Aging-associated increase of GATA4 levels in articular cartilage is linked to impaired regenerative capacity of chondrocytes and osteoarthritis

  1. Meagan J Makarczyk
  2. Yiqian Zhang
  3. Alyssa Aguglia
  4. Olivia Bartholomew
  5. Sophie Hines
  6. Kate Li
  7. Suyash Sinkar
  8. Silvia Liu
  9. Craig Duvall
  10. Hang Lin  Is a corresponding author
  1. Department of Orthopaedic Surgery, University of Pittsburgh School of Medicine, United States
  2. Department of Bioengineering, University of Pittsburgh Swanson School of Engineering, United States
  3. Xiangya Hospital Central South University, China
  4. Department of Biological Sciences, University of Pittsburgh Kenneth P. Dietrich School of Arts & Sciences, United States
  5. Department of Pharmacology and Chemical Biology, University of Pittsburgh School of Medicine, United States
  6. Organ Pathobiology and Therapeutics Institute, University of Pittsburgh School of Medicine, United States
  7. Department of Biomedical Engineering, Vanderbilt University, United States
  8. Bethel Family Musculoskeletal Research Center (BMRC), University of Pittsburgh School of Medicine, United States
5 figures, 6 tables and 1 additional file

Figures

Figure 1 with 3 supplements
GATA4 is predicted to regulate chondrocyte aging.

(A) Healthy chondrocytes were isolated from knee joint cartilage from young and old donors without osteoarthritis (assessed by experienced surgeons). P0 cells were used for RNA sequencing analysis. (B) Volcano plot demonstrating 303 upregulated and 163 downregulated genes in old chondrocytes when compared to young cells. (C) Top 50 genes that are significantly differently expressed in young and old chondrocytes. (D) Activation z-score of top 10 transcription regulators that are activated (positive) or inhibited (negative) in aged versus young chondrocytes. A comprehensive list of gene names can be found in Appendix 1—table 3. (E) Ingenuity Pathway Analysis (IPA) of young versus old cells. The gray bars indicate that no activity pattern is identified in IPA despite the highly significant association of the genes within the pathway. Orange, positive z-score; white, zero z-score. OBs = osteoblasts; OCs = osteoclasts. (F) GATA4 IHC of healthy human cartilage tissue from young and aged donors. Bar = 50 µm. (G) Relative protein levels of GATA4 in P1 chondrocytes from individual human donors were analyzed by western blot.

Figure 1—figure supplement 1
GATA4 IHC of healthy human cartilage tissue from three young (Y1, Y2, and Y3) and aged (O1, O2, and O3) donors.

Scale bar = 50 µm.

Figure 1—figure supplement 2
GATA4 IHC of healthy mouse cartilage tissue from young (left) and old (right) mice.

Scale bar = 50 µm.

Figure 1—figure supplement 3
Western blot to examine protein levels in chondrocytes treated with doxorubicin (100 nM) or vehicle control for 3 days.
Figure 1—figure supplement 3—source data 1

Uncropped blots of Western blot membranes.

https://cdn.elifesciences.org/articles/106224/elife-106224-fig1-figsupp3-data1-v1.zip
Figure 1—figure supplement 3—source data 2

Uncropped blots of Western blot membranes.

https://cdn.elifesciences.org/articles/106224/elife-106224-fig1-figsupp3-data2-v1.zip
Figure 2 with 3 supplements
Overexpressing GATA4 impairs the hyaline cartilage formation capacity of young chondrocytes.

