RT Journal Article SR Electronic T1 Drug-induced modulation of gp130 signalling prevents articular cartilage degeneration and promotes repair JF Annals of the Rheumatic Diseases JO Ann Rheum Dis FD BMJ Publishing Group Ltd and European League Against Rheumatism SP 760 OP 769 DO 10.1136/annrheumdis-2017-212037 VO 77 IS 5 A1 Shkhyan, Ruzanna A1 Van Handel, Ben A1 Bogdanov, Jacob A1 Lee, Siyoung A1 Yu, Yifan A1 Scheinberg, Mila A1 Banks, Nicholas W A1 Limfat, Sean A1 Chernostrik, Arthur A1 Franciozi, Carlos Eduardo A1 Alam, Mohammad Parvez A1 John, Varghese A1 Wu, Ling A1 Ferguson, Gabriel B A1 Nsair, Ali A1 Petrigliano, Frank A A1 Vangsness, C Thomas A1 Vadivel, Kanagasabai A1 Bajaj, Paul A1 Wang, Liming A1 Liu, Nancy Q A1 Evseenko, Denis YR 2018 UL http://ard.bmj.com/content/77/5/760.abstract AB Objective Human adult articular cartilage (AC) has little capacity for repair, and joint surface injuries often result in osteoarthritis (OA), characterised by loss of matrix, hypertrophy and chondrocyte apoptosis. Inflammation mediated by interleukin (IL)-6 family cytokines has been identified as a critical driver of proarthritic changes in mouse and human joints, resulting in a feed-forward process driving expression of matrix degrading enzymes and IL-6 itself. Here we show that signalling through glycoprotein 130 (gp130), the common receptor for IL-6 family cytokines, can have both context-specific and cytokine-specific effects on articular chondrocytes and that a small molecule gp130 modulator can bias signalling towards anti-inflammatory and antidegenerative outputs.Methods High throughput screening of 170 000 compounds identified a small molecule gp130 modulator termed regulator of cartilage growth and differentiation (RCGD 423) that promotes atypical homodimeric signalling in the absence of cytokine ligands, driving transient increases in MYC and pSTAT3 while suppressing oncostatin M- and IL-6-mediated activation of ERK and NF-κB via direct competition for gp130 occupancy.Results This small molecule increased proliferation while reducing apoptosis and hypertrophic responses in adult chondrocytes in vitro. In a rat partial meniscectomy model, RCGD 423 greatly reduced chondrocyte hypertrophy, loss and degeneration while increasing chondrocyte proliferation beyond that observed in response to injury. Moreover, RCGD 423 improved cartilage healing in a rat full-thickness osteochondral defect model, increasing proliferation of mesenchymal cells in the defect and also inhibiting breakdown of cartilage matrix in de novo generated cartilage.Conclusion These results identify a novel strategy for AC remediation via small molecule-mediated modulation of gp130 signalling.