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Targeting cartilage EGFR pathway for osteoarthritis treatment
Science Translational Medicine
  • Yulong Wei, University of Pennsylvania Perelman School of Medicine
  • Lijun Luo, University of Pennsylvania
  • Tao Gui, University of Pennsylvania Perelman School of Medicine
  • Feifan Yu, Alphathera LLC
  • Lesan Yan, University of Pennsylvania
  • Lutian Yao, University of Pennsylvania Perelman School of Medicine
  • Leilei Zhong, University of Pennsylvania Perelman School of Medicine
  • Wei Yu, University of Pennsylvania Perelman School of Medicine
  • Biao Han, Drexel University
  • Jay M. Patel, University of Pennsylvania Perelman School of Medicine
  • Jessica F. Liu, University of Pennsylvania
  • Frank Beier, Schulich School of Medicine & Dentistry
  • Lawrence Scott Levin, University of Pennsylvania Perelman School of Medicine
  • Charles Nelson, University of Pennsylvania Perelman School of Medicine
  • Zengwu Shao, Tongji Medical College
  • Lin Han, Drexel University
  • Robert L. Mauck, University of Pennsylvania Perelman School of Medicine
  • Andrew Tsourkas, University of Pennsylvania
  • Jaimo Ahn, University of Pennsylvania Perelman School of Medicine
  • Zhiliang Cheng, University of Pennsylvania
  • Ling Qin, University of Pennsylvania Perelman School of Medicine
Document Type
Article
Publication Date
1-1-2021
URL with Digital Object Identifier
10.1126/SCITRANSLMED.ABB3946
Abstract

© 2021 The Authors. Osteoarthritis (OA) is a widespread joint disease for which there are no disease-modifying treatments. Previously, we found that mice with cartilage-specific epidermal growth factor receptor (EGFR) deficiency developed accelerated knee OA. To test whether the EGFR pathway can be targeted as a potential OA therapy, we constructed two cartilage-specific EGFR overactivation models in mice by overexpressing heparin binding EGF-like growth factor (HBEGF), an EGFR ligand. Compared to wild type, Col2-Cre HBEGF-overexpressing mice had persistently enlarged articular cartilage from adolescence, due to an expanded pool of chondroprogenitors with elevated proliferation ability, survival rate, and lubricant production. Adult Col2-Cre HBEGF-overexpressing mice and Aggrecan-CreER HBEGF-overexpressing mice were resistant to cartilage degeneration and other signs of OA after surgical destabilization of the medial meniscus (DMM). Treating mice with gefitinib, an EGFR inhibitor, abolished the protective action against OA in HBEGF-overexpressing mice. Polymeric micellar nanoparticles (NPs) conjugated with transforming growth factor-α (TGFα), a potent EGFR ligand, were stable and nontoxic and had long joint retention, high cartilage uptake, and penetration capabilities. Intra-articular delivery of TGFα-NPs effectively attenuated surgery-induced OA cartilage degeneration, subchondral bone plate sclerosis, and joint pain. Genetic or pharmacologic activation of EGFR revealed no obvious side effects in knee joints and major vital organs in mice. Together, our studies demonstrate the feasibility of using nanotechnology to target EGFR signaling for OA treatment.

Citation Information
Yulong Wei, Lijun Luo, Tao Gui, Feifan Yu, et al.. "Targeting cartilage EGFR pathway for osteoarthritis treatment" Science Translational Medicine Vol. 13 Iss. 576 (2021)
Available at: http://works.bepress.com/frank-beier/75/