(A) Timeline depicting the study. (B) IHC to assess GATA4 protein levels in young cells overexpressing GFP control or GATA4. Scale bar = 50 µm. (C) RT-qPCR analysis of GATA4 gene expression in two groups. (D) Western blot to measure GATA4 protein levels. (E) Safranin O staining and (F) collagen type II (COLII) IHC to examine the production of cartilage matrix. Scale bar = 50 µm. (G) RT-qPCR analysis of gene expression of cartilage matrix proteins aggrecan (ACAN) and collagen type II-α1 (COL2A1) and hypertrophy markers collagen type X-α1 (COL10A1) and Indian hedgehog (IHH). (H) RT-qPCR analysis of gene expression of proinflammatory cytokines, including interleukin (IL)6, IL8, and tumor necrosis factor-alpha (TNFA) (n = 6). (I) Concentrations of IL6, IL8, and chemokine (C–C motif) ligand 2 (CCL2) in condition medium (n = 3). (J) RT-qPCR analysis of relative gene expression of matrix-degrading enzymes, including matrix metalloproteinases (MMP) 1, 2, 3, 12, and 13, and a disintegrin and metalloproteinase (ADAMTS) 4 and 5 (n = 6). (K) MMP1 concentration in condition medium (n = 3). Student’s two-tailed t-test with Welch’s correction for standard deviation and a p-value of 0.05 was used for all statistical analysis. Created with BioRender.com.

Figure 2—figure supplement 1
Successful overexpression of GATA4 in chondrocytes.

(A) GATA4 overexpression of young, pooled chondrocytes in monolayer culture 48 hr after infection. The lentiviral control contained the EF1A promoter-driven expression of green fluorescent protein (GFP), and the GATA4 lentivirus contained the EF1A promoter-driven overexpression of GATA4 with dTomato fluorescent protein. Scale bar = 100 µm. (B) Western blot to measure GATA4 protein levels. (C) RT-qPCR analysis of relative gene expression of cartilage matrix proteins aggrecan (ACAN) and collagen type II-α1 (COL2A1), and hypertrophy markers collagen type X-α1 (COL10A1) and Indian hedgehog (IHH).

Figure 2—figure supplement 1—source data 1

Uncropped blots of Western blot membranes.

https://cdn.elifesciences.org/articles/106224/elife-106224-fig2-figsupp1-data1-v1.zip
Figure 2—figure supplement 1—source data 2

Uncropped blots of Western blot membranes.

https://cdn.elifesciences.org/articles/106224/elife-106224-fig2-figsupp1-data2-v1.zip
Figure 2—figure supplement 2
Safranin-O staining for pellets derived from young, individual chondrocyte (Y1–3) transduced with GFP control lentivirus or GATA4 lentivirus.

Pellets were cultured in chondrogenic medium for 7 days. Scale bar = 50 μm.

Figure 2—figure supplement 3
Western blot to examine MMP13 protein levels in pellets derived from two young chondrocyte lines (Y1 and Y2) overexpressing GFP control (GFP C) or GATA4.
Figure 2—figure supplement 3—source data 1

Uncropped blots of Western blot membranes.

https://cdn.elifesciences.org/articles/106224/elife-106224-fig2-figsupp3-data1-v1.zip
Figure 2—figure supplement 3—source data 2

Uncropped blots of Western blot membranes.

https://cdn.elifesciences.org/articles/106224/elife-106224-fig2-figsupp3-data2-v1.zip
GATA4 overexpression activates SMAD1/5.

(A) Schematic showing the experiment. Western blot to assess protein levels of phosphorylated SMAD1/5 (pSMAD1/5), phosphorylated SMAD2/3 (pSMAD2/3), and GATA4 in pellets derived from young (B) individual (Y1–3) or (C) pooled chondrocytes, which were infected with lentiviral vectors carrying GATA4 or control genes and then stimulated with (+) or without (−) TGFβ3 for 2 hr. Relative protein levels of (D) GATA4, (E) pSMAD1/5, and (F) pSMAD2/3 were semi-quantified using ImageJ (n = 3). (G) The ratio of pSMAD1/5 compared to pSMAD2/3 was also calculated. Statistics were conducted using one-way analysis of variance (ANOVA) with Dunnett’s post hoc analysis. Created with BioRender.com.

