Lecocq M, Girard C A, Fogarty U, Beauchamp G, Richard H, Laverty S
Département de sciences cliniques, Faculté de médecine vétérinaire, Université de Montréal, Québec, Canada.
Equine Vet J. 2008 Jul;40(5):442-54. doi: 10.2746/042516408X297453.
The earliest osteochondrosis (OC) microscopic lesion reported in the literature was present in the femorotibial joint of a 2-day-old foal suggesting that OC lesions and factors initiating them may arise prior to birth.
To examine the developing equine epiphysis to detect histological changes that could be precursors to OC lesions.
Osteochondral samples from 21 equine fetuses and 13 foals were harvested from selected sites in the scapulohumeral, humeroradial, metacarpophalangeal, femoropatellar, femorotibial, tarsocrural and metatarsophalangeal joints. Sections were stained with safranin O and picrosiruis red to assess cartilage changes and structural arrangement of the collagen matrix.
Extracellular matrix changes observed included perivascular areas of paleness of the proteoglycan matrix associated with hypocellularity and, sometimes, necrotic chondrocytes. These changes were most abundant in the youngest fetuses and in the femoropatellar/femorotibial (FP/FT) joints. Indentations of the ossification front were also observed in most specimens, but, most frequently, in scapulohumeral and FP/FT joints. A cartilage canal was almost always present in these indentations. The vascular density of the cartilage was higher in the youngest fetuses. In these fetuses, the most vascularised joints were the metacarpo- and metatarsophalangeal joints but their cartilage canals regressed quickly. After birth, the most vascularised cartilage was present in the FP/FT joint. Articular cartilage differentiated into 4 zones early in fetal life and the epiphyseal cartilage also had a distinct zonal cartilage structure. A striking difference was observed in the collagen structure at the junction of the proliferative and hypertrophic zones where OCD lesions occur.
Matrix and ossification front changes were frequently observed and significantly associated with cartilage canals suggesting that they may be physiological changes associated with matrix remodelling and development. The collagen structure was variable through the growing epiphysis and a differential in biomechanical properties at focal sites may predispose them to injury.
文献报道的最早的骨软骨病(OC)微观病变出现在一匹2日龄马驹的股胫关节,这表明OC病变及其起始因素可能在出生前就已出现。
检查发育中的马骨骺,以检测可能是OC病变先兆的组织学变化。
从21匹胎儿马和13匹马驹的肩胛肱、肱桡、掌指、股髌、股胫、胫距和跖趾关节的选定部位采集骨软骨样本。切片用番红O和苦味酸天狼星红染色,以评估软骨变化和胶原基质的结构排列。
观察到的细胞外基质变化包括蛋白聚糖基质血管周围区域变淡,伴有细胞减少,有时还有坏死软骨细胞。这些变化在最年幼的胎儿以及股髌/股胫(FP/FT)关节中最为明显。在大多数标本中也观察到了骨化前沿的凹陷,但最常见于肩胛肱关节和FP/FT关节。这些凹陷处几乎总是存在软骨管。最年幼胎儿的软骨血管密度较高。在这些胎儿中,血管化程度最高的关节是掌指关节和跖趾关节,但其软骨管迅速退化。出生后,血管化程度最高的软骨存在于FP/FT关节。关节软骨在胎儿早期分化为4个区,骨骺软骨也有明显的分区软骨结构。在发生骨软骨炎病变的增殖区和肥大区交界处的胶原结构存在显著差异。
经常观察到基质和骨化前沿的变化,且与软骨管显著相关,这表明它们可能是与基质重塑和发育相关的生理变化。在生长中的骨骺中,胶原结构存在差异,局部部位生物力学特性的差异可能使它们更容易受到损伤。