Abstract:Objective To investigate the effects of celecoxib on apoptosis of and epidermal growth factor receptor (EGFR)/mitogen activated protein kinase (MAPK) pathway in human knee osteoarthritis (OA) chondrocytes in vitro.Methods Human knee OA chondrocytes were isolated and cultured in vitro, and were identified via toluidine blue staining. Three groups, including control group (normal knee articular chondrocytes, no special treatment), model group (knee OA chondrocytes, no special treatment) and low- and high-dose celecoxib group (knee OA chondrocytes, treated with celecoxib at the final concentration of 50 μmol/L and 200 μmol/L, respectively). The cell proliferation and apoptosis were detected by CCK-8 assay and Annexin V/PITC staining, respectively. The protein expressions of molecules associated with cell proliferation, apoptosis, and EGFR/MAPK signaling pathway were detected by Western blotting.Results The toluidine blue staining showed bluish violet metachromatic granules in normal knee articular chondrocytes and knee OA chondrocytes, and the nucleus was stained dark blue while the cytoplasm was stained light blue. Compared with the knee OA chondrocytes, the size of normal knee articular chondrocytes was larger and regularly they are shaped, with more bluish violet metachromatic granules. Compared with the control group, the survival rate of chondrocytes was lower and the apoptosis rate was higher in the model group and low- and high-dose celecoxib group (P < 0.05). The survival rate of chondrocytes was higher and the apoptosis rate was lower in the low- and high-dose celecoxib group than those in the model group (P < 0.05). The survival rate of chondrocytes was higher and the apoptosis rate was lower in the high-dose celecoxib group compared with the low-dose celecoxib group (P < 0.05). The protein expressions of EGFR, MMP-9, and caspase-3 were higher, and the protein expressions of p-P38 MAPK/P38 MAPK were lower in the model group and low- and high-dose groups than in the control group (P < 0.05). Compared with the model group, the protein expressions of EGFR, MMP-9, and caspase-3 were lower, and the protein expressions of p-P38 MAPK/P38 MAPK were higher in the low- and high-dose celecoxib groups (P < 0.05). In addition, the protein expressions of EGFR, MMP-9, and caspase-3 were lower, and the protein expressions of p-P38 MAPK/P38 MAPK were higher in the high-dose celecoxib group compared with the low-dose celecoxib group (P < 0.05).Conclusions Celecoxib can promote the proliferation and inhibit the apoptosis of human knee OA chondrocytes in vitro, which may be achieved by inhibiting the expression of EGFR and activating the P38 MAPK pathway.