Cornell University, Ithaca, NY, USA.
Hospital for Special Surgery, New York, NY, USA.
Osteoarthritis Cartilage. 2017 Dec;25(12):2108-2118. doi: 10.1016/j.joca.2017.08.016. Epub 2017 Sep 14.
Animal models recapitulating post-traumatic osteoarthritis (OA) suggest that subchondral bone (SCB) properties and remodeling may play major roles in disease initiation and progression. Thus, we investigated the role of SCB properties and its effects on load-induced OA progression by applying a tibial loading model on two distinct mouse strains treated with alendronate (ALN).
Cyclic compression was applied to the left tibia of 26-week-old male C57Bl/6 (B6, low bone mass) and FVB (high bone mass) mice. Mice were treated with ALN (26 μg/kg/day) or vehicle (VEH) for loading durations of 1, 2, or 6 weeks. Changes in articular cartilage and subchondral and epiphyseal cancellous bone were analyzed using histology and microcomputed tomography.
FVB mice exhibited thicker cartilage, a thicker SCB plate, and higher epiphyseal cancellous bone mass and tissue mineral density than B6 mice. Loading induced cartilage pathology, osteophyte formation, and SCB changes; however, lower initial SCB mass and stiffness in B6 mice did not attenuate load-induced OA severity compared to FVB mice. By contrast, FVB mice exhibited less cartilage damage, and slower-growing and less mature osteophytes. In B6 mice, inhibiting bone remodeling via ALN treatment exacerbated cartilage pathology after 6 weeks of loading, while in FVB mice, inhibiting bone remodeling protected limbs from load-induced cartilage loss.
Intrinsically lower SCB properties were not associated with attenuated load-induced cartilage loss. However, inhibiting bone remodeling produced differential patterns of OA pathology in animals with low compared to high SCB properties, indicating that these factors do influence load-induced OA progression.
动物模型再现创伤后骨关节炎(OA)表明,软骨下骨(SCB)特性和重塑可能在疾病的发生和进展中起主要作用。因此,我们通过在两种不同的小鼠品系上应用胫骨加载模型来研究 SCB 特性及其对负载诱导 OA 进展的影响,并用阿仑膦酸钠(ALN)处理。
对 26 周龄雄性 C57Bl/6(B6,低骨量)和 FVB(高骨量)小鼠的左胫骨施加周期性压缩。用 ALN(26μg/kg/天)或载体(VEH)处理小鼠,加载持续时间为 1、2 或 6 周。使用组织学和微计算机断层扫描分析关节软骨和软骨下及骺板松质骨的变化。
FVB 小鼠的软骨较厚,SCB 板较厚,骺板松质骨量和组织矿物质密度较高。负载引起软骨病变、骨赘形成和 SCB 变化;然而,与 FVB 小鼠相比,B6 小鼠较低的初始 SCB 质量和刚度并未减轻负载诱导的 OA 严重程度。相比之下,FVB 小鼠的软骨损伤较小,骨赘生长较慢,成熟度较低。在 B6 小鼠中,通过 ALN 治疗抑制骨重塑会加剧 6 周负荷后的软骨病理,而在 FVB 小鼠中,抑制骨重塑可保护肢体免受负荷诱导的软骨丢失。
内在较低的 SCB 特性与减轻负载诱导的软骨丢失无关。然而,抑制骨重塑会导致低 SCB 特性与高 SCB 特性的动物产生不同的 OA 病理模式,表明这些因素确实会影响负载诱导的 OA 进展。