Figure 4 with 2 supplements
Influence of GATA4 knockdown on in vitro cartilage formation of old chondrocytes.

(A) Schematic showing the study. (B) Safranin O staining and (C) COLII IHC to examine the production of cartilage matrix in the scrambled control or GATA4 siRNA group. Scale bar = 50 µm. (D) RT-qPCR analysis of relative gene expression of cartilage matrix proteins ACAN and COL2A1 and hypertrophy marker COL10A1 (n = 6). (E) RT-qPCR analysis of relative gene expression of proinflammatory cytokines IL6 and IL8 (n = 6). (F) Concentrations of IL6, IL8, and chemokine (CCL2) in condition medium (n = 3). (G) The relative protein levels of pSMAD1/5, pSMAD2/3, and phosphorylated p65 (pP65) in two groups. (H) RT-qPCR analysis of relative gene expression of matrix-degrading enzymes, including MMP1, 2, 3, 12, and 13, and ADAMTS 4 and 5 (n = 6). (I) MMP1, 2, and 13 concentrations in condition medium (n = 3). Student’s two-tailed t-test with Welch’s correction for standard deviation and a p-value of 0.05 was used for all statistical analysis. Created with BioRender.com.

Figure 4—figure supplement 1
Assessment of GATA4 siRNAs in monolayer.

(A) Schematic of the four different GATA4 siRNAs with corresponding target sequences assessed for GATA4 knockdown in monolayer culture of old pooled chondrocytes. (B) RT-qPCR assessing GATA4 levels after siRNA treatment (n = 3). Created with BioRender.com.

Figure 4—figure supplement 2
Assessment of GATA4 small-molecule inhibitor, NSC140905.

Pooled old human chondrocytes were pelleted and treated with the chondrogenic medium with or without supplanting NSC140905 for 14 days. (A) RT-qPCR analysis of relative gene expression of matrix-degrading enzymes, including MMP1, 13 and ADAMTS 4 and 5 (n = 3). Student’s two-tailed t-test with Welch’s correction for standard deviation and a p-value of 0.05 was used for all statistical analysis. (B) Safranin-O/Fast green staining. Bar = 50 μM.

Figure 5 with 1 supplement
Gata4 overexpression in the knee joints accelerates OA progression in mice.

(A) Schematic of the study. Mice received one intra-articular injection of lentiviral vectors that carried mCherry or Gata4 gene 1 week before DMM surgery was performed. Knee joints were harvested 6 weeks post-surgery. Levels of Gata4 (B, C) and pP65 (D, E) were assessed with IHC (B, D), and the staining was semi-quantitated with ImageJ (C, E). Cartilage degradation was assessed with (F) Safranin O/fast green (FG) staining, and (G) OARSI score was calculated. (H) Knee hyperalgesia 6 weeks post-surgery. 507 g was the threshold baseline for non-surgery mice (dashed line). Student’s two-tailed t-test with Welch’s correction for standard deviation and a p-value of 0.05 was used for all statistical analysis. Created with BioRender. com.

Figure 5—figure supplement 1
Assessment of synovial inflammation.

(A) Hematoxylin and eosin (H&E) staining and (B) pP65 IHC to assess synovial inflammation in mice treated with lentiviral vectors carrying mCherry Control or Gata4. (C) pP65 IHC staining was also semi-quantitated.

