Dong Rui, Xu Huihui, Wang Pinger, Fang Liang, Xiao Luwei, Lv Shuaijie, Tong Peijian, Jin Hongting
Institute of Orthopaedics and Traumatology of Zhejiang Province, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), No.548, Binwen Road, Hangzhou, Zhejiang, 310053, PR China.
Department of Orthopaedic Surgery, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), No.54, Youdian Road, Hangzhou, Zhejiang, 310006, PR China.
J Orthop Translat. 2023 Aug 14;41:33-41. doi: 10.1016/j.jot.2023.08.005. eCollection 2023 Jul.
BACKGROUND/OBJECTIVE: As one of the branched chains of Type IX collagen (Col9), Collagen IX alpha2 (Col9a2) has been reported to be associated with several orthopedic conditions. However, the relationship between Col9a2 and knee osteoarthritis (KOA) remains to be elucidated.
To probe the relationship between Col9a2 and KOA, we performed a systematic analysis of Col9a2-deficient (Col9a2) mice using whole-mount skeletal staining, Micro-CT (μCT), biomechanics, histomorphometry, immunohistochemistry (IHC), immunofluorescence (IF) and Elisa.
We found that the subchondral bone (SCB) in the knee joint of Col9a2 mice became sparse and deformed in the early stage, with altered bone morphometric parameters, reduced load-bearing capacity, dysfunctional bone homeostasis (decreased osteogenesis capacity and elevated bone resorption capacity), diminished cartilage proteoglycans and disrupted cartilage extracellular matrix (ECM) anabolism and catabolism compared with the Col9a2 mice. In the late stage, the cartilage degeneration in Col9a2 mice were particularly pronounced compared to Col9a2 mice, as evidenced by severe cartilage destruction and a marked reduction in cartilage thickness and area.
Overall, Col9a2 is essential for maintaining osteochondral homeostasis in the knee joint of mice, and the absence of this gene is accompanied by distinct sclerosis of the SCB and a reduction in load-bearing capacity; in the late stage, in the lack of SCB stress inhibition, excessive load is consistently exerted on the cartilage, ultimately leading to osteoarthritic-like articular cartilage damage.
背景/目的:作为IX型胶原蛋白(Col9)的支链之一,胶原蛋白IXα2(Col9a2)已被报道与多种骨科疾病相关。然而,Col9a2与膝关节骨关节炎(KOA)之间的关系仍有待阐明。
为探究Col9a2与KOA之间的关系,我们使用整体骨骼染色、微计算机断层扫描(μCT)、生物力学、组织形态计量学、免疫组织化学(IHC)、免疫荧光(IF)和酶联免疫吸附测定(ELISA)对Col9a2基因缺陷(Col9a2 -/-)小鼠进行了系统分析。
我们发现,与Col9a2 +/+小鼠相比,Col9a2 -/-小鼠膝关节的软骨下骨(SCB)在早期变得稀疏且变形,骨形态计量学参数改变,承载能力降低,骨内稳态功能失调(成骨能力下降和骨吸收能力升高),软骨蛋白聚糖减少,软骨细胞外基质(ECM)合成代谢和分解代谢受到破坏。在后期,与Col9a2 +/+小鼠相比,Col9a2 -/-小鼠的软骨退变尤为明显,表现为严重的软骨破坏以及软骨厚度和面积显著减少。
总体而言,Col9a2对于维持小鼠膝关节的骨软骨内稳态至关重要,该基因缺失会伴随着SCB明显硬化和承载能力降低;在后期,由于缺乏SCB应力抑制,过度负荷持续作用于软骨,最终导致类似骨关节炎的关节软骨损伤。