ABSTRACT:
The objective of this study was to investigate the in vitro action of triiodothyronine (T3) on the chondrogenic differentiation of adipose tissue-derived stem cells (ASCs) of female rats, with different time periods and doses. ASCs were extracted from female Wistar rats and were cultured in chondrogenic medium with and without the presence of T3. Five groups were established: 1) ASCs without T3; and 2,3,4,5) ASCs with 0.01, 1, 100 and 1,000 nM T3, respectively). After 7, 14 and 21 days, cell morphology, chondrogenic matrix formation, and expression of Sox9, aggrecan, collagen II, and collagen X were evaluated. The Student-Newman-Keuls test was used. ASCs showed CD54, CD73, and CD90 before chondrogenic differentiation. The hormone treatment did not alter chondrogenic matrix formation, Sox9 expression at 14 or 21 days, or expression of collagen II or collagen X at any time. However, the 0.01, 1, and 1000 nM T3 doses decreased Sox9 expression at 7 days. In conclusion, chondrogenic differentiation of ASCs of female rats is not influenced by T3.
Key words:
Chondrogenesis; thyroid hormone; mesenchymal stem cell; rat
RESUMO:
O objetivo do presente trabalho foi verificar o efeito in vitro da triiodotironina (T3) na diferenciação condrogênica de células tronco mesenquimais do tecido adiposo (CTM-TA) de ratas, durante vários períodos e em várias doses. CTM-TA foram coletadas de ratas Wistar e cultivadas em meio condrogênico com ou sem a presença de T3. Constitui-se cinco grupos: 1) CTM-TA sem T3; e 2,3,4,5) CTM-TA com T3 (0,01; 1; 100 e 1000 nM, respectivamente). Após sete, 14 e 21 dias, foram avaliados morfologia celular, formação de matriz condrogênica e expressão de Sox9, agrecano, colágeno II e colágeno X. Para as análises foi utilizado o teste de Student Newman Keuls. CTM-TA expressaram CD54, CD73 e CD90 antes da diferenciação condrogênica. O tratamento hormonal não alterou a formação de matriz condrogênica e a expressão de Sox9 aos 14 e 21 dias e expressão dos colágenos II e X em nenhum dos períodos avaliados. No entanto, as doses de 0,01; 1 e 1000 nM T3 diminuíram a expressão de Sox9 aos 7 dias. Conclui-se que a diferenciação condrogênica de CTM-TA de ratas não é influenciada pela T3.
Palavras-chave:
Condrogênese; hormônio tireoidiano; célula tronco mesenquimal; rato
INTRODUCTION:
Studies of stem cells has increased greatly in recent years, especially in relation to their use for the treatment of various illness, like cartilage tissue disorders (LI et al., 2018LI, X. et al. Bone marrow- and adipose tissue-derived mesenchymal stem cells: characterization, differentiation, and applications in cartilage tissue engineering. Critical Reviews in Eukaryotic Gene Expression, v.28, p.285-310, 2018. Available from: < https://10.1615/CritRevEukaryotGeneExpr.2018023572>. Accessed: Nov. 05, 2020. doi: 10.1615/CritRevEukaryotGeneExpr.2018023572.
https://10.1615/CritRevEukaryotGeneExpr...
). Studies have been conducted using stem cells to treat or prevent the progression of cartilage tissue injury, since the progressive degeneration of cartilage inevitably leads to joint pain, swelling and/or stiffness. Cartilage regeneration through stem cell therapy is a promising alternative for the treatment of diseases or defects in cartilaginous tissue. However, it is necessary to search for factors that can optimize or increase chondrogenic differentiation of stem cells before in vivo treatment.
Mesenchymal stem cells (MSCs) can be obtained from adipose tissue and have the capacity of multipotent differentiation, including chondrogenic (ZUK et al., 2001ZUK, P. A. et al. Multilineage cells from human adipose tissue: implications for cell-based therapies. Tissue Engineering, v.7, p.211-228, 2001. Available from: <Available from: https://doi.org/10.1089/107632701300062859 >. Accessed: Nov. 05, 2020. doi: 10.1089/107632701300062859.
https://doi.org/10.1089/1076327013000628...
; DAI et al., 2016DAI, R. et al. Adipose-derived stem cells for tissue engineering and regenerative medicine applications. Stem Cells International, v.2016, p.6737345, 2016. Available from: <Available from: https://doi.org/10.1155/2016/6737345 >. Accessed: Jan. 05, 2021. doi: 10.1155/2016/6737345.
https://doi.org/10.1155/2016/6737345...
). For this reason, MSCs have been widely studied with for the purpose of use in cell therapy. Moreover, the process of obtaining these cells provides a large proportion of MSCs in the total yield of liposuctioned cells, without the need for invasive intervention (FREITAG et al., 2015FREITAG, J. et al. Adipose derived mesenchymal stem cell therapy in the treatment of isolated knee chondral lesions: design of a randomised controlled pilot study comparing arthroscopic microfracture versus arthroscopic microfracture combined with postoperative mesenchymal stem cell injections. BMJ Open, v.5, p.e009332, 2015. Available from: <Available from: http://dx.doi.org/10.1136/bmjopen-2015-009332 >. Accessed: Dec. 12, 2020. doi: 10.1136/bmjopen-2015-009332.
http://dx.doi.org/10.1136/bmjopen-2015-0...
; DAI et al., 2016).
There are well-defined differentiation protocols to classify adipose tissue-derived stem cells (ASCs) as chondrocytes (ZUK et al., 2001ZUK, P. A. et al. Multilineage cells from human adipose tissue: implications for cell-based therapies. Tissue Engineering, v.7, p.211-228, 2001. Available from: <Available from: https://doi.org/10.1089/107632701300062859 >. Accessed: Nov. 05, 2020. doi: 10.1089/107632701300062859.
https://doi.org/10.1089/1076327013000628...
). Nevertheless, many mechanisms and conditions still need to be unraveled, mainly regarding increasing the chondrogenic potential of these cells. Chondrogenic differentiation can be regulated by different conditions (KIM & IM, 2009KIM, H. J.; IM, G. I. Chondrogenic differentiation of adipose tissue-derived mesenchymal stem cells: greater doses of growth factor are necessary. Journal of Orthopaedic Research, v.27, p.612-619, 2009. Available from: <Available from: https://doi.org/10.1002/jor.20766 >. Accessed: Oct. 16, 2020. doi: 10.1002/jor.20766.
https://doi.org/10.1002/jor.20766...
). In addition, nuclear receptors of thyroid hormones are present in ASCs (ORTEGA et al., 2009ORTEGA, F. L. et al. Subcutaneous fat shows higher thyroid hormone receptor-alpha1 gene expression than omental fat. Obesity (Silver Spring, Md.), v.17, p.2134-2141, 2009. Epub 2009 Apr 9. Available from: <Available from: https://doi.org/10.1038/oby.2009.110 >. Accessed: Oct. 16, 2020. doi: 10.1038/oby.2009.110.
https://doi.org/10.1038/oby.2009.110...
