ABSTRACT
OBJECTIVE: Microfracture is used to treat articular cartilage injuries, but leads to the formation of fibrocartilage rather than native hyaline articular cartilage. Since bone morphogenetic protein 7 (BMP-7) induces cartilage differentiation, we hypothesized that the addition of the morphogen would improve the repair tissue generated by microfracture. We determined the effects of these two treatments alone and in combination on the quality and quantity of repair tissue formed in a model of full-thickness articular cartilage injury in adolescent rabbits. DESIGN: Full-thickness defects were made in the articular cartilage of the patellar grooves of forty, 15-week-old rabbits. Eight animals were then assigned to (1) no further treatment (control), (2) microfracture, (3) BMP-7, (4) microfracture with BMP-7 in a collagen sponge (combination treatment), and (5) microfracture with a collagen sponge. Animals were sacrificed after 24 weeks at 39 weeks of age. The extent of healing was quantitated by determining the thickness and the surface area of the repair tissue. The quality of the repair tissue was determined by grading specimens using the International Cartilage Repair Society Visual Histological Assessment Scale. RESULTS: Compared to controls, BMP-7 alone increased the amount of repair tissue without affecting the quality of repair tissue. Microfracture improved both the quantity and surface smoothness of repair tissue. Compared to either single treatment, the combination of microfracture and BMP-7 increased both the quality and quantity of repair tissue. CONCLUSIONS: Microfracture and BMP-7 act synergistically to stimulate cartilage repair, leading to larger amounts of repair tissue that more closely resembles native hyaline articular cartilage.
Subject(s)
Bone Morphogenetic Proteins/therapeutic use , Cartilage, Articular/surgery , Fractures, Cartilage/therapy , Recombinant Proteins/therapeutic use , Transforming Growth Factor beta/therapeutic use , Animals , Bone Morphogenetic Protein 7 , Cartilage, Articular/pathology , Collagen/administration & dosage , Combined Modality Therapy/methods , Disease Models, Animal , Fractures, Cartilage/drug therapy , Fractures, Cartilage/surgery , Hindlimb , Male , Minimally Invasive Surgical Procedures/methods , Rabbits , Treatment Outcome , Wound Healing/drug effects , Wound Healing/physiologyABSTRACT
The heat shock transcription factor (HSF) is the only known sequence-specific, homotrimeric DNA-binding protein. HSF binds to a DNA recognition site called a heat shock element (HSE), which contains varying numbers of nGAAn units ("GAA boxes") arranged in inverted repeats. To investigate the role of trimerization on HSF's DNA-binding properties, we replaced the trimerization domain, which self-assembles to form a three-stranded alpha-helical coiled coil, with the GCN4 leucine zipper, which forms a two-stranded alpha-helical coiled coil. Surprisingly, this substitution did not effect the ability of HSF to function in vivo. Biochemical studies of an HSF-leucine zipper chimera in comparison to an HSF truncation show that the HSF-leucine zipper chimera, though dimeric in solution and dimeric when bound to a two-box HSE, forms a trimeric complex when bound to a three-box HSE. The ability to form trimers depends on the presence of three contiguous GAA boxes present in inverted repeats. The proximity of the leucine zippers due to the orientation of the binding sites suggests that the leucine zippers might be forming a three-stranded coiled coil and several experiments lend support to this model. The ability of the leucine zipper to change oligomeric states in context might explain why the leucine zipper can replace the trimerization domain of HSF in vivo.
Subject(s)
DNA-Binding Proteins/chemistry , DNA/metabolism , Fungal Proteins/metabolism , Leucine Zippers , Protein Kinases/metabolism , Saccharomyces cerevisiae Proteins , Transcription Factors/chemistry , Binding Sites , Cross-Linking Reagents/metabolism , DNA-Binding Proteins/metabolism , Electrophoresis, Polyacrylamide Gel , Escherichia coli/genetics , Fungal Proteins/chemistry , Fungal Proteins/genetics , Gene Expression , Heat Shock Transcription Factors , Models, Molecular , Nucleic Acid Conformation , Point Mutation , Protein Conformation , Protein Kinases/chemistry , Protein Structure, Secondary , Recombinant Fusion Proteins/chemistry , Saccharomyces cerevisiae/chemistry , Succinimides/metabolism , Transcription Factors/metabolismABSTRACT
Gene activation frequently requires an array of proteins bound to sites distal to the transcription start site. The assembly of these protein-bound sites into specialized nucleoprotein complexes is a prerequisite for transcriptional activation. Structural analysis of these higher order complexes will provide crucial information for understanding the mechanisms of gene activation. We have used both electron microscopy and scanning force microscopy to elucidate the structure of complexes formed between DNA and heat-shock transcription factor (HSF) 2, a human heat-shock transcriptional activator that binds DNA as a trimer. Electron microscopy reveals that HSF2 will bring together distant DNA sites to create a loop. We show that this association requires only the DNA binding and trimerization domains of HSF2. Metal shadowing techniques used for electron microscopy obscure details of these nucleoprotein structures. Greatly increased resolution was achieved by directly imaging the complexes in the scanning force microscope, which reveals that at least two trimers are required for the association of HSF2-bound DNA sites.
