Arokoski J, Kiviranta I, Jurvelin J, Tammi M, Helminen H J
Department of Anatomy, University of Kuopio, Finland.
Arthritis Rheum. 1993 Oct;36(10):1451-9. doi: 10.1002/art.1780361018.
To study the effects of a long-term (1-year) program of running exercise (up to 40 km/day) on the thickness and glycosaminoglycan (GAG) content of articular cartilage in the knee and humeral head cartilage of young dogs.
Samples for histologic analysis were obtained from 12 different locations of the joints. We conducted a detailed, area-specific analysis, measuring the thickness of articular cartilage and analyzing the distribution of Safranin O stain that binds stoichiometrically to GAG as determined by quantitative microspectrophotometry.
Running exercise decreased the GAG content of the uncalcified articular cartilage in the weight-bearing summits of the femoral condyles by 5-13% (P < 0.05), while at margins of these areas the GAG content was equivalent to control levels. In the lateral condyle of the femur, the reduction was most prominent in the superficial zone (up to 28% decrease; P < 0.05), and extended into the intermediate zone (11% decrease; P < 0.05). GAG content was also significantly reduced in the superficial zone at the lateral condyle of the tibia and the head of the humerus, by 35% (P < 0.01) and 15% (P < 0.05), respectively. Running did not alter GAG concentration in the patellofemoral region.
The GAG depletion caused by 40-km/day running exercise is restricted to prominent weight-bearing areas of the joint and begins from the superficial cartilage without signs of degeneration. The different degree and type of joint loading can explain the site-dependent cartilage response to long-distance running. The loss of GAGs was possibly due to breakdown of proteoglycans, which could not be compensated for by neosynthesis of molecules. With time, this may affect the condition of articular cartilage, especially if the joint is exposed to loading for lengthy periods.
研究长期(1年)跑步锻炼计划(每天高达40公里)对幼犬膝关节和肱骨头软骨的关节软骨厚度及糖胺聚糖(GAG)含量的影响。
从关节的12个不同部位获取组织学分析样本。我们进行了详细的、特定区域分析,测量关节软骨厚度,并通过定量显微分光光度法分析与GAG化学计量结合的番红O染色分布。
跑步锻炼使股骨髁负重顶点处未钙化关节软骨的GAG含量降低了5%-13%(P<0.05),而在这些区域的边缘,GAG含量与对照水平相当。在股骨外侧髁,浅表层的减少最为显著(减少高达28%;P<0.05),并延伸至中间层(减少11%;P<0.05)。胫骨外侧髁和肱骨头浅表层的GAG含量也显著降低,分别降低了35%(P<0.01)和15%(P<0.05)。跑步未改变髌股区域的GAG浓度。
每天40公里的跑步锻炼导致的GAG消耗仅限于关节的主要负重区域,且始于表层软骨,无退变迹象。不同程度和类型的关节负荷可以解释软骨对长跑的部位依赖性反应。GAG的丢失可能是由于蛋白聚糖的分解,而分子的新合成无法补偿这种分解。随着时间的推移,这可能会影响关节软骨的状况,特别是如果关节长时间承受负荷。