real-time polymerase chain reaction (PCR) was performed to examine the POSTN gene expression of ACL fibroblasts after treatment of different concentrations of IL-6. The POSTN protein production of ACL fibroblasts was determined using western blot analysis. The blockers of possible signaling pathways, including PI3K/Akt, Ras/MAPK, and JAK/STAT pathways, were added to test whether the effect of IL-6 on ACL fibroblast could be attenuated. ACL fibroblast and chondrocyte co-culture was carried out to determine the influence of ACL and IL-6 on chondrocytes. RESULTS: Quantitative real-time PCR showed that IL-6 time-dependently and dose-dependently increased POSTN gene expression of ACL fibroblast. Western blot analysis also revealed that IL-6 dose-dependently induced POSTN protein production. Regarding the chronicity of ACL injury, the POSTN protein production was comparable between ACL remnants which were derived within 3 months of injury and at least 6 months after injury. PI3K/Akt blockers could attenuate the effect of IL-6 on ACL remnants, whereas Ras/MAPK and JAK/STAT did not decrease POSTN production. The coexistence of ACL and IL-6 induced more MMP-13 and ADAMTS-4 by chondrocytes. CONCLUSIONS: IL-6 induced ACL remnants to produce POSTN. This effect could be attenuated by the PI3K/Akt blocker. Coexistence of IL-6 and ACL remnants may accelerate post-traumatic arthritis.
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Tseng et al. (2023) studied Anterior cruciate ligament (ACL) injury / Post-traumatic osteoarthritis (n=27). IL-6 vs. 0 ng/ml IL-6 was evaluated on POSTN gene expression and protein production (p=<0.001). IL-6 time-dependently and dose-dependently increased periostin (POSTN) production in human ACL remnants (P < 0.001), an effect that could be attenuated by a PI3K/Akt blocker.
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