Osteoarthritis (OA) is the most common form of arthritis with increasing prevalence. Although it is a multifactorial disease, it is accepted that ageing can induce the onset of OA and has been proposed as the main risk factor of this pathology.1 The main reactive oxygen species (ROS) detected in chondrocytes are peroxynitrite (ONOO−) and hydrogen peroxide (H2O2), and when their overproduction is not counter-balanced by an efficient antioxidant system, the oxidative stress condition occurs that enhances cartilage degeneration and OA.2 Furthermore, H2O2 supplementation has been shown to elicit oxidative stress in chondrocytes.3, 4 So far, innovative strategies of treatments with no side effects need to be elucidated. For this purpose, diet-derived natural compounds raised a noteworthy interest due to their preventive and therapeutic action in OA.5, 6 Hydroxytyrosol (HT), a polyphenol contained in olive oil and derivatives, has been proposed as a fascinating molecule able to reduce oxidative stress-induced cellular damage and to change epigenetic signature by modulating a microRNA (miR) in chondrocytes.7, 8 According to our findings, miR-9 results to be overexpressed under chondrocyte exposure to H2O2 and miR-9 dysregulation under TGF-β1-dependent ROS increase has been reported in other cell models,9, 10 thus confirming its susceptibility to redox state and oxidative stress. However, the priming mechanism by which oxidative stress and HT could trigger these modulations is still lacking. Indeed, the molecular key underlying regulation of miR expression in OA is not completely clear and needs further investigation. In humans, miR-9 is transcribed from three independent genomic loci mapping to chromosomes 1q22 (MIR9-1), 5q14.3 (MIR9-2) and 15q26.1 (MIR9-3). Our present work sought to clarify this aspect by studying DNA methylation of the three miR-9 promoters in response to H2O2 and HT treatments in C-28/I2 chondrocytes. C-28/I2 is a human cell line representative of primary chondrocytes11 that has been used for deeper molecular studies to provide mechanistic explanations to the findings of previous work carried out on human primary chondrocytes.7 Cells, grown in DMEM medium supplemented with 10% foetal bovine serum, were incubated in the absence or presence of 100 µmol/L H2O2 for 2 hours; 100 µmol/L HT (Cayman Chemical) was added 30 minutes before H2O2. The concentration of HT was chosen on the basis of a published study,12 and previous experiments reported in our published manuscripts3, 7, 13 have confirmed the efficacy of this concentration in protecting chondrocytes from cell death with lack of toxicity. To assess the effects of modulation of methylase activity on miR-9 transcription, in a separate series of experiments increasing doses of 5′-azacytidine (5′Aza; 1-50 mmol/L) (Sigma-Aldrich) were added to cells 24 hours before collection. C-28/I2 cells were seeded in 6-well plates at a density of 2.5 × 105 cells/well in medium without antibiotics. The next day cells were transfected with ON-TARGETplus Human Sirt1 siRNA (25 nmol/L) or ON-TARGETplus non-targeting pool (25 nmol/L) (Dharmacon) by Lipofectamine® RNAiMax Reagent in Opti-MEM® Medium (Life Technologies) according to manufacturer's instructions and incubated for 48 hours before collection. Total cellular RNA and genomic DNA were extracted with 700 µL TRIZOL (Invitrogen), according to manufacturer's instructions. Human Methylated & Non-methylated DNA Set (Zymo Research, Irvine, CA, USA) was used to provide negative and positive controls. 500 ng of sample and control DNA was treated with sodium bisulfite using the EZ DNA Methylation Kit (Zymo Research, Irvine, CA, USA) according to the manufacturer's protocol. Six pairs of methylation-specific primers were designed by the online MethPrimer software14 and purchased by Invitrogen (miR-9-1 meth forward AGGTAGAGGTTTTTTTAGTTTCGTC and reverse AACCTTTCCTCTCTCTTTAAATCG; miR-9-1 unmeth forward GGTAGAGGTTTTTTTAGTTTTGTTG and reverse AACCTTTCCTCTCTCTTTAAATCAC; miR-9-2 meth forward TTGTTAGAAGAAAAATGTAGGTAAAGAC and reverse CCTACTACCCGAACAACGAC; miR-9-2 unmeth forward TTAGAAGAAAAATGTAGGTAAAGATGT and reverse CCTACTACCCAAACAACAAC; miR-9-3 meth forward TTTGTTTATTTTTTTTGGTTTTTCG and reverse CTCTCGACTCCTCTAACTCTTACGA; miR-9-3 unmeth forward GTGTTTGTTTATTTTTTTTGGTTTTTT and reverse TCCTCTCAACTCCTCTAACTCTTACA). Primers were annealed at 53°C. Platinum™ Taq DNA Polymerase (Thermofisher) was used according to the manufacturer's protocol. RNA pellets were treated with DNAse (DNA-free, Ambion) and quantified by using RiboGreen RNA quantitation reagent (Molecular Probes). MicroRNA reverse transcription was conducted with TaqMan MicroRNA RT kit (Life Technologies), and qPCR was performed with TaqMan Universal Mastermix (Life Technologies) following kit instructions. Mature miR quantification was performed by using TaqMan MicroRNA Assays for miR-9 and U6 snRNA (internal control), according to manufacturer's recommended protocols. Proteins were separated on 10% SDS polyacrylamide gels, transferred to nitrocellulose membranes (Amersham), and probed with anti-β-ACTIN (Sigma-Aldrich) and anti-SIRT1 (Santa Cruz Biotechnology) primary antibodies at 4°C overnight. After washes, membranes were incubated with horseradish peroxidase-conjugated anti-mouse (Santa Cruz Biotechnology) IgG for 1 hour. The chemiluminescent signals were detected using an ECL system (Luminata™ Crescendo, Millipore). Data are reported as mean ± standard deviation (SD). Means were compared with GraphPad Prism5 statistical software (GraphPad Software, Inc). Differences were considered