de Bri E, Reinholt F P, Svensson O
Department of Orthopaedic Surgery, Karolinska Institutet, Huddinge Hospital, Sweden.
J Orthop Res. 1995 Sep;13(5):769-76. doi: 10.1002/jor.1100130517.
Volumes and surfaces of articular cartilage and subchondral bone of the proximal tibial epiphysis were measured by unbiased stereological methods on the light microscopic level in groups of 6, 12, and 30-month-old (adult, middle-aged, and old) guinea pigs with primary osteoarthrosis. At 12 months, structural changes similar to those of human osteoarthrosis had developed, predominantly on the central medial condyle, which was not covered with meniscus. The lateral condyle was virtually unaffected; this allowed separate analysis of age-related and disease-related changes. Fibrillation and destruction of cartilage was accompanied by a simultaneous increase of the volume of both cartilage (66%) and subchondral bone (50%). The epiphyseal volume increased by 27% at 12 months, predominantly on the medial (osteoarthrotic) condyle, whereas the volume of the lateral condyle increased only in the oldest age group; this indicated that the joint has a potential for growth and remodeling. Joint growth has been suggested as a pathogenic factor in osteoarthrosis. The 65% increase in thickness noted in subchondral bone was a further indication of the importance of proliferative bone changes in early osteoarthrosis. The low variability of osteoarthrosis in this animal model makes it possible to obtain stable quantitative data from relatively small groups of animals.
采用无偏倚的体视学方法,在光学显微镜水平上,对患有原发性骨关节炎的6个月、12个月和30个月大(成年、中年和老年)豚鼠的胫骨近端骨骺关节软骨和软骨下骨的体积及表面积进行测量。在12个月时,与人类骨关节炎相似的结构变化已经出现,主要发生在未被半月板覆盖的内侧髁中央。外侧髁几乎未受影响;这使得能够分别分析与年龄相关和与疾病相关的变化。软骨的纤维化和破坏伴随着软骨体积(66%)和软骨下骨体积(50%)的同时增加。在12个月时,骨骺体积增加了27%,主要是在内侧(骨关节炎)髁,而外侧髁的体积仅在最老的年龄组增加;这表明关节具有生长和重塑的潜力。关节生长被认为是骨关节炎的一个致病因素。软骨下骨厚度增加65%进一步表明了早期骨关节炎中增殖性骨变化的重要性。该动物模型中骨关节炎的低变异性使得从相对较小的动物组中获得稳定的定量数据成为可能。