). Therefore, these cells are likely to respond to T3 with increased chondrogenic differentiation.
Thyroid hormones influence bone growth in vivo by regulating the hypertrophic and maturation zones of the epiphyseal plate, because it controls chondrocyte differentiation (ROBSON et al., 2000ROBSON, H. et al. Thyroid hormone acts directly on growth plate chondrocytes to promote hypertrophic differentiation and inhibit clonal expansion and cell proliferation. Endrocrinology, v.140, p.3887-3897, 2000. Available from: <Available from: https://doi.org/10.1210/endo.141.10.7733 >. Accessed: Nov. 05, 2020. doi: 10.1210/endo.141.10.7733.
https://doi.org/10.1210/endo.141.10.7733...
). These hormones also stimulate the in vitro chondrocyte hypertrophy of embryonic chick cartilage (BURCH & LEBOVITZ, 1982BURCH, W. M.; LEBOVITZ, H. E. Triiodothyronine stimulation of in vitro growth and maturation of embryonic chick cartilage. Endocrinology, v.111, p.462-468, 1982. Available from: <Available from: https://doi.org/10.1210/endo-111-2-462 >. Accessed: Mar. 10, 2021. doi: 10.1210/endo-111-2-462.
https://doi.org/10.1210/endo-111-2-462...
). In cultured mouse tibia, there is an increase in the hypertrophic zone of the epiphyseal plate under the influence of thyroid hormones (MIURA et al., 2002MIURA, M. et al. Thyroid hormones promote chondrocyte differentiation in mouse ATDC5 Cells and stimulate endochondral ossification in fetal mouse tibias through iodothyronine deiodinases in the growth plate. Journal of Bone and Mineral Research, v.17, p.443-454, 2002. Available from: <Available from: https://doi.org/10.1359/jbmr.2002.17.3.443 >. Accessed: Dec. 10, 2020. doi: 10.1359/jbmr.2002.17.3.443.
https://doi.org/10.1359/jbmr.2002.17.3.4...
). In addition, thyroid hormones inhibit cell proliferation of ATDC cells (a clonal mouse embryonic carcinoma cell line), and stimulate the chondrogenesis of these cells (SIEBLER et al., 2002SIEBLER, T. et al. Dexamethasone inhibits and thyroid hormone promotes differentiation of mouse chondrogenic ATDC5 cells. Bone, v.31, p.457-464, 2002. Available from: <Available from: https://doi.org/10.1016/S8756-3282(02)00855-4 >. Accessed: Jul. 07, 2020. doi: 10.1016/s8756-3282(02)00855-4.
https://doi.org/10.1016/S8756-3282(02)00...
). However, there is no research evaluating the potential for chondrogenic differentiation of ASCs of female rats under the influence of thyroid hormones. Thus, the objective of this study was to investigate the in vitro action of triiodothyronine (T3) on the chondrogenic differentiation of ASCs of female rats, after different time periods (7, 14, or 21 days) and doses (0.01, 1, 100 or 1,000 nM T3).
MATERIALS AND METHODS:
ASC isolation
Euthanasia of four one-month-old female Wistar rats was performed using sodium pentobarbital (30 m/kg). ASCs were extracted according to established protocol (SOLCHAGA et al., 2011SOLCHAGA, L. A. et al. Chondrogenic differentiation of bone marrow-derived mesenchymal stem cells: tips and tricks. Methods in Molecular Biology (Clifton, N.J.), v.698, p.253-278, 2011. Available from: <Available from: https://doi.org/10.1007/978-1-60761-999-4_20 >. Accessed: Nov. 08, 2020. doi: 10.1007/978-1-60761-999-4_20.
https://doi.org/10.1007/978-1-60761-999-...
). In a surgical environment, the skin and muscle of the ventral abdominal region were cut and the abdominal adipose tissue was harvested. This tissue was placed in culture medium (Dulbecco’s modified Eagle’s medium; DMEM; Invitrogen, CA, USA) supplemented with penicillin (100 U/mL), gentamicin (60 μg/L), streptomycin (100 μg/mL), and amphotericin (25 μg/L) (Gibco, USA). The adipose tissue was placed in a tube containing collagenase type I (0.15%; Sigma-Aldrich, St. Louis, MO, USA) and placed in an incubator for 60 minutes at 37 °C and 5% CO2. After incubation, the collagenase was inactivated by the addition of DMEM containing 10% fetal bovine serum (FBS) (LGC Biotecnologia, Brazil). Subsequently, the tube was centrifuged (10 minutes at 1400 g) to obtain three phases: fat, red blood cells, and other blood cells and precipitate (stromal phase). The precipitate was placed in DMEM plus 10% FBS and cultivated (37 °C and 5% CO2) in T75 flasks. All solutions and culture media were prepared with pure water free of microorganisms.
Flow cytometry
When the cells reached the fourth passage and 80 to 90% confluence, their phenotypic characterization was performed by flow cytometry according to previous studies (BOELONI et al., 2014BOELONI, J. N. et al. Comparative study of osteogenic differentiation potential of mesenchymal stem cells derived from bone marrow and adipose tissue of osteoporotic female rats. Connective Tissue Research, v.55, p.103-114, 2014. Available from: <Available from: https://doi.org/10.3109/03008207.2013.860970 >. Accessed: Feb. 10, 2021. doi: 10.3109/03008207.2013.860970.
https://doi.org/10.3109/03008207.2013.86...
).
Cell viability assay
The ASC viability was tested before chondrogenic differentiation. This evaluation was carried out using Trypan blue, with cells being quantified in a Neubauer chamber, where cells stained blue were considered unviable and transparent cells were considered viable.
Chondrogenic differentiation
Chondrogenic differentiation of ASCs was induced according to previous study (SOLCHAGA et al., 2011SOLCHAGA, L. A. et al. Chondrogenic differentiation of bone marrow-derived mesenchymal stem cells: tips and tricks. Methods in Molecular Biology (Clifton, N.J.), v.698, p.253-278, 2011. Available from: <Available from: https://doi.org/10.1007/978-1-60761-999-4_20 >. Accessed: Nov. 08, 2020. doi: 10.1007/978-1-60761-999-4_20.
https://doi.org/10.1007/978-1-60761-999-...
). The cells were cultured in chondrogenic medium (StemPro® Chondrogenesis Differentiation Kit; Gibco, USA) with different doses (0.01, 1, 100 or 1,000 nM) of T3 (3,3’,5-triiodo-L-thyronine, Sigma-Aldrich) in a pellet system (density of 5x105 cells/15-mL tube), in four replicates, and incubated at 37 °C and 5% CO2 for 7, 14 or 21 days. After these periods, the expression of Sox9, aggrecan, collagen (Col) II, and Col X was measured. The T3 doses were established according to previous study (BOELONI et al., 2009BOELONI, J. N. et al. Dose-dependent effects of triiodothyronine on osteogenic differentiation of rat bone marrow mesenchymal stem cells. Hormone Research, v.72, p.88-97, 2009. Available from: <Available from: https://doi.org/10.1159/000232161 >. Accessed: Feb. 11, 2021. doi: 10.1159/000232161.
https://doi.org/10.1159/000232161...
