Osteoarthritis

WNK2 variants associated with familial osteoarthritis alter the chondrocyte response to hyperosmotic stress

RMD OpenPublished Mechanistic study

Authors' conclusion

Our data indicate elevated WNK2 signalling is associated with heightened susceptibility to OA.

Study context

Population
Independent families with dominant inheritance of osteoarthritis (OA); normal and osteoarthritic human and mouse tissue; immortalised and primary human chondrocytes
Comparison
Wild type vs OA-associated variant WNK2 in chondrocytes under hyperosmotic stress
Methodological detailsfamily-based genomic analysis, immunohistochemistry, overexpression and loss-of-function experiments, transcriptomic analyses
  • Family-based genomic analysis
  • Immunohistochemistry
  • Overexpression and loss-of-function experiments
  • Transcriptomic analyses

Main finding

As reported in the abstract

  • Novel coding variants of WNK2 associated with familial erosive hand OA and foot OA
  • WNK2 expressed in chondrocytes; expression highly elevated in end-stage human and mouse OA joints
  • Under hyperosmotic stress, chondrocytes initiate a remodelling response, altering expression of anabolic and catabolic genes and pathways
  • Elevated WNK2 expression plus hyperosmotic stress promotes a WNK2-dependent OA-associated transcriptional response, exacerbated by the OA-associated WNK2 variants

Original publication

WNK2 variants associated with familial osteoarthritis alter the chondrocyte response to hyperosmotic stress. RMD Open. Published 1 July 2025. doi:10.1136/rmdopen-2025-005707

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