Abstract

Osteoarthritis (OA) is a chronic degenerative joint disease and the major cause of joint pain and disability in the elderly. It is mainly characterized by articular cartilage degradation and subchondral bone remodeling. There are two main types of OA: natural occurring OA and secondary OA, mainly associated with aging and trauma, respectively. In this study, we established two OA models in rat knee joints to simulate the two types of OA, using the type II collagenase injection (CI) and anterior cruciate ligament transection (ACLT), respectively. After intervention for 2–6 weeks, cartilage and subchondral bone changes were detected in histological staining, immunochemistry, and micro-CT. Results showed that both models with typical pathology changes of OA were successfully induced, while the development and severity of OA process in the models were different. In ACLT rats, the cartilage damage was milder, lasted for a shorter time, and subchondral bone reconstruction occurred earlier, compared with the changes in CI rats. The cartilage damage was secondary to subchondral bone change in ACLT rats, while subchondral bone change was secondary to cartilage degeneration in CI rats. In conclusion, the interaction between cartilage and subchondral bone is different between the natural-occurring and secondary OA models. These two models not only suggest potential different mechanisms of the two types of OA, but also provide new directions for OA treatment and prevention.

Highlights

  • Osteoarthritis (OA), as a degenerative joint disease, is one of the leading causes of disability in the elderly (Glyn-Jones et al, 2015)

  • For the comparison between the anterior cruciate ligament transection (ACLT) and collagenase injection (CI) group, we found that the decrease of bone volume in CI model was more severe and lasted for a longer period (4 weeks) than that in ACLT model (2 weeks)

  • Significant difference was found between ACLT and CI groups 4 or 6 weeks after surgery (P < 0.001), but not significant between them after 2 weeks (P > 0.05)

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Summary

Introduction

Osteoarthritis (OA), as a degenerative joint disease, is one of the leading causes of disability in the elderly (Glyn-Jones et al, 2015). It is characterized by cartilage degradation, subchondral bone remodeling, osteophyte formation, and dysfunction of synovial membrane and surrounding structures (Lohmander, 2000). OA can be classified into two main types based on etiology: the natural occurring OA and the secondary OA. The natural occurring OA, or primary OA, is diagnosed in the absence of any predisposing event, but is associated with risk factors, especially age (Varela-Eirin et al, 2018). The secondary OA is associated with certain inducing factors, especially trauma

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