Laurent Didier, Wasvary James, Rudin Markus, O'Byrne Elizabeth, Pellas Theodore
Novartis Institute for Biomedical Research, East Hanover, New Jersey 07936, USA.
Magn Reson Med. 2003 Jun;49(6):1037-46. doi: 10.1002/mrm.10466.
Loss of proteoglycans (PGs) from the extracellular matrix of cartilage is an early event of osteoarthritis. The capability of Gd(DTPA)(2-)-enhanced MRI to quantitatively assess PG content was explored in a goat model of cartilage degeneration. Partial to total PG depletion was induced by an intraarticular injection of papain 1 day prior to the MRI session. A close correlation was found between the extent of the PG loss and the Gd(DTPA)(2-)-induced T(1) decrease. Papain-induced PG depletion was confirmed by post-mortem histological and biochemical assessments. A 2-hr delay after Gd(DTPA)(2-) injection was found to be optimal for an accurate quantitation of the cartilage defect. A series of knee flexions were performed post-Gd(DTPA)(2-) injection to facilitate penetration of the contrast agent into cartilage. However, DeltaT(1)'s observed in cartilage of exercised goat knees were not affected by papain or IL1beta pretreatment. Therefore, as long as a preinjection T(1) map was obtained, the Gd(DTPA)(2-)-enhanced MRI technique provided good sensitivity in detecting partial loss of PG in articular cartilage. This was true only when the animal was maintained in a resting state during diffusion of the Gd(DTPA)(2-). This approach is of particular interest for long-term evaluations of cartilage degeneration and regeneration.
蛋白聚糖(PGs)从软骨细胞外基质中流失是骨关节炎的早期事件。在软骨退变的山羊模型中探索了钆喷酸葡胺(Gd(DTPA)(2-))增强磁共振成像(MRI)定量评估PG含量的能力。在MRI检查前1天通过关节内注射木瓜蛋白酶诱导部分至全部PG耗竭。发现PG流失程度与Gd(DTPA)(2-)诱导的T1降低之间存在密切相关性。木瓜蛋白酶诱导的PG耗竭通过死后组织学和生化评估得到证实。发现Gd(DTPA)(2-)注射后2小时的延迟对于准确量化软骨缺损最为理想。在Gd(DTPA)(2-)注射后进行一系列膝关节屈曲以促进造影剂渗透到软骨中。然而,在运动山羊膝关节软骨中观察到的ΔT1不受木瓜蛋白酶或白细胞介素1β预处理的影响。因此,只要获得注射前T1图谱,Gd(DTPA)(2-)增强MRI技术在检测关节软骨中PG的部分流失方面具有良好的敏感性。只有当动物在Gd(DTPA)(2-)扩散期间保持静止状态时才是如此。这种方法对于软骨退变和再生的长期评估特别有意义。