Prevent Pain in Joints
Phase 2 Enzyme Inducers Appear to Stop Harmful Inflammation
Johns Hopkins researchers have discovered that plant- derived compounds known for their ability to protect tissue also appear to block the activity of an enzyme that triggers inflammation in joints. Their findings, based on experiments with human cells in a lab, could lead to new arthritis treatments and better methods of making artificial cartilage.
The discovery was detailed in a paper published in the Sept. 27 edition of Proceedings of the National Academy of Sciences.
The findings came to light while the researchers were
studying the wildly different ways in which cells in human
blood vessels and joints respond to pressure gradients
generated from liquid moving along their surface, a force
called shear stress. In cells that line blood vessels, the
reaction to shear stress is beneficial: the boosting of
phase 2 enzymes that may protect the cells from cancer-
causing chemicals and other toxic agents. Yet in joints,
the response to high shear stress is potentially harmful:
an increase in the levels of COX-2 enzyme, which triggers
inflammation and pain, and suppresses the activity of phase
2 enzymes, ultimately causing the death of chondrocytic
cells. Healthy chondrocytes are responsible for the smooth
functioning of joints. When chondrocytes stop functioning
properly, the result can be arthritis.
The divergent responses to shear stress prompted a series of experiments in a Johns Hopkins lab supervised by Konstantinos Konstantopoulos, associate professor of chemical and biomolecular engineering and Agarwal-Masson Faculty Scholar. His team knew that strenuous exercise or heavy exertion of muscles can cause joints to increase the levels of harmful COX-2 enzyme. What would happen, the researchers wondered, if the vulnerable chondrocyte cells in human joints were first exposed to the beneficial phase 2 enzymes?
To find out, the researchers obtained compounds that boost
the activity of helpful phase 2 enzymes. They added these
phase 2 inducers to a dish containing the chondrocyte cells
that are crucial to maintaining healthy joints. After 24
hours, the cells were subjected to a stress test designed
to mimic aspects of strenuous exercise on a joint as well
as the hydrodynamic environment in a bioreactor designed to
generate artificial cartilage.
The results were surprising. "The beneficial phase 2 enzymes somehow seemed to prevent the activation of the inflammatory COX-2 enzyme," said Zachary R. Healy, a doctoral student in Konstantopoulos' lab and lead author of the journal paper. "The phase 2 enzymes inhibited the inflammation and the apoptosis — the cellular suicide we'd observed."
Some prescription drugs like Vioxx keep COX-2 enzyme at bay
by temporarily blocking its ability to send the biochemical
signals that set off pain and inflammation. When the
medication is stopped, however, the stockpiled COX-2 enzyme
can resume its damaging ways. Unlike these traditional pain
killers, Healy said, the phase 2 enzyme inducers seemed to
stop the increasing activity of COX-2 enzyme.
"That means these compounds could be useful as a preventive measure, perhaps before strenuous exercise," Healy said. "This has the potential for stopping pain and inflammation before they start."
Although these experiments appeared to be the first to determine how phase 2 enzyme inducers affect chondrocytes, these compounds have been studied extensively by researchers at the Johns Hopkins School of Medicine. Paul Talalay, the medical school's John Jacob Abel Distinguished Service Professor of Pharmacology, has shown that phase 2 enzymes can detoxify certain cancer-causing agents and damaging free radicals in tissue, including cells that line blood vessels. He has isolated compounds in edible plants that boost production of phase 2 enzymes. These phytochemicals can be found in cruciferous plants, including broccoli.
Talalay provided one of the phase 2 inducers used in Healy's experiments. "This was the first work done in applying these phytochemicals to chondrocytes, which are constantly under the influence of forces because of the way we move our joints," Talalay said. "The phase 2 inducers seemed to counteract the effects of that stress by inhibiting the expression of COX-2 enzyme. It's interesting to think that people may be able to obtain this benefit through dietary components."
By showing a way to ward off inflammation and by providing insights into the effects of shear stress, the new chondrocyte research may also aid tissue engineers who are trying to grow artificial cartilage or seeking to revitalize human cartilage in the lab. This is important because human bodies cannot make new cartilage to replace tissue that's lost to injury or disease.
"More research is needed," said Konstantopoulos, who directed and supervised the experiments. "But these discoveries could provide guidelines for designing an ideal hydrodynamic environment in bioreactors for generating functional cartilage as well as for the treatment of osteoarthritis."
Funding for the research was provided by a DuPont Young Professor Award, a National Science Foundation Graduate Research Fellowship and an Achievement Reward for College Students Fellowship. Healy's co-authors on the PNAS paper were Talalay, Konstantopoulos, Norman H. Lee of the Institute for Genomic Research, Xiangqun Gao of the Department of Pharmacology and Molecular Sciences at the Johns Hopkins School of Medicine, Mary B. Goldring of the Harvard Institutes of Medicine, and Thomas W. Kensler of the Department of Environmental Health Sciences in the Johns Hopkins Bloomberg School of Public Health.
Color images of the researchers available; contact Phil Sneiderman.
Go to Headlines@HopkinsHome Page