). with the 0.01 nM dose being close to the physiological dose.
Chondrogenic matrix formation
After 7, 14 or 21 days of differentiation, the pellets were washed with 0.15 M PBS, fixed in 10% buffered formaldehyde for 1 hour and processed by the paraffin-embedded tissue protocol according to previous study (ASSIS et al., 2018ASSIS, H. A. et al. Dose‐dependent effect of triiodothyronine on the chondrogenic differentiation of mesenchymal stem cells from the bone marrow of female rats. The Journal of Pharmacy and Pharmacology, v.70, p.89-100, 2018. Available from: <Available from: https://doi.org/10.1111/jphp.12842 >. Accessed: Jan. 13, 2021. doi: 10.1111/jphp.12842.
https://doi.org/10.1111/jphp.12842...
). Then the tissues were sectioned (4 µm) and stained with hematoxylin-eosin (HE) for analysis of morphology, or stained with Alcian blue (AB) and periodic acid of Schiff (PAS) for analysis of glycosaminoglycan formation. All analyses were performed by two observers, the positivity scores for AB and PAS were assigned according to the distribution and intensity of the stain, and in accordance with previous study (TRIVILIN et al., 2017TRIVILIN, L.O. et al. Exposure to cigarette smoke alters AgNOR number and HIF-1alpha expression in colorectal tubular adenocarcinoma in rats. International Journal of Clinical and Experimental Pathology, v.10, p.3822-3829, 2017. Available from: <Available from: http://www.ijcep.com/files/ijcep0043136.pdf >. Accessed: Apr. 06, 2020.
http://www.ijcep.com/files/ijcep0043136....
).
Total RNA extraction and quantitative PCR (qRT-PCR)
Total RNA extraction was performed using Trizol (Gibco, USA) according to the manufacturer’s protocol. For the synthesis of cDNA, 1 μg of RNA was used with the SuperScript III Platinum Two-Step qPCR kit with SYBR Green (Invitrogen, USA). The 7500 Fast Real Time PCR System (Applied Biosystems Inc., USA) was used to perform the qRT-PCR reactions. The GAPDH was used as the housekeeping gene. In addition, 2-ΔΔCt was calculated to compare the treated groups with the control group. The primer sequences used were: Sox9 - sense 5’- CTGAAGGGCTACGACTGGAC -3’, antisense 5’-TACTGGTCTGCCAGCTTCCT-3’; aggrecan - sense 5’- CACACGCTACACACTGGACT -3’, antisense 5’- TCACACTGGTGGAAGCCATC -3’, Col II - sense 5’-AGGGGTACCAGGTTCTCCATC-3’, antisense 5’-CTGCTCATCGCCGCGGTCCGA-3’; Col X - sense 5’- TGGGTAGGCCTGTATAAAGAACGG-3, antisense 5’-CATGGGAGCCACTAGGAATCCTGAGA-3’; and GAPDH - sense 5’-CAACTCCCTCAAGATTGTCAGCAA-3’, antisense 5’-GGCATGGACTGTGGTCATGA-3’.
Statistical analysis
The data were submitted to analysis of variance (ANOVA), and the means were compared by Student-Newman-Keuls (SNK) test (GraphPad Prism 7.000 software). Differences were considered significant if P < 0.05.
RESULTS:
Phenotypic characterization of ASCs
Regarding phenotypic characterization, there was negative expression for CD45 in 3.04% of the cells and positive expression for CD54 in 91.90%, CD73 in 99.24%, and CD90 in 90.26% of the cells.
Cell viability assay
The viability of the ASCs was greater than 90% before starting chondrogenic differentiation.
Morphological analysis of cells by HE staining
At seven days, the cells were round or oval to elongated, and the nuclei were oval to elongated, displaced to the periphery with predominantly condensed chromatin in the control group. Rare binucleated cells were also observed. The other groups studied (0.01, 1, and 100 nM T3) showed the same morphological characteristics as the untreated group. In contrast, the ASCs treated with 1,000 nM T3 were round and bulky and the nuclei were oval. The ASCs treated with 0.01, 100, and 1,000 nM T3 had loose chromatin, which was not observed in the control group (Figure 1A-E).
Morphological analysis of ASCs from female rats treated with T3 (0.01; 1; 100; or 1,000 nM) or not (control) at 7 (A, B, C, D, E), 14 (F, G, H, I, J), and 21 (K, L, M, N, O) days of chondrogenic differentiation. HE staining. Bar = 48.01 μm.
At 14 days, the cells were predominantly round, the nuclei were oval to elongated with loose chromatin, and rare binucleated cells were present in the control group. The cell morphology of the other groups treated with T3 was similar to the untreated group (Figure 1F-G).
Like after 14 days, after 21 days the cells were predominantly round, the nuclei were oval to elongated with loose chromatin, and there were rare binucleated cells in the untreated group. The cellular and nuclear morphology of ASCs treated with 0.01 and 1 nM T3 were similar to the untreated group. However, the ASCs treated with 100 nM exhibited round or oval to elongated cells, unlike the control group (Figure 1K-O).
Chondrogenic matrix formation
Regardless of the periods evaluated (7, 14, and 21 days), all treatments (0.01, 1, 100 and 1,000) showed formation of a chondrogenic matrix (AB+ and PAS+) similar to the untreated group (P > 0.05) (Figures 2 and 3).
Formation of AB+ and PAS+ chondrogenic matrix in culture of ASCs from female rats treated with T3 (0.01; 1; 100; or 1,000 nM) or not (control) at 7 (A, B, C, D, E) 14 (F, G, H, I, J), and 21 (K, L, M, N, O) days of chondrogenic differentiation. AB and PAS staining. Bar = 96.02 μm.
Production of AB+ chondrogenic matrix (mean ± standard deviation in quadruplicate/group) in ASCs from female rats treated with T3 (0.01, 1, 100, or 1,000 nM) or not (control) at 7 (A), 14 (B), and 21 (C) days of chondrogenic differentiation. Production of PAS+ chondrogenic matrix (mean ± standard deviation in quadruplicate/group) in ASCs from female rats treated with T3 (0.01, 1, 100, or 1,000 nM) or not (control) at 7 (D), 14 (E), and 21 (F) days of chondrogenic differentiation.
Gene expression
Regarding the expression of Sox9 at seven days of differentiation, the ASCs treated with 0.01, 1, and 1,000 nM T3 showed lower expression than the untreated group (P < 0.05), whereas the group treated with 100 nM was similar to the untreated group (P > 0.05) (Figure 4A). At 14 and 21 days of differentiation, all groups had similar gene expression (P > 0.05) (Figure 4B and 4C).
