Increased Wnt/β-catenin signaling contributes to autophagy inhibition resulting from a dietary magnesium deficiency in injury-induced osteoarthritis
Arthritis Research & Therapy volume 24, Article number: 165 (2022)
Dietary magnesium deficiency, which is common in modern diet, has been associated with osteoarthritis (OA) susceptibility. Despite this clinical association, no study has addressed if dietary magnesium deficiency accelerates OA development, especially at molecular level. This study aimed to explore aggravating effects of dietary magnesium deficiency on cartilage damage in an injury-induced murine OA model and to determine the underlying mechanism.
Twelve-week-old C57BL/6J mice subject to injury-induced OA modeling were randomized into different diet groups in which the mice were fed a diet with daily recommended magnesium content (500 mg/kg) or diets with low magnesium content (100 or 300 mg/kg). Articular cartilage damage was evaluated using the OARSI score. To determine molecular mechanisms in vitro, mouse chondrocytes were treated with media of low magnesium conditions at 0.1 and 0.4 mM, compared with normal magnesium condition at 0.7 mM as control. Anabolic and catabolic factors, autophagy markers, β-catenin, Wnt ligands, and a magnesium channel transient receptor potential cation channel subfamily member 7 (TRPM7) were analyzed by quantitative real-time PCR and immunoblotting. Autolysosomes were detected by DALGreen staining via fluorescence microscopy and autophagosomes were evaluated by transmission electron microscopy. Autophagy markers, β-catenin, and TRPM7 were assessed in vivo in the mouse cartilage, comparing between dietary magnesium deficiency and normal diet, by immunohistochemistry.
Dietary magnesium deficiency aggravated injury-induced cartilage damage, indicated by significant higher OARSI scores. Autophagy markers LC3-II and Beclin-1 were decreased both in low magnesium diet-fed mice and low magnesium-treated chondrocytes. The number of autolysosomes and autophagosomes was also reduced under low magnesium conditions. Moreover, magnesium deficiency induced decreased anabolic and increased catabolic effect of chondrocytes which could be restored by autophagy activator rapamycin. In addition, reduced autophagy under low magnesium conditions is mediated by activated Wnt/β-catenin signaling. The expression of TRPM7 also decreased in low magnesium diet-fed mice, indicating that downstream changes could be regulated through this channel.
Dietary magnesium deficiency contributes to OA development, which is mediated by reduced autophagy through Wnt/β-catenin signaling activation. These findings indicated potential benefits of adequate dietary magnesium for OA patients or those individuals at high risk of OA.
Osteoarthritis (OA) is a complex degenerative joint disease that affects mostly middle-aged and older adults and involves progressive deterioration of articular cartilage . The existing treatments for OA can only mitigate the symptoms without altering the underlying disease process . Thus, exploring pathophysiology and therapeutic targets of OA is sorely needed. Several studies have shown that various dietary micronutrients deficiency is associated with the development of OA, and some dietary micronutrient supplements may play a protective role in OA [3,4,5], indicating that dietary micronutrient can be a potential therapeutic target for OA prevention and treatment.
Magnesium (Mg), one of the most important micronutrients, is the second-most abundant intracellular and fourth-most abundant extracellular cation in the human body [6, 7]. As a cofactor in more than 300 enzymatic reactions, magnesium is essential for many intracellular physiological functions . Previous studies [7, 9,10,11,12] have reported a significant lower serum magnesium concentration or dietary magnesium intake in OA patients. However, whether there is a causal relationship between magnesium deficiency and OA still remains unknown. Additionally, since magnesium is predominantly obtained from the diet through green leafy vegetables and unprocessed grains , the modern diet, especially the Western dietary pattern, has been rich in refined foods, causing low dietary magnesium intake to become quite common . Therefore, illuminating the effect of dietary magnesium deficiency on the development of OA may help uncover new insights into pathophysiology of OA and offer beneficial recommendations for those with inadequate daily magnesium intake.
As an important intracellular process maintaining cell homeostasis, autophagy is one of the key factors in the etiology of OA . Recent studies showed that autophagy markers were decreased in human OA, as well as aging-related and surgery-induced OA mouse cartilage . It has been further confirmed that intra-articular injection of an autophagy activator alleviated cartilage damage in an experimental OA model [17, 18]. In addition, autophagy is greatly influenced by magnesium, but the effect of magnesium on autophagy is quite different across distinct cell types. For example, autophagy was greatly induced in bladder cancer cells  but was inhibited in bone marrow mesenchymal stem cells [20,21,22] by magnesium. To date, whether autophagy is involved in magnesium deficient chondrocytes has not been elucidated.
