van der Kraan P M, Vitters E L, van de Putte L B, van den Berg W B
Department of Rheumatology, Academic Hospital St. Radboud, Nijmegen, The Netherlands.
Am J Pathol. 1989 Dec;135(6):1001-14.
Male, 10-week-old C57B1 10 mice received a single intraarticular injection in the knee joints with papain, iodoacetate, or collagenase. This led to osteoarthritic lesions, such as matrix depletion, chondrocyte proliferation, and osteophyte formation, in the injected knee joints within several weeks. After injection of iodoacetate and papain, the main osteoarthritic alterations were localized in the femoropatellar joint, whereas injection of collagenase led to marked osteoarthritic lesions in the femorotibial joint. The mechanism of induction of these alterations appears to differ for iodoacetate and papain on one site and collagenase on the other site. Data are presented that collagenase injection, by way of damaging ligaments and tendons, destabilizes the knee joint eventually leading to osteoarthritic alterations. In contrast, injection of papain or iodoacetate directly interferes with cartilage metabolism resulting in osteoarthritic changes.
10周龄的雄性C57B1 10小鼠在膝关节内单次注射木瓜蛋白酶、碘乙酸盐或胶原酶。这导致在数周内,注射的膝关节出现骨关节炎病变,如基质损耗、软骨细胞增殖和骨赘形成。注射碘乙酸盐和木瓜蛋白酶后,主要的骨关节炎改变局限于股髌关节,而注射胶原酶则导致股胫关节出现明显的骨关节炎病变。这些改变的诱导机制在一方面对于碘乙酸盐和木瓜蛋白酶似乎不同,在另一方面对于胶原酶也不同。数据表明,通过损伤韧带和肌腱,胶原酶注射最终使膝关节不稳定,导致骨关节炎改变。相比之下,注射木瓜蛋白酶或碘乙酸盐直接干扰软骨代谢,导致骨关节炎变化。