Relative expression of Sox9, aggrecan, Col II, and Col X (mean ± standard deviation in quadruplicate/group) by qPCR in ASCs from female rats treated or not with T3 at a dose of 0.01, 1, 100, or 1,000 nM, at 7 (A, D, G, J), 14 (B, E, H, K), and 21 days (C, F, I, L) of chondrogenic differentiation. *P < 0.05.
Regarding the expression of aggrecan, Col II, and Col X, all treatments (0.01, 1, 100 and 1,000) showed the same expression as the untreated group (P > 0.05) in all evaluated periods (7, 14, and 21 days) (Figure 4D-L). When the expression of Sox9, aggrecan, Col II, and Col X during the differentiation time was evaluated, all treatments (0.01, 1, 100 and 1,000) showed gene expression similar to the untreated group (P > 0.05) (Figure 4).
DISCUSSION:
The chondrogenic potential of ASCs has been extensively investigated (GUASTI et al., 2018GUASTI, L. et al. Plasticity of human adipose-derived stem cells - relevance to tissue repair. The International Journal of Developmental Biology, v.62, p.431-439, 2018. Available from: <Available from: http://www.ijdb.ehu.es/web/paper.php?doi=10.1387/ijdb.180074pf >. Accessed: Dec. 15, 2020. doi: 10.1387/ijdb.180074pf.
http://www.ijdb.ehu.es/web/paper.php?doi...
). However, we believe this study is a pioneer in relation to the action of T3 on the chondrogenic differentiation of ASCs from female rats. T3 did not enhance this differentiation because of decreased Sox9 expression at 7 days of differentiation, and it did not interfere in the expression of aggrecan, Col II or Col X or in the formation of a chondrogenic matrix. This can be explained in part by the results of a previous study demonstrated that thyroid hormone receptors (TRs α and β) are highly active in the absence of exogenous thyroid hormone in human ASCs, and that TRα predominates in multipotent ASC of humans, whereas TRβ is expressed at lower levels and is upregulated during hADSC chondrogenic differentiation (CVORO et al., 2016CVORO, A. et al. Ligand independent and subtype-Selective actions of thyroid hormone receptors in human adipose derived stem cells. PLoS One, v.11, p.e0164407, 2016. Available from: <Available from: https://doi.org/10.1371/journal.pone.0164407 >. Accessed: Jan. 05, 2021. doi: 10.1371/journal.pone.0164407.
https://doi.org/10.1371/journal.pone.016...
).
In order to study the chondrogenic potential of ASCs with or without the addition of T3 in vitro, we assessed their expression of important genes during differentiation (Sox9, aggrecan, Col II, and Col X) and glycosaminoglycan formation. Regarding the expression of Col X, all T3 treatments stimulated the same gene expression as in the untreated group after all studied intervals (7, 14, and 21 days). In contrast to what was observed in the present study, it is necessary to emphasize that at the beginning of chondrogenesis in vitro, cells present a fibroblastoid morphology, and only during this process do they increase in volume (hypertrophy) (STUDER et al., 2021; LI et al., 2015LI, C. Y. et al. Comparative analysis of human mesenchymal stem cells from bone marrow and adipose tissue under xeno-free conditions for cell therapy. Stem Cell Research & Therapeutics, v.6, p.55, 2015. Available from: <Available from: https://stemcellres.biomedcentral.com/track/pdf/10.1186/s13287-015-0066-5.pdf >. Accessed: Oct. 16, 2020. doi: 10.1186/s13287-015-0066-5.
https://stemcellres.biomedcentral.com/tr...
). In vivo, this occurs only at the end of chondrogenesis (SHUM et al., 2003SHUM, L. et al. Morphogenesis and dysmorphogenesis of the appendicular skeleton. Birth Defects Research. Part C, Embryo Today: Reviews, 2003;69:102-22. Available from: <Available from: https://doi.org/10.1002/bdrc.10012 >. Accessed: Apr. 06, 2020. doi: 10.1002/bdrc.10012.
https://doi.org/10.1002/bdrc.10012...
), when hypertrophic chondrocytes express Col X and matrix metalloproteinase (MMP) 13 (KARSENTY & WAGNER, 2002KARSENTY, G.; WAGNER, E. F. Reaching a genetic and molecular understanding of skeletal development. Developmental Cell , v.2, p.389-406, 2002. Available from: <Available from: https://doi.org/10.1016/S1534-5807(02)00157-0 >. Accessed: Jan. 12, 2021. doi: 10.1016/s1534-5807(02)00157-0.
https://doi.org/10.1016/S1534-5807(02)00...
; GOLDRING et al., 2006GOLDRING, M. B. et al. The control of chondrogenesis. Journal of Cellular Biochemistry, v.97, p.33-44, 2006. Available from: <Available from: https://doi.org/10.1002/jcb.20652 >. Accessed: Dec. 13, 2020. doi: 10.1002/jcb.20652.
https://doi.org/10.1002/jcb.20652...
; CAWSTON & YOUNG, 2010CAWSTON, T. E.; YOUNG, D. A. Proteinases involved in matrix turnover during cartilage and bone breakdown. Cell and Tissue Research, v.339, p.221-235, 2010. Available from: <Available from: https://link.springer.com/content/pdf/10.1007/s00441-009-0887-6.pdf >. Accessed: Feb. 11, 2021. doi: 10.1007/s00441-009-0887-6.
https://link.springer.com/content/pdf/10...
) and programmed cell death occurs, so that the cartilaginous cells can be replaced by bone tissue (DE CROMBRUGGHE et al., 2000DE CROMBRUGGHE, B. et al. Transcriptional mechanisms of chondrocyte differentiation. Matrix Biology: Journal of the International Society for Matrix Biology, v.19, p.389-394, 2000. Available from: <Available from: https://doi.org/10.1016/S0945-053X(00)00094-9 >. Accessed: Jan. 07, 2021. doi: 10.1016/s0945-053x(00)00094-9.
https://doi.org/10.1016/S0945-053X(00)00...
; LI et al., 2015LI, C. Y. et al. Comparative analysis of human mesenchymal stem cells from bone marrow and adipose tissue under xeno-free conditions for cell therapy. Stem Cell Research & Therapeutics, v.6, p.55, 2015. Available from: <Available from: https://stemcellres.biomedcentral.com/track/pdf/10.1186/s13287-015-0066-5.pdf >. Accessed: Oct. 16, 2020. doi: 10.1186/s13287-015-0066-5.
https://stemcellres.biomedcentral.com/tr...
).