Wnt/β-catenin signaling pathway plays a crucial role in tissue repair and joint homeostasis [23, 24]. Appropriate levels of Wnt/β-catenin are necessary for the survival of chondrocytes [23, 25, 26], while over-activated Wnt/β-catenin pathway promotes chondrocyte differentiation and hypertrophy, accompanied by decreased anabolic and increased catabolic activity of articular cartilage, resulting in OA development [27, 28]. Hence, Wnt/β-catenin pathway should be tightly regulated and maintained at a proper level for cartilage homeostasis. Furthermore, previous studies have shown that the Wnt/β-catenin pathway can be activated by magnesium deficiency in vascular smooth muscle cells [29, 30]. Nonetheless, whether similar phenomenon exists in chondrocytes is still not clear.
Based on the evidence above, we hypothesized that reduced autophagy regulated by Wnt/β-catenin signaling pathway contributes to the development of low magnesium-induced OA. The current study was designed to investigate the effect of low dietary magnesium intake on OA development in a destabilization of the medial meniscus (DMM) OA model and to determine whether autophagy and the Wnt/β-catenin signaling pathway were involved in magnesium deficiency induced anabolic and catabolic changes.
Mice and experimental design
This study was carried out in accordance with the welfare and ethical principles of laboratory animal. The experimental protocol was approved by the Laboratory Animal Welfare and Ethical Committee of Central South University.
In the present study, the C57BL/6J mice (8-week-old, forty, SJA Animal Laboratory) were kept in standard, specific pathogen-free facility at a controlled temperature (22–24 °C), under a 12 h dark/light cycle and fed with a basal control diet for four weeks before DMM surgery. The mice were then randomly divided into four groups (ten mice each group). One group received sham-operation, and the other three groups were subject to DMM surgery to induce OA. After surgery, the mice were kept under the same conditions and were fed diets with different content of magnesium for twelve weeks. The diets were a commercial pelleted diet purchased from an animal diet company (Trophic Animal Feed High-Tech Co., Ltd). The sham and one DMM group were fed a basal control diet with magnesium content of 500 mg/kg following the recommendations of the American Institute of Nutrition (AIN-93G) [31,32,33]. The other two DMM groups received low magnesium diet with magnesium content of 100 mg/kg  and 300 mg/kg  according to previous studies, respectively. The diet compositions were shown in Table 1.
Mice were fed their respective diets and distilled water ad libitum and allowed to move freely within their cages after surgery. Fresh diets were changed twice a week. Body weight was measured weekly. After 12 weeks of surgery, the mice were sacrificed for histological evaluation.
Experimental OA model
The osteoarthritis model was induced by DMM surgery as previously described . Briefly, the knee joint capsule was opened with an incision just medial to the patellar tendon and the medial meniscotibial ligament was sectioned with microsurgical scissors. The sham group was performed the surgery of arthrotomy without the transaction of medial meniscotibial ligament. All the mice had the right knee performed the surgery.
Histological assessment and immunohistochemistry
The knee joints were fixed in 4% paraformaldehyde at 4 °C for 24 h and decalcified in 15% ethylenediamine tetraacetic acid (EDTA) (G1105, Servicebio) for 2 weeks and then embedded in paraffin. The serial frontal section of the entire knee joint with a thickness of 5 μm were obtained by the micro-slicer (Leica), and then the slices were stained with Safranin O/Fast Green to evaluate the cartilage degeneration of tibia plateau and femoral condyle by Osteoarthritis Research Society International (OARSI) scoring system . For each joint, all four tibiofemoral compartments, the medial tibial plateau (MTP), medial femoral condyle (MFC), lateral tibial plateau (LTP), and lateral femoral condyle (LFC), were scored. The maximum OARSI scores (the maximum score of four compartments) and summed scores (sum score of four compartments) were presented according to previous studies .
