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Fibronectin 1 (FN1) is a multifunctional glycoprotein that is critical in various biological processes, particularly in cell adhesion, migration, and tissue remodeling. It exists in both soluble and insoluble forms and is found in plasma, cell surfaces, and the extracellular matrix (ECM). FN1's involvement in tissue regeneration and disease progression has made it a subject of interest, especially in cartilage repair and osteoarthritis (OA). This article explores the significance of FN1 in cartilage tissue and its potential therapeutic implications in OA treatment.
Fibronectin 1 is a key component of the ECM, which provides structural support to tissues and regulates various cellular functions. Among the multiple repeating modules found in FN1 are FN1, FNII, and FNIII, each of which contributes differently to cellular connections and tissue integrity. Using alternative splicing, these modules enable FN1 to fulfill a range of tasks dependent on tissue and developmental requirements.
FN1 functions as a scaffolding protein in cartilage supporting matrix assembly, cell adhesion, and ECM organization. It is especially important in control of chondrogenesis, the mechanism by which cartilage develops. Studies have revealed that via integrin α5β1-dependent signaling pathways, FN1 is necessary for fostering the development of chondrocyte progenitor cells (CPCs). This activation results in the synthesis of a vital component of the cartilage matrix, collagen type II ( COL2A1 ). Furthermore, encouraged by FN1 is the synthesis of proteoglycans, which are essential for preserving cartilage integrity and function.
Moreover, FN1 has been demonstrated to improve the development of chondrocytes in vitro mostly using TGF-β/PI3K/Akt signaling pathway activation. This pathway not only helps COL2A1 to be expressed but also helps to avoid chondrocyte death, a prevalent problem in degenerative cartilage diseases including OA.
Osteoarthritis (OA) is a chronic degenerative joint disease characterized by the progressive loss of articular cartilage. Pain, inflammation, and joint function loss follow with this disorder. The imbalance between chondrocyte death and ECM breakdown causes most of OA's cartilage deterioration. The release of proteolytic enzymes, such as metalloproteinases and disintegrins, which break down important ECM components, accelerates the deterioration of cartilage.
In OA, FN1 both protects cartilage from degeneration and, when broken, helps it to disintegrate. Under normal circumstances, FN1 promotes chondrocyte survival and matrix generation, therefore helping to maintain the structural integrity of cartilage. However, in OA, FN1 can be broken down into fragments, which have been found to activate toll-like receptors (TLRs) on chondrocytes and increase the activity of catabolic enzymes such as collagenases, hence fostering inflammation. This procedure aggravates disease development and speeds up cartilage degeneration.
Fascinatingly, whilst FN1 degradation fuels OA pathogenesis, overexpression of FN1 has shown encouraging effects for cartilage regeneration. Research on animal models has shown that FN1 treatment can improve chondrocyte differentiation and encourage ECM regeneration. This implies that FN1 not only helps to preserve cartilage but also has possible therapeutic uses for OA cartilage injury restoration.
Figure 1. The proposed molecular mechanism of fibronectin 1 (FN1) in the chondrocyte. (Aladal M, et al., 2022)
Mesenchymal stem cells (MSCs) have gained attention for their potential in regenerative medicine, particularly for cartilage repair. The first step in MSC chondrogenic differentiation is the condensation of these cells, which is essential for the formation of cartilage. FN1 plays a crucial role in this process by facilitating cell condensation and promoting the production of chondrogenic markers, such as collagen type II and aggrecan.
Studies have shown that FN1 supports the differentiation of MSCs into chondrocytes by interacting with integrins, such as α5β1, on the surface of the cells. This interaction activates key signaling pathways, including PI3K/Akt, which are necessary for the maturation of MSCs into functional chondrocytes. FN1 also helps in the formation of a fibronectin matrix, which serves as a scaffold for MSCs to differentiate into cartilage-forming cells.
Moreover, FN1's ability to regulate the release of insulin-like growth factor 1 (IGF-1) in MSCs has significant implications for cartilage regeneration. IGF-1 is a potent growth factor that supports chondrocyte survival, proliferation, and differentiation, making FN1 a key player in the maintenance and repair of cartilage tissue.
However, the role of FN1 in MSC differentiation is not entirely straightforward. While FN1 has been shown to enhance chondrogenic differentiation in some studies, other research suggests that its effects might vary depending on the experimental conditions. In vitro studies using FN-coated surfaces have demonstrated that FN1 can significantly promote the osteogenic differentiation of MSCs, but its impact on chondrogenesis remains less clear. This highlights the need for further studies to fully understand the molecular mechanisms through which FN1 regulates MSC differentiation and cartilage formation.
The therapeutic application of FN1 in OA treatment is an exciting area of research. Due to its critical role in ECM organization, cell adhesion, and chondrogenesis, FN1 holds promise as a potential therapeutic agent for cartilage repair. One of the major challenges in treating OA is the inability to regenerate damaged cartilage. Current medical interventions, such as joint replacement and autologous chondrocyte transplantation, provide temporary relief but fail to halt disease progression or promote true cartilage regeneration.
Recent studies have explored the use of FN1 in tissue engineering and regenerative medicine, particularly in the context of cartilage repair. For instance, the use of FN1-coated scaffolds in animal models has shown significant improvements in cartilage healing by promoting chondrocyte differentiation and ECM production. These findings suggest that FN1 could be incorporated into regenerative therapies, such as stem cell-based treatments, to enhance cartilage regeneration and prevent further degeneration.
In addition to its use in tissue engineering, FN1 could potentially be used in combination with other therapeutic agents, such as growth factors or anti-inflammatory drugs, to create more effective treatments for OA. By promoting chondrocyte survival and differentiation, FN1 could help restore the balance between cartilage formation and degradation, ultimately improving joint function and reducing pain in OA patients.
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