The chondrocyte hypertrophy may be due to changes in pressure inside and outside the cells, as well as the degeneration of chondrocytes surrounding the extracellular matrix (MACKIE et al., 2011MACKIE, E. J. et al. The skeleton: a multi-functional complex organ: the growth plate chondrocyte and endochondral ossification. The Journal ofEndocrinology , v.211, p.109-121, 2011. Available from: <Available from: https://doi.org/10.1530/JOE-11-0048 >. Accessed: Nov. 05, 2020. doi: 10.1530/JOE-11-0048.
https://doi.org/10.1530/JOE-11-0048...
). For this reason, strategies to minimize this hypertrophy have been investigated, such as use of PTHrp, TGF-β1, and MMP13 inhibitor, among others (CHEN et al., 2015CHEN, S. et al. Strategies to minimize hypertrophy in cartilage engineering and regeneration. Genes & Diseases, v.2, p.76-95, 2015. Available from: <Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4437543/pdf/main.pdf >. Accessed: Feb. 13, 2021. doi: 10.1016/j.gendis.2014.12.003.
https://www.ncbi.nlm.nih.gov/pmc/article...
). Other factors can also cause hypertrophy during the chondrogenic differentiation of human bone marrow mesenchymal stem cells (BM-MSCs), such as absence of TGF-β combined with dexamethasone (1 nM) and T3 (1 nM) (MUELLER & TUAN, 2008MUELLER, M. B.; TUAN, R. S. Functional characterization of hypertrophy in chondrogenesis of human mesenchymal stem cells. Arthritis and Rheumatism, v.58, p.1377-1388, 2008. Available from: <Available from: https://doi.org/10.1002/art.23370 >. Accessed: Apr. 06, 2020. doi: 10.1002/art.23370.
https://doi.org/10.1002/art.23370...
). Moreover, the addition of T3 (1 nM) at 21 and 28 days during human BM-MSC chondrogenesis can induce BMP-4-mediated cell hypertrophy, an effect that is blocked by the BMP antagonist Noggin. In addition to inducing hypertrophy, hormone treatment combined with BMP-4 increases the production of Col II and Col X (KARL et al., 2014KARL, A. et al. Thyroid hormone-induced hypertrophy in mesenchymal stem cell chondrogenesis is mediated by bone morphogenetic protein-4. Tissue Engineering. Part A, v.20, p.178-188, 2014. Available from: <Available from: https://doi.org/10.1089/ten.tea.2013.0023 >. Accessed: Dec. 12, 2020. doi: 10.1089/ten.TEA.2013.0023.
https://doi.org/10.1089/ten.tea.2013.002...
). Similar to previous studies, in the present study, hormone treatment (regardless of dose) also caused an apparent cell enlargement, but in this case it did not interfere with chondrogenic matrix formation.
Regarding gene expression, ASCs treated with T3 (0.01, 1, and 1,000 nM) showed less Sox9 expression at 7 days of differentiation. Sox9 plays an important role during chondrogenic differentiation of mesenchymal stem cells (AUGELLO & DE BARI, 2010AUGELLO, A.; DE BARI, C. The regulation of differentiation in mesenchymal stem cells. Human Gene Therapy, v.21, p.1226-1238, 2010. Available from: <Available from: https://doi.org/10.1089/hum.2010.173 >. Accessed: Jan. 13, 2021. doi: 10.1089/hum.2010.173.
https://doi.org/10.1089/hum.2010.173...
), being expressed throughout differentiation (KOCH et al., 2000KOCH, M. et al. A novel member of the netrin family, -netrin, shares homology with the chain of laminin: identification, expression, and functional characterization. The Journal of Cellular Biology, v.151, p.221-234, 2000. Available from: <Available from: https://doi.org/10.1083/jcb.151.2.221 >. Accessed: Feb. 19, 2021. doi: 10.1083/jcb.151.2.221.
https://doi.org/10.1083/jcb.151.2.221...
), but not in hypertrophic chondrocytes (AKIYAMA et al., 2002AKIYAMA, H. et al. The transcription factor Sox9 has essential roles in successive steps of the chondrocyte differentiation pathway and is required for expression of Sox5 and Sox6. Genes & Development, v.16, p.2813-2828, 2002. Available from: <Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC187468/pdf/02X.pdf >. Accessed: Feb. 10, 2021. doi: 10.1101/gad.1017802.
https://www.ncbi.nlm.nih.gov/pmc/article...
; DY et al., 2012DY, P. et al. Sox9 directs hypertrophic maturation and blocks osteoblast differentiation of growth plate chondrocytes. Developmental Cell, v.22, p.597-609, 2012. Available from: <Available from: https://www.cell.com/action/showPdf?pii=S1534-5807%2812%2900005-6 >. Accessed: Dec. 12, 2020. doi: 10.1016/j.devcel.2011.12.024.
https://www.cell.com/action/showPdf?pii=...
; LEFEBVRE & DVIR-GINZBERG, 2017LEFEBVRE, V.; DVIR-GINZBERG, M. SOX9 and the many facets of its regulation in the chondrocyte lineage. Connective Tissue Research , v.58, p.2-14, 2017. Available from: <Available from: https://doi.org/10.1080/03008207.2016.1183667 >. Accessed: Oct. 16, 2020. doi: 10.1080/03008207.2016.1183667.
https://doi.org/10.1080/03008207.2016.11...
). In this context, thyroid hormone (30 ng/mL T4) acts in vitro on chondrocytes in the terminal period of differentiation, decreasing the Sox9 expression at 7 days and consequently stimulating cell hypertrophy (OKUBO & REDDI, 2003OKUBO, Y.; REDDI, A. H. Thyroxine downregulates Sox9 and promotes chondrocyte hypertrophy. Biochemical and Biophysical Research Communications, v.306, p.186-190, 2003. Available from: <Available from: https://doi.org/10.1016/S0006-291X(03)00912-4 >. Accessed: Nov. 18, 2020. doi: 10.1016/s0006-291x(03)00912-4.
https://doi.org/10.1016/S0006-291X(03)00...
). These results part agree with what was observed in the present study, but at a different dose and in another cell type. Moreover, treatment with T3 did not modify the Sox9 expression at 14 and 21 days of differentiation.
In our study, the presence of thyroid hormone did not modify the expressions of aggrecan, Col II or Col X in ASCs in any of the evaluated periods. This finding corroborates in part an in vitro study that showed that hormone treatment also does not affect expression of aggrecan of BM-MSC (ASSIS et al., 2018ASSIS, H. A. et al. Dose‐dependent effect of triiodothyronine on the chondrogenic differentiation of mesenchymal stem cells from the bone marrow of female rats. The Journal of Pharmacy and Pharmacology, v.70, p.89-100, 2018. Available from: <Available from: https://doi.org/10.1111/jphp.12842 >. Accessed: Jan. 13, 2021. doi: 10.1111/jphp.12842.
https://doi.org/10.1111/jphp.12842...