An immunohistochemistry (IHC) assay was measured with Histostain-Plus Kits (SP-9001, ZSGB-BIO). Briefly, knee joint sections were deparaffinized, peroxidase quenched, and performed antigen retrieval with pepsin. Then, the sections were blocked in normal goat serum and incubated with specific primary antibodies overnight at 4 °C (Beclin1, 1:200, ab217179, abcam; LC3-II, 1:200, ab43894, abcam; β-catenin, 1:200, ab227499, abcam; TRPM7, 1:500, ab245408, abcam). After incubating with secondary antibodies, sections were stained with DAB (ZLI-9018, ZSGB-BIO), and counterstained with hematoxylin.
Culture of articular chondrocytes
Mouse articular chondrocytes were isolated from femoral head, femoral condyle, and tibial plateaus of C57BL/6J mice (5–6 days old, SJA Animal Laboratory) by the method of enzymatic digestion as previously described [39, 40]. The chondrocytes were cultured in Dulbecco’s modified Eagle’s medium/F12 (DMEM/F12) (C11330500BT, Gibco) containing 10% fetal bovine serum (FBS) (10099-141 Gibco) and 1% penicillin/streptomycin solution (15140122, Gibco) and then incubated at 37 °C with 5% CO2 in a plastic culture flask.
Treatment of chondrocytes
In the present study, chondrocytes were plated in 6-well culture plates at a density of 1 × 106/well and cultured in DMEM/F12 containing 10% FBS and 1% penicillin/streptomycin solution. For low magnesium treatment, 0.7 mM, concentration of magnesium in regular DMEM/F12 medium was deemed as normal magnesium, which is also within the clinical reference range for magnesium in normal human serum [41, 42]. Medium containing 0.1 mM and 0.4 mM magnesium were used as low magnesium conditions which mimic dietary magnesium deficiency in vitro according to previous studies [43, 44]; 5 ng/mL TNF-α (315-01A, PeproTech) was used to induce catabolic factors expression in chondrocytes. To determine whether low magnesium conditions have an impact on autophagy, cells were treated with 10 μM Rapamycin (9904S, Cell Signaling Technology) to induce autophagy activity. Next, blocking experiments were carried out to determine the possible involvement of Wnt/β-catenin signaling pathway in low magnesium-reduced autophagy. Chondrocytes were incubated in medium containing 10 μM Wnt pathway inhibitor XAV939 (S1180, Selleck) for 24 h prior to low magnesium and rapamycin treatment.
RNA extraction and quantificational real-time polymerase chain reaction (qRT-PCR)
Total RNA was extracted from murine chondrocytes using TRIzol® reagent (15596026, Invitrogen). Briefly, the chondrocytes were lysed in TRIzol® reagent, phases were separated by chloroform (20%), and supernatant was removed. RNA was precipitated using 100% isopropanol (0.5%) and washed twice with 70% ethanol. Following air-drying, RNA was resuspended in RNAse free water. The concentration of each RNA sample was measured by spectrophotometer (BioTek). Complementary DNA (cDNA) synthesis was performed by 1 μg of total RNA using a cDNA synthesis kit (RR047B, TaKaRa) according to the manufacturer’s protocols. qRT-PCR assay was performed using an All-in-One™ qPCR Mix kit (QP001, genecopoeia), with the final volume of 10 μL including 5 μL 2x SYBR Green QPCR master mixes, 1 μL of each primer (10 mM), 0.2 μL diluted Reference Dye, and 1 μL cDNA with addition of 1.8 μL DNase/RNase-Free water. The thermal cycling conditions were pre-denaturation at 95 °C for 10 min, followed by 40 cycles of denaturation at 95 °C for 15 s, annealing at 60 °C for 30 s, and extension at 72 °C for 30 s. Results were obtained using ABI Prism 7700 sequence detection software and Comparative quantification was determined using the 2−ΔΔCt method. According to previous study, two housekeeping genes β-actin and Hprt1 were used for studies with mouse chondrocytes . The primers used in this study are listed in Table 2.