statistically significant at P < .05. Our previous study7 showed that miR-9 levels increase after treatment with H2O2 and decrease with HT. In order to evaluate if miR-9 expression could be influenced by methylation status of its promoters in our cellular model (as drawn in Figure 1A), 5′-Aza, a DNA methyltransferase (DNMT) inhibitor, was used. The levels of miR-9 increased after 5′-Aza treatment in a dose-dependent manner (Figure 1B). Therefore, the status of CpG islands surrounding promoters of miR-9 genes is important for the regulation of gene expression. Promoter methylation levels of miR-9-1, miR-9-2 and miR-9-3 were assessed in response to HT and/or H2O2 by using methylation-specific PCR (MSP). As shown in Figure 1C, levels of miR-9 methylation were decreased in all three promoters of cells treated with H2O2 and, on the contrary, reestablished after pretreatment with HT. From a qualitative point of view, no difference in the methylation status among the three different promoters has been observed. SIRT1 has been reported as a genuine target of miR-9 and SIRT1 levels decreased in response to H2O2-induced oxidative stress.7 To determine whether SIRT1 could modulate methylation of miR-9 promoters in a negative feedback loop, C-28/I2 cells were depleted of SIRT1 by RNA interference. Protein samples were immunoblotted with SIRT1 antibody to test the transfection outcome (Figure 2A). Then, sample DNA was extracted and analysed by MSP. As shown in Figure 2B, SIRT1 knockdown changes methylation status of promoters by hypomethylating all three of them. However, we did not observe a corresponding increase in miR-9 expression in SIRT1-silenced cells (Figure 2C). Thus, SIRT1 knockdown by siRNA transfection or H2O2 treatment can demethylate the promoters, though only H2O2 treatment is able to modulate miR-9 expression in response to methylation status of CpG islands. In our previous work, we demonstrated that HT, a polyphenol found in olives and derivatives, can prevent oxidative stress-induced cell death and autophagy dysfunction by modulating miR-9 availability and its cognate target SIRT1. Thus, miR-9 has been identified as a crucial factor orchestrating the molecular response to H2O2 and HT in chondrocytes.7, 13 Dysregulated levels of miR-9 in OA patients have been published,15 and besides SIRT-1, other targets associated with OA pathogenesis have been reported, including MMP-1316 and monocyte chemo-attractant protein 1-induced protein 1 (MCPIP-1).17 Nevertheless, the fuse triggering the variations of miR expression was unknown. A genome-wide DNA methylation study performed in OA cartilage identified miR-9 as an OA susceptibility gene among other factors.18 To explore whether our treatments could influence miR-9 expression by modifying methylation status of CpG islands surrounding the three promoters of miR-9 genes, we treated the cells with the DNMT inhibitor 5′-Aza and detected a dose-dependent increase in miR-9 levels. Furthermore, all three miR-9 promoters were shown to be hypomethylated in cells treated with H2O2 and hypermethylated in cells treated with HT alone or both. Taken together, these results suggest that these treatments modulate miR-9 expression by exerting opposite effects on the promoter methylation status, with oxidative stress reducing and HT rescuing and sustaining the hypermethylation of CpG islands. Since no methylation differences among the three promoters have been highlighted, we could speculate that all the three genes contribute to the expression levels of miR-9. Since miR-9 reduces its direct target SIRT1, as demonstrated by luciferase assay,7 we investigated whether, in turn, SIRT1 could be implicated in the modulation of miR-9 levels in a negative feedback loop. However, miR-9 promoter hypomethylation induced by SIRT1 silencing through RNA interference did not correspond to an increase in miR-9 expression. Thus, demethylation of miR-9 promoters can favour but per se may not be sufficient to promote miR-9 expression. It may be hypothesized that miR-9 expression requires the involvement of some transcription factors, triggered upon oxidative stress or 5’-aza-induced general hypomethylation, but not following just SIRT1 silencing that may elicit hypomethylation restricted to miR-9 promoters. If previous work7 elucidated the role of this miR in the H2O2-promoted cell death and in the protective effect of HT in chondrocytes, these new findings provide the upstream mechanism influencing the variations of miR-9 expression. The identification of a miR able to address the cell fate in response to a protective and/or stress agent opens novel perspectives in the field of molecular therapy for degenerative diseases, such as OA. Indeed, a better understanding of the interaction of different epigenetic levels in OA pathogenesis, including promoter methylation status, miR expression and transcriptome changes, could be useful to prime further investigations for a miR-based strategy with nutraceutical support in the treatment of this disease. This work was supported by grants from University of Bologna (RFO) and Ministero della Salute, Italy (Fondi Cinque per Mille, year 2016). The authors have declared that there is no conflict of interest. SD designed the experiments. SD and SC performed the experiments. SD, SC, RMB and FF analysed and interpreted the data. SD, SC, RMB and FF contributed in writing and approving the manuscript. The datasets used and/or analysed during the current study are available from the corresponding author on reasonable request.
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