Changoor Adele, Garon Martin, Quenneville Eric, Savard Pierre, Buschmann Michael D, Hurtig Mark B
Lunenfeld-Tanenbaum Research Institute, Sinai Health System, Toronto, Ontario, Canada; Department of Surgery, Department of Laboratory Medicine & Pathobiology, Department of Materials Science & Engineering, University of Toronto, Toronto, Ontario, Canada.
Biomomentum Inc., Laval, Quebec, Canada.
Osteoarthritis Cartilage. 2024 Oct;32(10):1235-1244. doi: 10.1016/j.joca.2024.04.007. Epub 2024 Apr 26.
To perform non-invasive Electroarthrography (EAG) on live horses and establish relationships between EAG and direct measurements of cartilage streaming potentials in weight bearing areas of the equine metacarpophalangeal joint.
EAG was performed bilaterally on the metacarpophalangeal joints of live horses (n = 3). Separate experiments used metacarpophalangeal joint explants (n = 11) to measure EAG obtained during simulated loading followed by direct measurements of cartilage streaming potentials on joint surfaces using the Arthro-BST probe. Joints were assigned to relatively normal (n = 5) and mildly degraded (n = 6) groups based on histological scoring of Safranin-O/Fast Green stained sections.
EAG, involving application of electrodes to skin surrounding the joint and repeated weight shifting, was well-tolerated in live horses. One pair of distal forelimbs were available for analogous ex vivo EAG testing and measurements were strongly correlated to in vivo EAG measurements obtained on the same joints (r = 0.804, p = 0.016, n = 8). Both indirect (EAG) and direct (Arthro-BST) measurements of cartilage streaming potentials distinguished between normal and mildly degraded cartilage with statistically significant differences at 5 of 6 and 4 of 6 electrodes during simulated standing and walking, respectively. Strong and moderate correlations for weight bearing regions on the dorsal phalanx and central metacarpus were detected during both standing and walking. At the metacarpus/sesamoid interface a moderate correlation occurred during walking.
Non-invasive EAG was used successfully in a clinical scenario and correlated to direct measurements of streaming potentials in weight bearing cartilage. These data support the potential of EAG to contribute to the diagnosis and treatment of degenerative joint diseases.
对活体马进行无创关节电图(EAG)检查,并建立EAG与马掌指关节负重区域软骨流动电位直接测量值之间的关系。
对活体马(n = 3)的掌指关节进行双侧EAG检查。单独的实验使用掌指关节外植体(n = 11)来测量模拟加载过程中获得的EAG,随后使用关节BST探头直接测量关节表面的软骨流动电位。根据番红O/固绿染色切片的组织学评分,将关节分为相对正常组(n = 5)和轻度退变组(n = 6)。
在活体马中,将电极应用于关节周围皮肤并反复进行体重转移的EAG检查耐受性良好。一对前肢远端可用于类似的离体EAG测试,测量结果与在同一关节上获得的体内EAG测量结果高度相关(r = 0.804,p = 0.016,n = 8)。软骨流动电位的间接(EAG)和直接(关节BST)测量在正常和轻度退变软骨之间均有区分,在模拟站立和行走时,分别在6个电极中的5个和6个电极中的4个电极上具有统计学显著差异。站立和行走期间,在背侧指骨和掌骨中部的负重区域均检测到强相关性和中度相关性。在掌骨/籽骨界面,行走期间出现中度相关性。
无创EAG在临床场景中成功应用,并与负重软骨中流动电位的直接测量相关。这些数据支持EAG在退行性关节疾病诊断和治疗中的潜力。