), and does not affect chondrogenic matrix percentage of ASC (SPILA et al., 2019SPILA, D. O. et al. Triiodothyronine has no enhancement effect on the osteogenic or chondrogenic differentiation of equine adipose tissue stem cells. Journal of Equine Veterinary Science, v.86, p.102895, 2019. Available from: <Available from: https://doi.org/10.1016/j.jevs.2019.102895 >. Accessed: Nov. 08, 2020. doi: 10.1016/j.jevs.2019.102895.
https://doi.org/10.1016/j.jevs.2019.1028...
). In addition, in vitro hormone treatment (30 ng/mL T4) did not alter the Col II expression at 21 days of culture of chondrocytes in the terminal differentiation phase (OKUBO & REDDI, 2003OKUBO, Y.; REDDI, A. H. Thyroxine downregulates Sox9 and promotes chondrocyte hypertrophy. Biochemical and Biophysical Research Communications, v.306, p.186-190, 2003. Available from: <Available from: https://doi.org/10.1016/S0006-291X(03)00912-4 >. Accessed: Nov. 18, 2020. doi: 10.1016/s0006-291x(03)00912-4.
https://doi.org/10.1016/S0006-291X(03)00...
). During in vivo chondrogenic differentiation, Col II expression occurs, and as cells differentiate into hypertrophic chondrocytes, its expression decreases while the expression of Col X increases (SHUM et al., 2003SHUM, L. et al. Morphogenesis and dysmorphogenesis of the appendicular skeleton. Birth Defects Research. Part C, Embryo Today: Reviews, 2003;69:102-22. Available from: <Available from: https://doi.org/10.1002/bdrc.10012 >. Accessed: Apr. 06, 2020. doi: 10.1002/bdrc.10012.
https://doi.org/10.1002/bdrc.10012...
). Thus, this whole explanation suggests that both the hormone treatment and the donor source of stem cells affect chondrogenic differentiation. In addition, in vitro findings can differ from in vivo observations because the interaction of factors occurring in vivo is not present in cultures.
CONCLUSION:
Hormonal treatment with triiodothyronine does not alter chondrogenic differentiation because less expression of sox9 occurs in a dose dependent manner, and it does not modify aggrecan, Col II or Col X expression or chondrogenic matrix formation.
ACKNOWLEDGEMENTS
This work was supported by grants from Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) and Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES).
REFERENCES
- AKIYAMA, H. et al. The transcription factor Sox9 has essential roles in successive steps of the chondrocyte differentiation pathway and is required for expression of Sox5 and Sox6. Genes & Development, v.16, p.2813-2828, 2002. Available from: <Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC187468/pdf/02X.pdf >. Accessed: Feb. 10, 2021. doi: 10.1101/gad.1017802.
» https://doi.org/10.1101/gad.1017802.» https://www.ncbi.nlm.nih.gov/pmc/articles/PMC187468/pdf/02X.pdf - ASSIS, H. A. et al. Dose‐dependent effect of triiodothyronine on the chondrogenic differentiation of mesenchymal stem cells from the bone marrow of female rats. The Journal of Pharmacy and Pharmacology, v.70, p.89-100, 2018. Available from: <Available from: https://doi.org/10.1111/jphp.12842 >. Accessed: Jan. 13, 2021. doi: 10.1111/jphp.12842.
» https://doi.org/10.1111/jphp.12842.» https://doi.org/10.1111/jphp.12842 - AUGELLO, A.; DE BARI, C. The regulation of differentiation in mesenchymal stem cells. Human Gene Therapy, v.21, p.1226-1238, 2010. Available from: <Available from: https://doi.org/10.1089/hum.2010.173 >. Accessed: Jan. 13, 2021. doi: 10.1089/hum.2010.173.
» https://doi.org/10.1089/hum.2010.173.» https://doi.org/10.1089/hum.2010.173 - BOELONI, J. N. et al. Comparative study of osteogenic differentiation potential of mesenchymal stem cells derived from bone marrow and adipose tissue of osteoporotic female rats. Connective Tissue Research, v.55, p.103-114, 2014. Available from: <Available from: https://doi.org/10.3109/03008207.2013.860970 >. Accessed: Feb. 10, 2021. doi: 10.3109/03008207.2013.860970.
» https://doi.org/10.3109/03008207.2013.860970.» https://doi.org/10.3109/03008207.2013.860970 - BOELONI, J. N. et al. Dose-dependent effects of triiodothyronine on osteogenic differentiation of rat bone marrow mesenchymal stem cells. Hormone Research, v.72, p.88-97, 2009. Available from: <Available from: https://doi.org/10.1159/000232161 >. Accessed: Feb. 11, 2021. doi: 10.1159/000232161.
» https://doi.org/10.1159/000232161.» https://doi.org/10.1159/000232161 - BURCH, W. M.; LEBOVITZ, H. E. Triiodothyronine stimulation of in vitro growth and maturation of embryonic chick cartilage. Endocrinology, v.111, p.462-468, 1982. Available from: <Available from: https://doi.org/10.1210/endo-111-2-462 >. Accessed: Mar. 10, 2021. doi: 10.1210/endo-111-2-462.
» https://doi.org/10.1210/endo-111-2-462.» https://doi.org/10.1210/endo-111-2-462 - CAWSTON, T. E.; YOUNG, D. A. Proteinases involved in matrix turnover during cartilage and bone breakdown. Cell and Tissue Research, v.339, p.221-235, 2010. Available from: <Available from: https://link.springer.com/content/pdf/10.1007/s00441-009-0887-6.pdf >. Accessed: Feb. 11, 2021. doi: 10.1007/s00441-009-0887-6.
» https://doi.org/10.1007/s00441-009-0887-6.» https://link.springer.com/content/pdf/10.1007/s00441-009-0887-6.pdf - CHEN, S. et al. Strategies to minimize hypertrophy in cartilage engineering and regeneration. Genes & Diseases, v.2, p.76-95, 2015. Available from: <Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4437543/pdf/main.pdf >. Accessed: Feb. 13, 2021. doi: 10.1016/j.gendis.2014.12.003.
» https://doi.org/10.1016/j.gendis.2014.12.003.» https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4437543/pdf/main.pdf - CVORO, A. et al. Ligand independent and subtype-Selective actions of thyroid hormone receptors in human adipose derived stem cells. PLoS One, v.11, p.e0164407, 2016. Available from: <Available from: https://doi.org/10.1371/journal.pone.0164407 >. Accessed: Jan. 05, 2021. doi: 10.1371/journal.pone.0164407.
» https://doi.org/10.1371/journal.pone.0164407.» https://doi.org/10.1371/journal.pone.0164407 - DAI, R. et al. Adipose-derived stem cells for tissue engineering and regenerative medicine applications. Stem Cells International, v.2016, p.6737345, 2016. Available from: <Available from: https://doi.org/10.1155/2016/6737345 >. Accessed: Jan. 05, 2021. doi: 10.1155/2016/6737345.
