Panula H E, Hyttinen M M, Arokoski J P, Långsjö T K, Pelttari A, Kiviranta I, Helminen H J
Department of Surgery, Kuopio University Hospital, Finland.
Ann Rheum Dis. 1998 Apr;57(4):237-45. doi: 10.1136/ard.57.4.237.
To investigate articular cartilage collagen network, thickness of birefringent cartilage zones, and glycosaminoglycan concentration in macroscopically normal looking knee joint cartilage of young beagles subjected to experimental slowly progressive osteoarthritis (OA).
OA was induced by a tibial 30 degree valgus osteotomy in 15 female beagles at the age of 3 months. Fifteen sisters were controls. Cartilage specimens were collected seven (Group 1) and 18 months (Group 2) postoperatively. Collagen induced optical path difference and cartilage zone thickness measurements were determined from histological sections of articular cartilage with smooth and intact surface by computer assisted quantitative polarised light microscopy. Volume density of cartilage collagen fibrils was determined by image analysis from transmission electron micrographs and content of glycosaminoglycans by quantitative digital densitometry from histological sections.
In the superficial zone of the lateral tibial and femoral cartilage, the collagen induced optical path difference (birefringence) decreased by 19 to 71% (p < 0.05) seven months postoperatively. This suggests that severe superficial collagen fibril network deterioration took place, as 18 months postoperatively, macroscopic and microscopic OA was present in many cartilage areas. Thickness of the uncalcified cartilage increased while the superficial zone became thinner in the same sites. In operated dogs, glycosaminoglycan content first increased (Group 1) in the lateral tibial condyle and then decreased (Group 2) (p < 0.05).
In this OA model, derangement of the superficial zone collagen network was the probable reason for birefringence reduction. This change occurred well before macroscopic OA.
研究实验性缓慢进展性骨关节炎(OA)的幼年比格犬宏观外观正常的膝关节软骨中的关节软骨胶原网络、双折射软骨区厚度和糖胺聚糖浓度。
对15只3月龄雌性比格犬行胫骨30度外翻截骨术诱导OA。15只姐妹犬作为对照。术后7个月(第1组)和18个月(第2组)采集软骨标本。通过计算机辅助定量偏振光显微镜从表面光滑完整的关节软骨组织切片中测定胶原诱导的光程差和软骨区厚度。通过透射电子显微镜图像分析确定软骨胶原纤维的体积密度,通过组织切片定量数字密度测定法确定糖胺聚糖的含量。
术后7个月,在胫骨外侧和股骨软骨的表层区域,胶原诱导的光程差(双折射)降低了19%至71%(p<0.05)。这表明发生了严重的表层胶原纤维网络退化,因为术后18个月,许多软骨区域出现了宏观和微观的OA。未钙化软骨的厚度增加,而相同部位的表层区域变薄。在手术犬中,糖胺聚糖含量在胫骨外侧髁先增加(第1组),然后降低(第2组)(p<0.05)。
在这个OA模型中,表层区域胶原网络紊乱可能是双折射降低的原因。这种变化在宏观OA出现之前就已经发生。