The chondrocytes were lysed in SDS reagent with protease inhibitor (1:100), and the protein concentration of the lysate was measured by BCA protein assay (23225, ThermoFisher Scientific). The protein was separated by 8–12% SDS-polyacrylamide gel electrophoresis (SDS-PAGE) (genescript) and transferred to polyvinylidene difluoride (PVDF) membranes. Following blocking in 5% (w/v) skimmed milk for 1 h, membranes were incubated overnight at 4 °C in primary antibodies against MMP-13 (1:1,000, ab39012, abcam), Beclin1 (1:1,000, 3738S, Cell Signaling Technology), LC3 (1:1,000, 3868S, Cell Signaling Technology), β-catenin (1:1,000, 8480S, Cell Signaling Technology), β-Tubulin (1:3,000, T0023, Affinity Biosciences), GAPDH (1:1,000, SC32233, Santa Cruz), and TATA-binding protein (TBP) (1:1,000, 8515S, Cell Signaling Technology) and then incubated with horseradish peroxidase (HRP)-conjugated anti-rabbit IgG (1:5,000, ab150077, abcam) for 1 h at room temperature. Immunoreactive proteins were visualized with enhanced chemiluminescence (ECL) (10300, NCM biotech). The signal intensity was qualified by Bio-Rad chemiDoc-XRS with image lab software (BioRad).
Autophagy detection with DALGreen staining
The autolysosome was detected using the method of fluorescence assay described as previously published . Briefly speaking, the total number of 150,000 cells were plated in 24-well plate and co-cultured at 37 °C with 250 μL of 1 μM DALGreen (D675, Dojindo molecular technologies) for 30 min. Then, the cells were washed twice with DMEM/F12 growth medium and cultured in the medium containing different concentrations of magnesium. The activation of autophagy was induced with 10 μM Rapamycin (9904S, Cell Signaling Technology). Subsequently, intracellular autolysosomes were observed by fluorescence microscope, and the number of autolysosomes per cell was blinded-counted by two experienced collaborators.
Transmission electron microscopy (TEM)
Transmission electron microscopy (TEM) was performed to evaluate the autophagosomes of the chondrocytes cultured in different concentrations of magnesium. Briefly, chondrocytes were treated with rapamycin under different magnesium conditions, and then cells were harvested and fixed with 2.5% glutaraldehyde at 4 °C overnight, subsequently fixed at 1% osmium tetroxide for 2 h and dehydrated. Next, the samples were encapsulated and sliced into ultrathin slices. Finally, the ultrathin sections were imaged with TEM (HITACHI).
Detection of intracellular Mg2+ in chondrocytes
Mag fura-2 AM was used as a fluorescent probe to measure intracellular Mg2+. Briefly, chondrocytes were cultured in the medium with different concentrations of magnesium and then co-cultured with 2 μM Mag-Fluo-2 (M1292, Thermo Scientific) and 1 μM F-127 (P2443, Sigma) for 30 min. Subsequently, chondrocytes were washed with Mg2+-free medium for three times and counterstained cell nucleus with 1 μM Hoechst 33342 (C1028, Beyotime Biotechnology). The chondrocytes were immediately transferred to detect fluorescence intensity by spectrophotometer (BioTek) and imaged by a fluorescence microscope (Leica).
All statistical analyses were performed with the SAS software, version 9.4 (SAS Institute, Cary, North Carolina, USA). Data are expressed as the mean ± SD according to the suggestion in a previous study . The statistical analysis of the differences between two experimental groups was performed by the unpaired Student’s t-test. Differences among groups were determined by one-way ANOVA test. A P value less than 0.05 was taken as statistically significant.
Dietary magnesium deficiency aggravated DMM-induced articular cartilage damage
To examine the effect of dietary magnesium deficiency in DMM-induced OA mouse model, mice were subjected to DMM-surgery and fed low magnesium diet (300 mg/kg and 100 mg/kg) or basal control diet (magnesium concentration is 500 mg/kg). Mice subjected to sham-surgery were fed a basal control diet (Fig. 1A). After treatment for 12 weeks, there was no change in the body weight of any group (Supplementary Fig. 1). Histopathological analyses showed severe cartilage damage and loss of proteoglycans in low magnesium diet groups, compared with basal control diet group (Fig. 1B). The OARSI score among the two low magnesium diet groups were both significantly higher than control groups in DMM mouse model with a dose-dependent manner (Fig. 1C, D): MAX-OARSI score: 1.81 ± 0.70 (500 mg/kg) vs 3.13 ± 1.06 (300 mg/kg) vs 3.94 ± 0.73 (100 mg/kg); SUM-OARSI score: 5.00 ± 2.19 (500 mg/kg) vs 11.63 ± 3.83 (300 mg/kg) vs 13.63 ± 3.20 (100 mg/kg), indicating that dietary magnesium deficiency aggravated OA progression of mouse model.