» https://doi.org/10.1155/2016/6737345.» https://doi.org/10.1155/2016/6737345 - DE CROMBRUGGHE, B. et al. Transcriptional mechanisms of chondrocyte differentiation. Matrix Biology: Journal of the International Society for Matrix Biology, v.19, p.389-394, 2000. Available from: <Available from: https://doi.org/10.1016/S0945-053X(00)00094-9 >. Accessed: Jan. 07, 2021. doi: 10.1016/s0945-053x(00)00094-9.
» https://doi.org/10.1016/s0945-053x(00)00094-9.» https://doi.org/10.1016/S0945-053X(00)00094-9 - DY, P. et al. Sox9 directs hypertrophic maturation and blocks osteoblast differentiation of growth plate chondrocytes. Developmental Cell, v.22, p.597-609, 2012. Available from: <Available from: https://www.cell.com/action/showPdf?pii=S1534-5807%2812%2900005-6 >. Accessed: Dec. 12, 2020. doi: 10.1016/j.devcel.2011.12.024.
» https://doi.org/10.1016/j.devcel.2011.12.024.» https://www.cell.com/action/showPdf?pii=S1534-5807%2812%2900005-6 - FREITAG, J. et al. Adipose derived mesenchymal stem cell therapy in the treatment of isolated knee chondral lesions: design of a randomised controlled pilot study comparing arthroscopic microfracture versus arthroscopic microfracture combined with postoperative mesenchymal stem cell injections. BMJ Open, v.5, p.e009332, 2015. Available from: <Available from: http://dx.doi.org/10.1136/bmjopen-2015-009332 >. Accessed: Dec. 12, 2020. doi: 10.1136/bmjopen-2015-009332.
» https://doi.org/10.1136/bmjopen-2015-009332.» http://dx.doi.org/10.1136/bmjopen-2015-009332 - GOLDRING, M. B. et al. The control of chondrogenesis. Journal of Cellular Biochemistry, v.97, p.33-44, 2006. Available from: <Available from: https://doi.org/10.1002/jcb.20652 >. Accessed: Dec. 13, 2020. doi: 10.1002/jcb.20652.
» https://doi.org/10.1002/jcb.20652.» https://doi.org/10.1002/jcb.20652 - GUASTI, L. et al. Plasticity of human adipose-derived stem cells - relevance to tissue repair. The International Journal of Developmental Biology, v.62, p.431-439, 2018. Available from: <Available from: http://www.ijdb.ehu.es/web/paper.php?doi=10.1387/ijdb.180074pf >. Accessed: Dec. 15, 2020. doi: 10.1387/ijdb.180074pf.
» https://doi.org/10.1387/ijdb.180074pf.» http://www.ijdb.ehu.es/web/paper.php?doi=10.1387/ijdb.180074pf - KARL, A. et al. Thyroid hormone-induced hypertrophy in mesenchymal stem cell chondrogenesis is mediated by bone morphogenetic protein-4. Tissue Engineering. Part A, v.20, p.178-188, 2014. Available from: <Available from: https://doi.org/10.1089/ten.tea.2013.0023 >. Accessed: Dec. 12, 2020. doi: 10.1089/ten.TEA.2013.0023.
» https://doi.org/10.1089/ten.TEA.2013.0023.» https://doi.org/10.1089/ten.tea.2013.0023 - KARSENTY, G.; WAGNER, E. F. Reaching a genetic and molecular understanding of skeletal development. Developmental Cell , v.2, p.389-406, 2002. Available from: <Available from: https://doi.org/10.1016/S1534-5807(02)00157-0 >. Accessed: Jan. 12, 2021. doi: 10.1016/s1534-5807(02)00157-0.
» https://doi.org/10.1016/s1534-5807(02)00157-0.» https://doi.org/10.1016/S1534-5807(02)00157-0 - KIM, H. J.; IM, G. I. Chondrogenic differentiation of adipose tissue-derived mesenchymal stem cells: greater doses of growth factor are necessary. Journal of Orthopaedic Research, v.27, p.612-619, 2009. Available from: <Available from: https://doi.org/10.1002/jor.20766 >. Accessed: Oct. 16, 2020. doi: 10.1002/jor.20766.
» https://doi.org/10.1002/jor.20766.» https://doi.org/10.1002/jor.20766 - KOCH, M. et al. A novel member of the netrin family, -netrin, shares homology with the chain of laminin: identification, expression, and functional characterization. The Journal of Cellular Biology, v.151, p.221-234, 2000. Available from: <Available from: https://doi.org/10.1083/jcb.151.2.221 >. Accessed: Feb. 19, 2021. doi: 10.1083/jcb.151.2.221.
» https://doi.org/10.1083/jcb.151.2.221.» https://doi.org/10.1083/jcb.151.2.221 - LEFEBVRE, V.; DVIR-GINZBERG, M. SOX9 and the many facets of its regulation in the chondrocyte lineage. Connective Tissue Research , v.58, p.2-14, 2017. Available from: <Available from: https://doi.org/10.1080/03008207.2016.1183667 >. Accessed: Oct. 16, 2020. doi: 10.1080/03008207.2016.1183667.
» https://doi.org/10.1080/03008207.2016.1183667.» https://doi.org/10.1080/03008207.2016.1183667 - LI, X. et al. Bone marrow- and adipose tissue-derived mesenchymal stem cells: characterization, differentiation, and applications in cartilage tissue engineering. Critical Reviews in Eukaryotic Gene Expression, v.28, p.285-310, 2018. Available from: < https://10.1615/CritRevEukaryotGeneExpr.2018023572>. Accessed: Nov. 05, 2020. doi: 10.1615/CritRevEukaryotGeneExpr.2018023572.
» https://doi.org/10.1615/CritRevEukaryotGeneExpr.2018023572» https://10.1615/CritRevEukaryotGeneExpr.2018023572 - LI, C. Y. et al. Comparative analysis of human mesenchymal stem cells from bone marrow and adipose tissue under xeno-free conditions for cell therapy. Stem Cell Research & Therapeutics, v.6, p.55, 2015. Available from: <Available from: https://stemcellres.biomedcentral.com/track/pdf/10.1186/s13287-015-0066-5.pdf >. Accessed: Oct. 16, 2020. doi: 10.1186/s13287-015-0066-5.
» https://doi.org/10.1186/s13287-015-0066-5.» https://stemcellres.biomedcentral.com/track/pdf/10.1186/s13287-015-0066-5.pdf - MACKIE, E. J. et al. The skeleton: a multi-functional complex organ: the growth plate chondrocyte and endochondral ossification. The Journal ofEndocrinology , v.211, p.109-121, 2011. Available from: <Available from: https://doi.org/10.1530/JOE-11-0048 >. Accessed: Nov. 05, 2020. doi: 10.1530/JOE-11-0048.
