Orthopaedics Institute of Tianjin, Tianjin Hospital, Tianjin University, Tianjin, China.
Department of Orthopaedics, Chinese People's Liberation Army Joint Logistics Support Force Tianjin Rehabilitation Center (Former No. 464 Hospital of People's Liberation Army), Tianjin, China.
Orthop Surg. 2022 Nov;14(11):3036-3046. doi: 10.1111/os.13496. Epub 2022 Sep 28.
Articular cartilage and subchondral bone changes during the pathological progress of knee osteoarthritis (KOA) is a key event marking the development of the disease. The age varying alteration patterns within entire osteochondral unit remains poorly understood. The purpose of this study was to find a reasonable age range of the Dunkin-Hartley guinea pig model for the studying of KOA pathological process, and to investigate Intraosseous pressure (IOP) in the process during different degeneration stages of KOA.
Male Dunkin-Hartley guinea pigs were selected and divided into groups of 3, 6, 9, 12, 18 months old by age, 10 in each group. All knees underwent imaging examination including X-ray, Micro-CT and MRI. Observed the imaging findings with the use of Kellgren-Lawrence (K-L) classification and knee osteoarthritis MRI scores. Measured the IOP of distal femur (DF) and proximal tibia (PT) in each group, and observed the differences of bilateral tibiofemoral articular cartilage in histological and immunohistochemistry, staining results were evaluated by using Mankin's score. Analysis of variance (ANOVA) and t-tests were used to compare the differences indicators between groups.
With the increase of age, changes in X-ray, Micro-CT and MRI imaging findings and pathological staining results of articular cartilage in all stages were consistent with the changing of degenerative KOA process. The IOP of DF and PT increased gradually with age, and reached its peak in 12-month age group, and then gradually decreased, there was a statistically significant difference of IOP between each group. The IOP of DF was slightly higher than that of PT, but the difference was not statistically significant.
Dunkin-Hartley guinea pigs can be used as an animal model to study different pathological stages of KOA. There might be a correlation between the changes of IOP and the pathological progress of articular cartilage and subchondral bone in DF and PT.
膝关节骨关节炎(KOA)病理进程中软骨和软骨下骨的变化是疾病发展的关键事件。整个骨软骨单位内年龄变化的改变模式仍知之甚少。本研究的目的是找到一种合理的 Dunkin-Hartley 豚鼠模型年龄范围,用于研究 KOA 病理过程,并研究 KOA 不同退变阶段过程中 Intraosseous 压(IOP)的变化。
选择雄性 Dunkin-Hartley 豚鼠,按年龄分为 3、6、9、12、18 个月龄组,每组 10 只。所有膝关节均进行影像学检查,包括 X 线、Micro-CT 和 MRI。使用 Kellgren-Lawrence(K-L)分级和膝关节骨关节炎 MRI 评分观察影像学发现。测量各组远端股骨(DF)和胫骨近端(PT)的 IOP,观察双侧胫股关节软骨的组织学和免疫组织化学差异,染色结果采用 Mankin 评分进行评价。采用方差分析(ANOVA)和 t 检验比较组间差异指标。
随着年龄的增长,各阶段 X 线、Micro-CT 和 MRI 影像学表现以及软骨病理染色结果的变化均与退行性 KOA 进程的变化一致。DF 和 PT 的 IOP 随年龄逐渐增加,12 月龄组达到峰值,然后逐渐下降,各组间 IOP 差异有统计学意义。DF 的 IOP 略高于 PT,但差异无统计学意义。
Dunkin-Hartley 豚鼠可作为研究 KOA 不同病理阶段的动物模型。DF 和 PT 的 IOP 变化与软骨和软骨下骨的病理变化之间可能存在相关性。