Reduced autophagy contributed to pro-catabolic and anti-anabolic effects in chondrocytes after the exposure to magnesium deficient conditions
To gain insights into the underlying mechanism, we further investigated whether autophagy is involved in magnesium deficiency-induced OA progression. We first verified changes of anabolic and catabolic factors in response to low magnesium conditions in mouse chondrocytes. The protein level of matrix metalloproteinase 13 (MMP-13) increased in response to low magnesium conditions at 0.1 mM and 0.4 mM (Fig. 2A, B), while low magnesium at 0.1 mM decreased the mRNA level of anabolic genes Sox9, Col2a1, and Acan, compared with the normal magnesium group (0.7 mM magnesium concentration in regular DMEM/F12 medium) (Fig. 2J and Supplementary Fig. 2). Meanwhile, low magnesium suppressed the expression of autophagy markers LC3-II and Beclin-1 (Fig. 2C, D), which is indicative of defective autophagy. Consistent with the in vitro study, the expression of LC3-II and Beclin-1 in cartilage was also reduced in mice fed with the magnesium deficient diet as determined by IHC staining (LC3-II positive cells (%): 37.04 ± 2.15 (500 mg/kg) vs 28.04 ± 3.29 (300 mg/kg) vs 23.03 ± 4.38 (100 mg/kg); Beclin-1 positive cells (%): 33.97 ± 4.81 (500 mg/kg) vs 18.34 ± 3.71 (300 mg/kg) vs 16.81 ± 3.83 (100 mg/kg)) (Supplementary Fig. 3 and 4).
To further examine the autophagy activity, chondrocytes were incubated with DALGreen, a small green hydrophobic molecule used for autolysosome imaging. The autolysosomes were significantly decreased in low concentrations of magnesium at 0.1 mM and 0.4 mM, compared to normal magnesium level: 11.50 ± 8.31 (0.1 mM) vs 12.95 ± 9.14 (0.4 mM) vs 16.07 ± 11.05 (0.7 mM) (Fig. 2E, F). Less autophagosomes under low magnesium conditions were also observed by transmission electron microscopy (Fig. 2G).
Then, we used rapamycin, an activator of autophagy, to determine the effects of autophagy activation on magnesium deficiency induced changes in anabolic and catabolic factors. Rapamycin significantly attenuated low magnesium stimulated Mmp-13 mRNA and protein expression (Fig. 2H, I, J and Supplementary Fig. 2) and restored the inhibitory effect of low magnesium on Sox9, Col2a1, and Acan gene expression (Fig. 2J and Supplementary Fig. 2), suggesting that the anabolic inhibitory and catabolic stimulatory effects due to magnesium deficiency were mediated by reduced autophagy.
Magnesium deficiency activated Wnt/β-catenin signaling in chondrocytes
To identify the magnesium deficiency-activated signaling pathway that is responsible for reduced autophagy, we examined the Wnt/β-catenin signaling pathway in magnesium deficient chondrocytes. We found that the expression of the core factor of the Wnt/β-catenin signaling pathway, β-catenin, was upregulated under low magnesium conditions at both the mRNA and protein levels (Fig. 3A, B, E). Because β-catenin translocates to the nucleus and regulates its target gene expression when the Wnt pathway is activated, we further separated the nuclear and cytosolic fractions of chondrocytes cultured in medium containing different concentrations of magnesium. Immunoblot results showed magnesium concentrations at both 0.1 mM and 0.4 mM increased β-catenin levels in the nucleus (Fig. 3C, D). Then, mRNA levels of representative Wnt ligands were examined. The expression of Wnt5a, Wnt5b, and Wnt16 were significantly increased in response to low magnesium conditions, while Wnt3a showed a similar trend with no statistical significance when using β- actin as housekeeping gene, and its expression level was very low in primary mouse chondrocytes, indicated by high ΔCt values, which was consistent with a previous study  (Fig. 3E, Supplementary Fig. 5 and Supplementary Table 1). Increased cartilage expression of β-catenin induced by low dietary magnesium intake was also verified in mice by IHC (β-catenin positive cells (%): 19.92 ± 6.13 (500 mg/kg) vs 34.51 ± 3.81 (300 mg/kg) vs 36.43 ± 4.86 (100 mg/kg)) (Fig. 3F, G). These findings demonstrate an activation of the Wnt/β-catenin signaling pathway induced by magnesium deficiency.