» https://doi.org/10.1530/JOE-11-0048.» https://doi.org/10.1530/JOE-11-0048 - MIURA, M. et al. Thyroid hormones promote chondrocyte differentiation in mouse ATDC5 Cells and stimulate endochondral ossification in fetal mouse tibias through iodothyronine deiodinases in the growth plate. Journal of Bone and Mineral Research, v.17, p.443-454, 2002. Available from: <Available from: https://doi.org/10.1359/jbmr.2002.17.3.443 >. Accessed: Dec. 10, 2020. doi: 10.1359/jbmr.2002.17.3.443.
» https://doi.org/10.1359/jbmr.2002.17.3.443.» https://doi.org/10.1359/jbmr.2002.17.3.443 - MUELLER, M. B.; TUAN, R. S. Functional characterization of hypertrophy in chondrogenesis of human mesenchymal stem cells. Arthritis and Rheumatism, v.58, p.1377-1388, 2008. Available from: <Available from: https://doi.org/10.1002/art.23370 >. Accessed: Apr. 06, 2020. doi: 10.1002/art.23370.
» https://doi.org/10.1002/art.23370.» https://doi.org/10.1002/art.23370 - OKUBO, Y.; REDDI, A. H. Thyroxine downregulates Sox9 and promotes chondrocyte hypertrophy. Biochemical and Biophysical Research Communications, v.306, p.186-190, 2003. Available from: <Available from: https://doi.org/10.1016/S0006-291X(03)00912-4 >. Accessed: Nov. 18, 2020. doi: 10.1016/s0006-291x(03)00912-4.
» https://doi.org/10.1016/s0006-291x(03)00912-4.» https://doi.org/10.1016/S0006-291X(03)00912-4 - ORTEGA, F. L. et al. Subcutaneous fat shows higher thyroid hormone receptor-alpha1 gene expression than omental fat. Obesity (Silver Spring, Md.), v.17, p.2134-2141, 2009. Epub 2009 Apr 9. Available from: <Available from: https://doi.org/10.1038/oby.2009.110 >. Accessed: Oct. 16, 2020. doi: 10.1038/oby.2009.110.
» https://doi.org/10.1038/oby.2009.110.» https://doi.org/10.1038/oby.2009.110 - ROBSON, H. et al. Thyroid hormone acts directly on growth plate chondrocytes to promote hypertrophic differentiation and inhibit clonal expansion and cell proliferation. Endrocrinology, v.140, p.3887-3897, 2000. Available from: <Available from: https://doi.org/10.1210/endo.141.10.7733 >. Accessed: Nov. 05, 2020. doi: 10.1210/endo.141.10.7733.
» https://doi.org/10.1210/endo.141.10.7733.» https://doi.org/10.1210/endo.141.10.7733 - SHUM, L. et al. Morphogenesis and dysmorphogenesis of the appendicular skeleton. Birth Defects Research. Part C, Embryo Today: Reviews, 2003;69:102-22. Available from: <Available from: https://doi.org/10.1002/bdrc.10012 >. Accessed: Apr. 06, 2020. doi: 10.1002/bdrc.10012.
» https://doi.org/10.1002/bdrc.10012.» https://doi.org/10.1002/bdrc.10012 - SIEBLER, T. et al. Dexamethasone inhibits and thyroid hormone promotes differentiation of mouse chondrogenic ATDC5 cells. Bone, v.31, p.457-464, 2002. Available from: <Available from: https://doi.org/10.1016/S8756-3282(02)00855-4 >. Accessed: Jul. 07, 2020. doi: 10.1016/s8756-3282(02)00855-4.
» https://doi.org/10.1016/s8756-3282(02)00855-4.» https://doi.org/10.1016/S8756-3282(02)00855-4 - SOLCHAGA, L. A. et al. Chondrogenic differentiation of bone marrow-derived mesenchymal stem cells: tips and tricks. Methods in Molecular Biology (Clifton, N.J.), v.698, p.253-278, 2011. Available from: <Available from: https://doi.org/10.1007/978-1-60761-999-4_20 >. Accessed: Nov. 08, 2020. doi: 10.1007/978-1-60761-999-4_20.
» https://doi.org/10.1007/978-1-60761-999-4_20.» https://doi.org/10.1007/978-1-60761-999-4_20 - SPILA, D. O. et al. Triiodothyronine has no enhancement effect on the osteogenic or chondrogenic differentiation of equine adipose tissue stem cells. Journal of Equine Veterinary Science, v.86, p.102895, 2019. Available from: <Available from: https://doi.org/10.1016/j.jevs.2019.102895 >. Accessed: Nov. 08, 2020. doi: 10.1016/j.jevs.2019.102895.
» https://doi.org/10.1016/j.jevs.2019.102895.» https://doi.org/10.1016/j.jevs.2019.102895 - STUDER, D. et al. Molecular and biophysical mechanisms regulating hypertrophic differentiation in chondrocytes and mesenchymal stem cells. European Cells & Material, v.24, p.118-135, 2012. Available from: <Available from: https://www.ecmjournal.org/papers/vol024/pdf/v024a09.pdf >. Accessed: Apr. 06, 2020. doi: 10.22203/ecm.v024a09.
» https://doi.org/10.22203/ecm.v024a09.» https://www.ecmjournal.org/papers/vol024/pdf/v024a09.pdf - TRIVILIN, L.O. et al. Exposure to cigarette smoke alters AgNOR number and HIF-1alpha expression in colorectal tubular adenocarcinoma in rats. International Journal of Clinical and Experimental Pathology, v.10, p.3822-3829, 2017. Available from: <Available from: http://www.ijcep.com/files/ijcep0043136.pdf >. Accessed: Apr. 06, 2020.
» http://www.ijcep.com/files/ijcep0043136.pdf - ZUK, P. A. et al. Multilineage cells from human adipose tissue: implications for cell-based therapies. Tissue Engineering, v.7, p.211-228, 2001. Available from: <Available from: https://doi.org/10.1089/107632701300062859 >. Accessed: Nov. 05, 2020. doi: 10.1089/107632701300062859.
» https://doi.org/10.1089/107632701300062859.» https://doi.org/10.1089/107632701300062859
-
CR-2021-0509
BIOETHICS AND BIOSSECURITY COMMITTEE APPROVAL
-
BIOETHICS AND BIOSSECURITY COMMITTEE APPROVAL
All experimental procedures with animals were approved by the Ethics Committee in Animal Experimentation, Universidade Federal do Espírito Santo (UFES) (protocol number 062/2013).
AUTHORS’ CONTRIBUTIONS
-
AUTHORS’ CONTRIBUTIONS
JNB, RS, NMO, AMG and AMAS designed and designed experiments. NCH, HAA, LPR and LPR performed the experiments. The JNB, FPC and GGP supervised the experiments. The NCH and JNB performed statistical analyzes of experimental data. NCH, LPR and JNB prepared the draft manuscript. All authors critically reviewed the manuscript and approved the final version.
Publication Dates
-
Publication in this collection
06 May 2022 -
Date of issue
2022
History
-
Received
03 July 2021 -
Accepted
26 Jan 2022 -
Reviewed
31 Mar 2022