McKay Orthopaedic Research Laboratory, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
School of Biomedical Engineering, Science and Health Systems, Drexel University, Philadelphia, Pennsylvania, USA.
J Orthop Res. 2024 Apr;42(4):894-904. doi: 10.1002/jor.25711. Epub 2023 Oct 19.
The early postnatal period represents a critical window for the maturation and development of orthopedic tissues, including those within the knee joint. To understand how mechanical loading impacts the maturational trajectory of the meniscus and other tissues of the hindlimb, perturbation of postnatal weight bearing was achieved through surgical resection of the sciatic nerve in neonatal mice at 1 or 14 days old. Sciatic nerve resection (SNR) produced significant and persistent disruptions in gait, leading to reduced tibial length and reductions in Achilles tendon mechanical properties. However, SNR resulted in minimal disruptions in morphometric parameters of the menisci and other structures in the knee joint, with no detectable differences in Col1a1-YFP or Col2a1-CFP expressing cells within the menisci. Furthermore, micromechanical properties of the meniscus and cartilage (as assessed by atomic force microscopy-based nanoindentation testing) were not different between experimental groups. In contrast to our initial hypothesis, reduced hindlimb weight bearing via neonatal SNR did not significantly impact the growth and development of the knee meniscus. This unexpected finding demonstrates that the input mechanical threshold required to sustain meniscus development may be lower than previously hypothesized, though future studies incorporating skeletal kinematic models coupled with force plate measurements will be required to calculate the loads passing through the affected hindlimb and precisely define these thresholds. Collectively, these results provide insight into the mechanobiological responses of the meniscus to alterations in load, and contribute to our understanding of the factors that influence normal postnatal development.
出生后早期是骨科组织(包括膝关节内的组织)成熟和发育的关键时期。为了了解机械负荷如何影响半月板和后肢其他组织的成熟轨迹,通过在 1 天或 14 天大的新生小鼠中切除坐骨神经来实现对出生后承重的干扰。坐骨神经切除(SNR)导致步态显著且持续的紊乱,导致胫骨长度缩短和跟腱机械性能降低。然而,SNR 仅对半月板和膝关节其他结构的形态参数产生最小的干扰,半月板内的 Col1a1-YFP 或 Col2a1-CFP 表达细胞没有可检测到的差异。此外,通过原子力显微镜基纳米压痕测试评估的半月板和软骨的微机械性能在实验组之间没有差异。与我们最初的假设相反,通过新生 SNR 减少后肢承重并没有显著影响膝关节半月板的生长和发育。这一意外发现表明,维持半月板发育所需的输入机械阈值可能低于先前假设,尽管需要未来的研究将骨骼运动学模型与力板测量相结合,以计算通过受影响后肢传递的负荷并精确定义这些阈值。总的来说,这些结果提供了对半月板对负荷变化的力学生物学反应的深入了解,并有助于我们理解影响正常出生后发育的因素。