Activation of Wnt/β-catenin signaling contributed to reduction in autophagy
To investigate whether the Wnt/β-catenin signaling pathway is involved in the autophagy inhibition due to a magnesium deficiency, XAV939, a Wnt/β-catenin signaling pathway inhibitor, which facilitates β-catenin degradation, was used. When XAV939 was added, significantly higher expression levels of LC3-II and Beclin-1 were found, compared to the control group under the same concentration of magnesium (Fig. 4A, B). Likewise, autolysosomes labeled with DALGreen in chondrocytes under low magnesium conditions at 0.1 mM and 0.4 mM treated by the XAV939 also increased compared to those with vehicle treatment (0.1 mM: 18.99 ± 12.11 (XAV939) vs 10.79 ± 7.79 (vehicle); 0.4 mM: 17.34 ± 10.31 (XAV939) vs 13.49 ± 9.77 (vehicle)) (Fig. 4C, D). Hence, reduced autophagy caused by a magnesium deficiency can be restored to normal levels by inhibition of Wnt/β-catenin signaling pathway.
Impaired magnesium homeostasis altered TRPM7 expression
To explore how extracellular magnesium deficiency affected magnesium homeostasis, we studied whether low magnesium concentrations changed the influx of Mg2+ in chondrocytes. Using Mag-Fluo-2, an Mg2+ specific dye, we observed a decrease of intracellular Mg2+ levels under extracellular low magnesium conditions for 48 h (Fig. 5A, B). Expression of TRPM7, an essential channel regulating the cellular influx of Mg2+, significantly decreased under extracellular low magnesium conditions (Fig. 5C, D). In line with these observations, decreased cartilage expression of TRPM7 in dietary magnesium deficient mice was also observed by IHC (TRPM7 positive cells (%): 60.81 ± 3.71 (500 mg/kg) vs 37.76 ± 3.97 (300 mg/kg) vs 47.82 ± 3.41 (100 mg/kg)) (Fig. 5E, F). These results indicated that magnesium deficiency decreased intracellular Mg2+ level by suppressing the expression of TRPM7, resulting in disrupted magnesium homeostasis, thus further activating signaling pathway that is associated with magnesium.
The present study established the role that dietary magnesium deficiency plays in the progression of experimental OA in mice. It also proposed a mechanism in which low magnesium conditions inhibited the autophagy of chondrocytes by activating the Wnt/β-catenin signaling pathway and consequently decreasing the expression of anabolic factors and increasing the expression of catabolic factors in chondrocytes. Furthermore, this pathological effect could be alleviated by rapamycin, a potent inducer of autophagy (Fig. 5G).
A growing body of evidence has demonstrated that dietary and blood magnesium deficiency is highly relevant to the development of radiographic OA [7, 9,10,11,12]. However, there was also another study reporting no significant association between dietary magnesium intake and clinical diagnosed OA . Therefore, a causal relationship between magnesium deficiency and OA is worthy of further study. In addition to human observational studies, several animal studies examined the therapeutic effect of intra-articular administration of magnesium against osteoarthritis recently [50,51,52]. Yao et al. found intra-articular injection of magnesium chloride could attenuate the progression of experimental OA . The protective effect was mainly mediated by promoting articular cartilage matrix synthesis and inhibiting synovial inflammation, and this effect can be enhanced by addition of vitamin C . Our study focused on dietary magnesium deficient and showed that low dietary magnesium intake aggravated articular cartilage damage in mouse OA model. In the meantime, increase catabolic activity and decrease matrix synthesis were also observed in low magnesium treated chondrocytes. These findings suggested the essential role of adequate magnesium in daily diet for OA patient and those at high risk of OA.
