Extended reports
Immobilisation causes longlasting matrix changes both in the
immobilised and contralateral joint cartilage
a Departments of Anatomy,
University of Kuopio , b Pathology, University of Kuopio , c and Surgery , d Kuopio University Hospital, FIN-70211 Kuopio,
Finland Department of Surgery,
Jyväskylä Central Hospital, Jyväskylä, Finland
Correspondence to: Dr M Lammi, Department of Anatomy, University of Kuopio, PO Box 1627, FIN-70211 Kuopio, Finland.
Accepted for publication 21 January 1997
OBJECTIVE
The capacity of articular cartilage
matrix to recover during 50 weeks of remobilisation after an atrophy
caused by 11 weeks of immobilisation of the knee (stifle) joint in
90° flexion starting at the age of 29 weeks, was studied in young
beagle dogs.
METHODS
Proteoglycan concentration (uronic acid)
and synthesis ([35S]sulphate incorporation) were
determined in six and three knee joint surface locations, respectively.
Proteoglycans extracted from the cartilages were characterised by
chemical determinations, gel filtration, and western blotting for
chondroitin sulphate epitope 3B3.
RESULTS
The proteoglycan concentrations that
were reduced in all sample sites immediately after the immobilisation,
remained 14-28% lower than controls after 50 weeks of remobilisation
in the patella, the summit of medial femoral condyle, and the superior
femoropatellar surface. In the contralateral joint, there was a 49%
increase of proteoglycans in the inferior femoropatellar surface after remobilisation, while a 34% decrease was simultaneously noticed on the
summit of the medial femoral condyle. Total proteoglycan synthesis was
not significantly changed after immobilisation or 50 weeks'
remobilisation in the treated or contralateral joint, compared with age
matched controls. The chondroitin 6- to 4- sulphate ratio was reduced
by immobilisation both in the radioactively labelled and the total
tissue proteoglycans. In the remobilised joint, this ratio was restored
in femur, while in tibia it remained at a level lower than controls.
Neither immobilisation nor remobilisation induced epitopes recognised
by the monoclonal antibody 3B3 on native (undigested) proteoglycans.
CONCLUSION
These results show that the depletion
of proteoglycans observed after 11 weeks of immobilisation was not
completely restored in certain surface sites after 50 weeks of
remobilisation. The significant changes that developed in the
contralateral joint during the remobilisation period give further
support to the idea that a permanent alteration of matrix metabolism
results even from a temporary modification of loading pattern in
immature joints.
© 1997 by Annals of the Rheumatic Diseases
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(2001). Decline after immobilisation and recovery after remobilisation of synovial fluid IL1, TIMP, and chondroitin sulphate levels in young beagle dogs. Ann Rheum Dis
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