O'Connor K M
Department of Biokinesiology and Physical Therapy, University of Southern California, USA.
J Bone Miner Res. 1997 Apr;12(4):580-9. doi: 10.1359/jbmr.1997.12.4.580.
Morphologic development of articular cartilage is influenced by biologic adaptation to functional demands. It has been theorized that intermittent stresses generated by load bearing and motion determine cartilage thickness by controlling advancement of the subchondral mineralization front. The mineralization front is comprised of two interfaces, the tidemark and chondroosseus junction, each of which advances through a different biologic process. This study was designed to evaluate the influence of one month of hind limb unweighting, with and without concurrent restriction of joint motion, on mineral apposition at the tidemark and vascular invasion at the chondroosseus junction in the knee joints of young adult rats. In mobile joints, hind limb unweighting induced a 2-fold increase in the tidemark mineral apposition rate (p = 0.0001) at the primary weight bearing region, resulting in a thinning of the uncalcified cartilage layer and a concurrent thickening of the calcified layer. Cast immobilization negated the effect of unweighting at the tidemark while it activated subchondral vascular encroachment into the calcified cartilage (p = 0.001). These findings suggest that cartilage thinning associated with the elimination of weight bearing is mediated through a different biological mechanism than cartilage loss associated with restriction of joint motion.
关节软骨的形态发育受到对功能需求的生物适应性影响。理论认为,由负重和运动产生的间歇性应力通过控制软骨下矿化前沿的推进来决定软骨厚度。矿化前沿由两个界面组成,即潮标和软骨骨连接,每个界面都通过不同的生物学过程推进。本研究旨在评估成年幼鼠膝关节在为期一个月的后肢去负荷(有无同时限制关节活动)情况下,对潮标处矿物质沉积和软骨骨连接处血管侵入的影响。在可活动关节中,后肢去负荷使主要负重区域的潮标矿物质沉积率增加了2倍(p = 0.0001),导致未钙化软骨层变薄,钙化层同时增厚。石膏固定消除了去负荷对潮标的影响,同时激活了软骨下血管向钙化软骨的侵入(p = 0.001)。这些发现表明,与消除负重相关的软骨变薄是通过与关节活动受限相关的软骨损失不同的生物学机制介导的。