Tables

Appendix 1—table 1
Information of chondrocyte donors.
RNA sequencing
AgeGenderAscension number
24FemaleP0
36FemaleP0
38FemaleP0
70FemaleP0
73FemaleP0
74FemaleP0
Western blot
AgeGenderAscension number
22MaleP0
26MaleP0
29MaleP0
69MaleP0
70MaleP0
73FemaleP0
Human cartilage tissue IHC
AgeGenderAscension number
24MaleP0
25FemaleP0
27FemaleP0
33MaleP0
67FemaleP0
76FemaleP0
78–1Female
78–2Male
Young chondrocyte pool
AgeGenderAscension number
22MaleP3
29MaleP3
38FemaleP3
42FemaleP3
P3
P3
Old chondrocyte pool #1
AgeGenderAscension number
66MaleP3
70MaleP3
73FemaleP3
Old chondrocyte pool #2
AgeGenderAscension number
66–1MaleP3
66–2MaleP3
70–1MaleP3
70–2MaleP3
Monolayer young individual chondrocytes
AgeGenderAscension number
29MaleP3
36FemaleP3
38FemaleP3
Pellet young individual chondrocytes
AgeGenderAscension number
21MaleP3
35MaleP3
38FemaleP3
Appendix 1—table 2
Antibodies used for immunofluorescence (IF), immunohistochemistry (IHC), or western blot (WB).
AntibodyOriginCat. No.SpeciesAssayDilution
Anti-Human Collagen Type IIMP BiomedicalsSKU 0863171MouseIHC1:200
Biotinylated Goat Anti-Rabbit IgGVector LaboratoriesPK-6101RabbitIHC1:50
Goat Anti-Rabbit IgG H&L (HRP)AbcamAb6721GoatWB1:5000
GAPDH (D16H11) XP Rabbit mAbCell Signaling Technology5174sRabbitWB1:2000
Smad1 (D59D7) XP Rabbit mAbCell Signaling Technology6944sRabbitWB1:500
Anti-GATA4 antibody (ab84593)- DiscontinuedAbcamab84593RabbitIHC/WB1:500
GATA-4 (D3A3M) Rabbit mAbCell Signaling Technology369366sRabbitIHC/WB1:1000
Phospho-Smad1/5 (Ser463/465) (41D10) Rabbit mAbCell Signaling Technology9516sRabbitWB1:500
Phospho-Smad2 (Ser465/467) (138D4) Rabbit mAbCell Signaling Technology3108sRabbitWB1:500
Smad2/3 (D7G7) XP Rabbit mAbCell Signaling Technology8685sRabbitWB1:500
Anti-NF-kB p65 (phospho S536) antibody [EP2294Y]Abcamab76302RabbitWB1:500
Anti-NF-kB p65 antibody [E379]Abcamab32536RabbitWB1:500
Anti-p21 antibody [EPR362] – BSA and Azide freeAbcamab218311RabbitWB1:1000
Phospho-Histone H2A.X (Ser139) (20E3) Rabbit mAbCell Signaling Technology9718sRabbitWB1:500
Appendix 1—table 3
Full names of genes shown in Figure 1.
Transcription regulator nameAcronym
Hypoxia-inducible factor 1-alphaHIF1A
GATA-binding protein 4GATA4
MAF bZIP transcription factor BMAFB
Homeobox D10HOXD10
CCAAT enhancer binding protein alphaCEBPA
Forkhead box L2FOXL2
Caudal type homeobox 2CDX2
Early Growth Response 1EGR1
Signal Transducer and Activator of Transcription 3STAT3
Paired Box 1PAX1
Sequestosome 1SQSTM1
Myocardin Related Transcription Factor BMRTFB
WW Domain Binding Protein 2WBP2
Scleraxis bHLH Transcription FactorSCX
Twist Family bHLH Transcription Factor 1TWIST1
Myocyte Enhancer Factor 2DMEF2D
