McKinney Jay M, Pucha Krishna A, Bernard Fabrice C, Brandon Dixon J, Doan Thanh N, Willett Nick J
Atlanta Veteran's Affairs Medical Center, Decatur, Georgia, USA.
Department of Orthopaedics, Emory University, Atlanta, Georgia, USA.
J Orthop Res. 2025 Jan;43(1):102-116. doi: 10.1002/jor.25969. Epub 2024 Oct 10.
Osteoarthritis is a degenerative disease of synovial joints affecting all tissues, including articular cartilage and subchondral bone. Osteoarthritis animal models can recapitulate aspects of human disease progression and are used to test efficacy of drugs, biomaterials, and cell therapies. The rat medial meniscus transection (MMT) model is a surgically induced posttraumatic osteoarthritis model commonly used for preclinical therapeutic screening. We describe herein, the qualitative and quantitative changes to articular cartilage, subchondral bone, and formation of osteophytes at early-, mid-, and late-stages of osteoarthritis progression. Tibia of MMT-operated animals showed proteoglycan loss and fibrillation along articular cartilage surfaces as early as 3-weeks post-surgery. With contrast-enhanced micro-CT technique, quantitative, 3-dimensional analysis of the tibia showed that the articular cartilage thickened at 3- and 6-weeks post-surgery and decreased at 12-weeks post-surgery. This decreased cartilage thickness corresponded with increased lesions in the articular cartilage that led to its full degradation and exposing the subchondral bone layer. Further, subchondral bone thickening was significant at 6-weeks post-surgery and followed cartilage damage. Osteophytes were found as early as 3-weeks post-surgery and coincided with articular cartilage degradation. Cartilaginous osteophytes preceded mineralization, suggesting endochondral ossification. The rat MMT model has predominantly been used out to 3-weeks, and most studies determined the effect of therapies to delay or prevent the onset of osteoarthritis. We provide evidence that an extension of the rat MMT model out to 6- and 12-weeks more resembled severe phenotypes of human osteoarthritis. Thus, evaluating novel therapeutics at late-stage will be important for eventual clinical translation.
骨关节炎是一种影响包括关节软骨和软骨下骨在内的所有组织的滑膜关节退行性疾病。骨关节炎动物模型可以重现人类疾病进展的各个方面,并用于测试药物、生物材料和细胞疗法的疗效。大鼠内侧半月板横断(MMT)模型是一种手术诱导的创伤后骨关节炎模型,常用于临床前治疗筛选。我们在此描述了骨关节炎进展的早期、中期和晚期关节软骨、软骨下骨的定性和定量变化以及骨赘的形成。MMT手术动物的胫骨在术后3周时,关节软骨表面就出现了蛋白聚糖丢失和纤维化。通过对比增强微CT技术对胫骨进行定量三维分析显示,术后3周和6周时关节软骨增厚,术后12周时变薄。这种软骨厚度的减少与关节软骨损伤增加相对应,导致其完全降解并暴露软骨下骨层。此外,术后6周软骨下骨增厚明显,并伴随软骨损伤。术后3周就发现了骨赘,且与关节软骨降解同时出现。软骨性骨赘先于矿化,提示软骨内成骨。大鼠MMT模型主要用于3周以内,大多数研究确定了治疗方法对延缓或预防骨关节炎发病的效果。我们提供的证据表明,将大鼠MMT模型延长至6周和12周更类似于人类骨关节炎的严重表型。因此,在晚期评估新型疗法对最终的临床转化将具有重要意义。