Autophagy, which is an important cellular self-protection process, has been reported to be dependent on magnesium. However, the results regarding the effect of magnesium on autophagy are sometimes contradictory [19, 21, 53, 54]. Sun et al. showed that increased external Mg2+ concentration promoted expression of autophagy marker LC3 in dopaminergic neurons . Castiglioni et al. also found that magnesium triggered autophagy via Akt-mTOR signaling in bladder cancer cells . In contrast, there were other two studies showing an autophagy activation via low extracellular magnesium treatment and magnesium channel silence in bone marrow mesenchymal stem cells [19, 21]. Accordingly, these previous results indicated that whether autophagy is promoted or inhibited by magnesium was cell type dependent. In this study, we found that the expression of Beclin-1 and LC3-II was decreased both in low magnesium treated chondrocytes and low magnesium diet fed mice. Fewer autolysosomes and autophagosomes were also observed under low magnesium conditions by DALGreen staining and TEM, indicating magnesium deficiency inhibited autophagy of chondrocytes. In addition, recent studies have shown that the autophagy activity in OA decreased with aging  and administration of the autophagy activator, rapamycin, exerted a protective effect on OA [17, 18], while autophagy inhibitor aggravated the severity of experimental OA . Based on the above evidence, we demonstrated that OA phenotypes induced by low magnesium conditions could be restored by rapamycin in chondrocytes, suggesting that magnesium deficiency promoted OA development by inhibiting autophagy.
Furthermore, we found that magnesium deficiency could activate the Wnt/β-catenin signaling pathway in chondrocytes via both in vivo and in vitro experiments. Wnt/β-catenin signaling cascades play an essential role in the development and metabolism of articular cartilage. Abnormal activation of Wnt/β-catenin signaling in chondrocytes induced articular cartilage calcification and osteophyte formation, inhibited anabolism, and promoted catabolism, finally resulting in OA [24, 27, 57, 58]. Meanwhile, Wnt/β-catenin signaling pathway activation could also inhibit autophagy activity while blocking or suppressing Wnt/β-catenin pathway may do the opposite [59, 60]. Thus, magnesium deficiency may activate the Wnt/β-catenin signaling pathway and subsequently inhibit autophagy. In the present study, we found that Wnt/β-catenin signaling pathway inhibitor, XAV939, negated the decrease of autophagy markers and autolysosomes induced by low magnesium conditions, demonstrating an important role of the Wnt/β-catenin signaling pathway in magnesium deficiency induced inhibition of autophagy in chondrocytes.
TRPM7 is an essential ion channel that is central in modulating Mg2+ homeostasis. It plays an important role in various cellular physiological process, like proliferation, and apoptosis [54, 61]. Several studies have reported that TRPM7 could mediate activation or inhibition of intracellular signaling pathways in response to a change of extracellular Mg2+ concentration [54, 61,62,63,64,65]. A recent study observed that an increase in extracellular Mg2+ contributed to activation of the NF-κB signaling pathway via upregulation of TRPM7 expression . Similarly, Sun et al. also showed that an extracellular magnesium supplement increased TRPM7 expression and intracellular Mg2+, thus attenuating neurotoxin-induced apoptosis in dopaminergic neurons . In addition, another study found that increasing of Mg2+ influx via TRPM7 prevented phosphate-induced calcification in vascular smooth muscle cells, which was mediated by the inhibition of the Wnt/β-catenin signaling pathway . Therefore, consistent with the previous results above, in the present study, a decrease in the intracellular Mg2+ concentration was observed under low external Mg2+ conditions in chondrocytes. However, the previous studies above only reported the effect of extracellular Mg2+ on TRPM7 expression in in vitro experiments. Our study provided new evidence that the expression of TRPM7 is also greatly reduced in low magnesium diet fed mice, indicating a decreased level of magnesium in dietary deficient mice cartilage. These findings suggested that a decrease in TRPM7 level upon magnesium deficiency would contribute to altered Mg2+ homeostasis thereby leading to changes in signaling pathways.
This study identified an essential role of dietary magnesium in the development of OA. Magnesium deficiency aggravated cartilage damage in a DMM-induced OA model, which was possibly mediated by reduced autophagy through the activation of the Wnt/β-catenin signaling pathway. These findings indicated potential benefits of adequate magnesium intake in the daily diet for OA patients or those individuals at high risk of OA. This also placed the Wnt/β-catenin signaling pathway and autophagy as potential therapeutic targets for OA treatment.
Availability of data and materials
The datasets analyzed during the current study are available from the corresponding author on reasonable request.