Lysine Methyltransferase 2DKMT2D
Achaete-scute Family bHLH Transcription Factor 1ASCL1
Recombination Signal Binding Protein for Immunoglobulin kappa J regionRBPJ
SIX homeobox 1SIX1
FERM domain containing 3FRMPD3
CeruloplasminCP
SPARC-related modular calcium binding 2SMOC2
ATP-binding cassette subfamily A member 13ABCA13
Inositol 1,4,5-triphosphate receptor type 1ITPR1
NIM1 serine/threonine protein kinaseNIM1K
Fibroblast growth factor 13FGF13
Ankyrin repeat domain 12ANKRD12
GTP binding protein overexpressed in skeletal muscleGEM
ErythroferroneFAM132B
Pappalysin 1PAPPA
PPARG coactivator 1 alphaPPARGC1A
Synaptotagmin like 2SYTL2
Leucine rich repeat transmembrane neuronal 2LRRTM2
G-protein-coupled receptor class C group 5 member BGPRC5B
Polypeptide N-acetylgalactosaminyltransferase 15GALNT15
Growth associated protein 43GAP43
Fibroblast growth factor binding protein 1FGFBP1
ATRX chromatin remodelerATRX
Protocadherin gamma subfamily B, 2PCDHGB2
Calsyntenin 2CLSTN2
Fibroblast growth factor-binding protein 2FGFBP2
Desmocollin 2DSC2
TNF receptor superfamily member 21TNFRSF21
Kinesin family member 13BKIF13B
Plexin A2PLXNA2
Cysteine rich protein 2CRIP2
Cysteine rich protein 1CRIP1
KLF transcription factor 2KLF2
Serum/glucocorticoid regulated kinase 1SGK1
LIM zinc finger domain containing 2LIMS2
Long intergenic non-protein coding RNA 1133LINC01133
Adipogenesis regulatory factorADIRF
Ornithine decarboxylase 1ODC1
Kazrin, periplakin interacting proteinKAZN
Chondroitin polymerizing factorCHPF
RAB23, member RAS oncogene familyRAB23
Alkaline phosphatase, biomineralization associatedALPL
Signal transducer and activator of transcription 4STAT4
G-protein-coupled receptor 1GPR1
Spectrin alpha, non-erythrocytic 1SPTAN1
Very low-density lipoprotein receptorVLDLR
Fatty acid desaturase 3FADS3
Cancer susceptibility candidate 4CASC4
NAD(P)H quinone dehydrogenase 1NQO1
Pyrroline-5-carboxylate reductase 1PYCR1
ERBB receptor feedback inhibitor 1ERRFI1
NmrA-like family domain containing 1 pseudogeneLOC344887
Desumoylating isopeptidase 2DESI2
Basonuclin zinc finger protein 1BNC1
Appendix 1—table 4
Primers for qRT-PCR.
GeneForward primer (5′–3′)Reverse primer (5′–3′)
RPL13AGCCATCGTGGCTAAACAGGTAGTTGGTGTTCATCCGCTTGC
GATA4CAGTCTACGTGCCCACACCTCCCGCCTGGCTCCAT
ACANAGTCACACCTGAGCAGCATCAGTTCTCAAATTGCATGGGGTGTC
COL2A1GGATGGCTGCACGAAACATACCGGCAAGAAGCAGACCGGCCCTATG
COL10A1CCCTCTTGTTAGTGCCAACCAGATTCCAGTCCTTGGGTCA
IHHAACTCGCTGGCTATCTCGGTGCCCTCATAATGCAGGGACT
IL6ACTCACCTCTTCAGAACGAATTGCCATCTTTGGAAGGTTCAGGTTG
IL8TTTTGCCAAGGAGTGCTAAAGAAACCCTCTGCACCCAGTTTTC
TNFACCTCTCTCTAATCAGCCCTCTGGAGGACCTGGGAGTAGATGAG
MMP1AAAATTACACGCCAGATTTGCCGGTGTGACATTACTCCAGAGTTG
