Evidence map›Paper›PMID 40633988›Full record

ArticleThe Journal of arthroplasty2025

The Otto Aufranc Award: DNMT3A-PPARγ Signaling Is a Key Epigenetic Mechanism of Hip Osteoarthritis Disease: A Potential Therapeutic Target.

Kenichi Kikuchi, Jie Shen, Robert H Brophy, John C Clohisy, Regis J O'Keefe, Cecilia Pascual-Garrido

Abstract read
In one paragraph

Article in The Journal of arthroplasty, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Kenichi KikuchiDepartment of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, Missouri.
Jie ShenDepartment of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, Missouri.
Robert H BrophyDepartment of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, Missouri.
John C ClohisyDepartment of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, Missouri.
Regis J O'KeefeDepartment of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, Missouri.
Cecilia Pascual-GarridoDepartment of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, Missouri.

Funding

Mediators of the OA Cascade in the Pre-Arthritic HipK08AR077740 · NIAMS · WASHINGTON UNIVERSITY · PI PASCUAL-GARRIDO, CECILIA · 2020 to 2024
$779k
NIAMS NIH HHS K08 AR077740
6 · The paper itself

Abstract

backgroundFemoroacetabular impingement is the leading cause of hip osteoarthritis (OA) and has been linked to 50% of total hip arthroplasty (THA) cases. Still, the mechanism by which the joint progresses to OA remains unknown. Previous studies indicate that peroxisome proliferator-activated receptor gamma (PPARγ) suppression occurred during hip OA progression. We have observed the hypermethylation of the CpG PPARγ promoter area through DNA methyltransferase 3A (DNMT3A), resulting in cartilage catabolism and hip OA. However, its precise mechanism remains unclear. We hypothesized that DNMT3A gain-of-function (GOF) leads to chondrocyte catabolism through PPARγ suppression, and DNMT3A loss-of-function (LOF) rescues the catabolism in OA chondrocytes.

methodsHealthy chondrocytes were isolated from osteochondral allografts, and OA chondrocytes from patients undergoing THA secondary to femoroacetabular impingement disease. Chondrocytes were treated to evaluate the GOF and LOF effects of DNMT3A using lentiviral particles. Interleukin 1 beta (IL1β) was used to mimic the OA phenotype in healthy chondrocytes. Groups included a scramble control, DNMT3A GOF, IL1β+scramble control, IL1β+DNMT3A GOF, and IL1β+DNMT3A LOF for healthy chondrocytes, and scramble control, DNMT3A GOF, and DNMT3A LOF for OA chondrocytes. The DNMT3A, PPARγ, Col2, and MMP13 expression levels were analyzed, with significance set at P < 0.05.

resultsThe IL1β treatment and DNMT3A GOF in healthy chondrocytes significantly increased DNMT3A and MMP13 while decreasing PPARγ and Col2 expression. The DNMT3A LOF in IL1β-treated chondrocytes increased PPARγ and Col2 and decreased MMP13 expression. In OA chondrocytes, DNMT3A GOF increased MMP13 expression while suppressing PPARγ and Col2, whereas DNMT3A LOF resulted in opposite effects, suggesting DNMT3A LOF treatment can alleviate catabolic changes.

conclusionsThe DNMT3A LOF treatment partly reversed chondrocyte degeneration and catabolism, positioning the modulation of DNMT3A as a potential therapeutic intervention in hip OA progression.

Indexed as

ChondrocytesDNA (Cytosine-5-)-MethyltransferasesEpigenesis, GeneticOsteoarthritis, HipPPAR gammaCells, CulturedDNA Methyltransferase 3AFemaleHumansInterleukin-1betaMaleMiddle AgedSignal TransductionDNA (Cytosine-5-)-MethyltransferasesDNA Methyltransferase 3ADNMT3A protein, humanInterleukin-1betaPPAR gammaPPARG protein, humanchondrocytesDNA methylationfemoroacetabular impingementhiposteoarthritis

Identifiers

PMID40633988
PMCPMC13078344

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.