Hunziker E B, Kapfinger E, Geiss J
University of Bern, ITI Research Institute for Dental and Skeletal Biology, Murtenstrasse 35, PO Box 54, Bern, Switzerland.
Osteoarthritis Cartilage. 2007 Apr;15(4):403-13. doi: 10.1016/j.joca.2006.09.010. Epub 2006 Nov 13.
During postnatal development, mammalian articular cartilage acts as a surface growth plate for the underlying epiphyseal bone. Concomitantly, it undergoes a fundamental process of structural reorganization from an immature isotropic to a mature (adult) anisotropic architecture. However, the mechanism underlying this structural transformation is unknown. It could involve either an internal remodelling process, or complete resorption followed by tissue neoformation. The aim of this study was to establish which of these two alternative tissue reorganization mechanisms is physiologically operative. We also wished to pinpoint the articular cartilage source of the stem cells for clonal expansion and the zonal location of the chondrocyte pool with high proliferative activity.
The New Zealand white rabbit served as our animal model. The analysis was confined to the high-weight-bearing (central) areas of the medial and lateral femoral condyles. After birth, the articular cartilage layer was evaluated morphologically at monthly intervals from the first to the eighth postnatal month, when this species attains skeletal maturity. The overall height of the articular cartilage layer at each juncture was measured. The growth performance of the articular cartilage layer was assessed by calcein labelling, which permitted an estimation of the daily growth rate of the epiphyseal bone and its monthly length-gain. The slowly proliferating stem-cell pool was identified immunohistochemically (after labelling with bromodeoxyuridine), and the rapidly proliferating chondrocyte population by autoradiography (after labelling with (3)H-thymidine).
The growth activity of the articular cartilage layer was highest 1 month after birth. It declined precipitously between the first and third months, and ceased between the third and fourth months, when the animal enters puberty. The structural maturation of the articular cartilage layer followed a corresponding temporal trend. During the first 3 months, when the articular cartilage layer is undergoing structural reorganization, the net length-gain in the epiphyseal bone exceeded the height of the articular cartilage layer. This finding indicates that the postnatal reorganization of articular cartilage from an immature isotropic to a mature anisotropic structure is not achieved by a process of internal remodelling, but by the resorption and neoformation of all zones except the most superficial (stem-cell) one. The superficial zone was found to consist of slowly dividing stem cells with bidirectional mitotic activity. In the horizontal direction, this zone furnishes new stem cells that replenish the pool and effect a lateral expansion of the articular cartilage layer. In the vertical direction, the superficial zone supplies the rapidly dividing, transit-amplifying daughter-cell pool that feeds the transitional and upper radial zones during the postnatal growth phase of the articular cartilage layer.
During postnatal development, mammalian articular cartilage fulfils a dual function, viz., it acts not only as an articulating layer but also as a surface growth plate. In the lapine model, this growth activity ceases at puberty (3-4 months of age), whereas that of the true (metaphyseal) growth plate continues until the time of skeletal maturity (8 months). Hence, the two structures are regulated independently. The structural maturation of the articular cartilage layer coincides temporally with the cessation of its growth activity--for the radial expansion and remodelling of the epiphyseal bone--and with sexual maturation. That articular cartilage is physiologically reorganized by a process of tissue resorption and neoformation, rather than by one of internal remodelling, has important implications for the functional engineering and repair of articular cartilage tissue.
在出生后的发育过程中,哺乳动物的关节软骨充当其下方骨骺骨的表面生长板。与此同时,它经历了一个从不成熟的各向同性结构到成熟(成年)各向异性结构的基本结构重组过程。然而,这种结构转变背后的机制尚不清楚。它可能涉及内部重塑过程,或者是完全吸收后再进行组织新形成。本研究的目的是确定这两种替代性组织重组机制中哪一种在生理上起作用。我们还希望确定用于克隆扩增的干细胞的关节软骨来源以及具有高增殖活性的软骨细胞池的区域位置。
以新西兰白兔作为我们的动物模型。分析仅限于股骨内外侧髁的高负重(中央)区域。出生后,从出生后的第一个月到第八个月(该物种达到骨骼成熟时),每月对关节软骨层进行形态学评估。测量每个时间点关节软骨层的总高度。通过钙黄绿素标记评估关节软骨层的生长性能,这可以估计骨骺骨的每日生长速率及其每月长度增加量。通过免疫组织化学方法(用溴脱氧尿苷标记后)鉴定缓慢增殖的干细胞池,通过放射自显影法(用³H - 胸腺嘧啶核苷标记后)鉴定快速增殖的软骨细胞群体。
关节软骨层的生长活性在出生后1个月时最高。在第一个月到第三个月之间急剧下降,并在第三个月到第四个月之间停止,此时动物进入青春期。关节软骨层的结构成熟遵循相应的时间趋势。在最初的3个月内,当关节软骨层正在进行结构重组时,骨骺骨的净长度增加超过了关节软骨层的高度。这一发现表明,出生后关节软骨从不成熟的各向同性结构到成熟的各向异性结构的重组不是通过内部重塑过程实现的,而是通过除最表层(干细胞)区域之外的所有区域的吸收和新形成来实现的。发现表层区域由具有双向有丝分裂活性的缓慢分裂的干细胞组成。在水平方向上,该区域提供新的干细胞,补充干细胞池并实现关节软骨层的横向扩展。在垂直方向上,表层区域提供快速分裂的过渡扩增子细胞池,在关节软骨层出生后的生长阶段为过渡区和上放射状区提供细胞。
在出生后的发育过程中,哺乳动物的关节软骨具有双重功能,即它不仅作为关节层起作用,还作为表面生长板起作用。在兔模型中,这种生长活性在青春期(年龄3 - 4个月)停止,而真正的(干骺端)生长板的生长活性持续到骨骼成熟(8个月)。因此,这两种结构是独立调节的。关节软骨层的结构成熟在时间上与它的生长活性停止(为了骨骺骨的径向扩展和重塑)以及性成熟相吻合。关节软骨通过组织吸收和新形成过程进行生理重组,而不是通过内部重塑,这对关节软骨组织的功能工程和修复具有重要意义。