MMP2GGTCACATCGCTCCAGACTTACAGGATCATTGGCTACACACC
MMP3CGGTTCCGCCTGTCTCAAGCGCCAAAAGTGCCTGTCTT
MMP12GGAATCCTAGCCCATGCTTTTCATTACGGCCTTTGGATCACT
MMP13ACTGAGAGGCTCCGAGAAATGGAACCCCGCATCTTGGCTT
ADAMTS4GAGGAGGAGATCGTGTTTCCACCAGCTCTAGTAGCAGCGTC
ADAMTS5GAACATCGACCAACTCTACTCCGCAATGCCCACCGAACCATCT
Appendix 1—table 5
Information of Luminex assay kit.
Target moleculeMethodCatalog number and supplier
IL8Luminex assayHAGP1MAG-12K, EMD Millipore
IL6, CCL2, MMP1, MMP2, MMP13Luminex assayLXSAHM-18, R&D Systems
Appendix 1—table 6
Comprehensive list of proteins assessed in LUMINEX.
Target moleculeCatalog number and supplier
Interleukin 6 (IL6)LXSAHM-18, R&D Systems
Interleukin 13 (IL13)LXSAHM-18, R&D Systems
Matrix Metallopeptidase 3 (MMP3)LXSAHM-18, R&D Systems
Periostin (OSF2)LXSAHM-18, R&D Systems
Vascular Endothelial Growth Factor Receptor 2 (VEGFR2)LXSAHM-18, R&D Systems
MMP8LXSAHM-18, R&D Systems
Adiponectin (AdipoQ)LXSAHM-18, R&D Systems
Complement Factor D/Adipsin (CFD)LXSAHM-18, R&D Systems
Ectonucleotide Pyrophosphatase/Phosphodiesterase 2 Autotaxin (ENPP2)LXSAHM-18, R&D Systems
MMP2LXSAHM-18, R&D Systems
Osteopontin (OPN)LXSAHM-18, R&D Systems
C–C motif ligand 2 (CCL2)LXSAHM-18, R&D Systems
(C–X–C motif) ligand 1 (CXCL1)LXSAHM-18, R&D Systems
IL1raLXSAHM-18, R&D Systems
MMP1LXSAHM-18, R&D Systems
MMP13LXSAHM-18, R&D Systems
Tissue Inhibitor of Metalloproteinase 1 (TIMP1)HTMP1MAG-54K, EMD Millipore
TIMP2HTMP1MAG-54K, EMD Millipore
Angiopoietin 2 (Ang2)HAGP1MAG-12K, EMD Millipore
Bone Morphogenic Protein 9 (BMP9)HAGP1MAG-12K, EMD Millipore
Epidermal Growth Factor (EGF)HAGP1MAG-12K, EMD Millipore
Endoglin (CD105)HAGP1MAG-12K, EMD Millipore
Endothelin 1 (ET1)HAGP1MAG-12K, EMD Millipore
Fibroblast Growth Factor 1 (FGF1)HAGP1MAG-12K, EMD Millipore
FGF2HAGP1MAG-12K, EMD Millipore
Follistatin (FSH)HAGP1MAG-12K, EMD Millipore
Granulocyte Colony-Stimulating Factor (GCSF)HAGP1MAG-12K, EMD Millipore
Heparin-Binding EGF-like Growth Factor (HBEGF)HAGP1MAG-12K, EMD Millipore
Hepatocyte Growth Factor (HGF)HAGP1MAG-12K, EMD Millipore
IL8HAGP1MAG-12K, EMD Millipore
Leptin (LEP)HAGP1MAG-12K, EMD Millipore
Placental Growth Factor (PLGF)HAGP1MAG-12K, EMD Millipore
VEGFAHAGP1MAG-12K, EMD Millipore
VEGFDHAGP1MAG-12K, EMD Millipore

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  1. Meagan J Makarczyk
  2. Yiqian Zhang
  3. Alyssa Aguglia
  4. Olivia Bartholomew
  5. Sophie Hines
  6. Kate Li
  7. Suyash Sinkar
  8. Silvia Liu
  9. Craig Duvall
  10. Hang Lin
(2026)
Aging-associated increase of GATA4 levels in articular cartilage is linked to impaired regenerative capacity of chondrocytes and osteoarthritis
eLife 14:RP106224.
https://doi.org/10.7554/eLife.106224.4