Destabilization of the medial meniscus
Osteoarthritis Research Society International
Transmission electron microscopy
Microtubule associated protein 1 light chain 3
American Institute of Nutrition
Transient receptor potential cation channel subfamily M member 7
Ethylenediamine tetraacetic acid
Medial tibial plateau
Medial femoral condyle
- LTP :
Lateral tibial plateau
- LFC :
Lateral femoral condyle
Tumor necrosis factor
Quantitative real-time polymerase chain reaction
Dulbecco’s modified Eagle’s medium/F12
Fetal bovine serum
Sodium dodecyl sulfate
SDS-polyacrylamide gel electrophoresis
Matrix metalloproteinase 13
- Col2a1 :
Type II collagen alpha 1 chain
- Sox9 :
SRY-box transcription factor 9
- Acan :
Akt-mechanistic target of rapamycin kinase
Nuclear factor kappa B
Glyceraldehyde 3-phosphate dehydrogenase
TATA-box binding protein
One-way analysis of variation
Comparative threshold cycle
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Everyone who contributed significantly to the work has been listed, and the authors acknowledge the Cancer Research Institute of Central South University for the great support.
This work was supported by the National Natural Science Foundation of China (81802212, 81772413, 81930071, 81902265, 82072502), the Project Program of National Clinical Research Center for Geriatric Disorders (Xiangya Hospital, 2020LNJJ03), the Natural Science Foundation of Hunan Province (2019JJ50965, 2020JJ5907), and the Science and Technology Program of Hunan Province (2019RS2010).
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The animal protocols of this study were approved by the Ethics Committee of Central South University.
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. Body weight of mice over time. Body weight of sham and DMM-induced OA mice fed with diets containing different content of magnesium (500 mg/kg, 300 mg/kg, 100 mg/kg) measured weekly. No statistical significance was observed between different groups at the same age.
. Sox9, Col2a1, Acan and Mmp-13 genes expression. Mouse chondrocytes were cultured under different magnesium conditions (0.7mM, 0,4mM and 0.1mM) with or without treatment of Rapa. Sox9, Col2a1, Acan and Mmp-13 genes expression were assessed by qRT-PCR (n = 5). Hprt1 was used as housekeeping gene. Data were expressed as the mean ± SD and analyzed by one-way ANOVA test. (*P<0.05, **P<0.01, ***P<0.001, ****P<0.0001)
. Immunohistochemistry analysis of LC3-II. (A, B) Immunostaining and quantitative analysis of cells positive for LC3-II in sham and DMM-induced OA mice fed with diets containing different content of magnesium (500 mg/kg, 300 mg/kg, 100 mg/kg) (n = 9). Scale bar: 100 μm. Data were expressed as the mean ± SEM and analyzed by one-way ANOVA test (*P<0.05, **P<0.01, ***P<0.001, ****P<0.0001).
. Immunohistochemistry analysis of Beclin-1. (A, B) Immunostaining and quantitative analysis of cells positive for Beclin-1 in sham and DMM-induced OA mice fed with diets containing different content of magnesium (500 mg/kg, 300 mg/kg, 100 mg/kg) (n = 9). Scale bar: 100 μm. Data were expressed as the mean ± SEM and analyzed by one-way ANOVA test (*P<0.05, **P<0.01, ***P<0.001, ****P<0.0001).
. Catenin, Wnt3a, Wnt5a, Wnt5b and Wnt16 genes expression. Mouse chondrocytes were cultured under different magnesium conditions (0.7mM, 0,4mM and 0.1mM). mRNA levels of Catenin, Wnt3a, Wnt5a, Wnt5b and Wnt16 were investigated by qRT-PCR (n = 5). Hprt1 was used as housekeeping gene. Data were expressed as the mean ± SD and analyzed by one-way ANOVA test. (*P<0.05, **P<0.01, ***P<0.001, ****P<0.0001).
. Ct values of Wnt ligands normalized to β-actin in qRT-PCR.
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Bai, R., Miao, M.Z., Li, H. et al. Increased Wnt/β-catenin signaling contributes to autophagy inhibition resulting from a dietary magnesium deficiency in injury-induced osteoarthritis. Arthritis Res Ther 24, 165 (2022). https://doi.org/10.1186/s13075-022-02848-0