Changes of the subchondral bone microchannel network in early osteoarthritis

Copyright © 2022 The Authors. Published by Elsevier Ltd.. All rights reserved..

OBJECTIVE: We have identified a 3D network of subchondral microchannels that connects the deep zone of cartilage to the bone marrow (i.e., cartilage-bone marrow microchannel connectors; CMMC). However, the pathological significance of CMMC is largely unknown. Here, we quantitatively evaluated how the CMMC microarchitecture is related to cartilage condition, as well as regional differences in early idiopathic osteoarthritis (OA).

METHODS: Two groups of cadaveric female human femoral heads (intact cartilage vs early cartilage lesions) were identified, and a biopsy-based high-resolution micro-CT imaging was employed. Subchondral bone (SB) thickness, CMMC number, maximum and minimum CMMC size, and the CMMC morphology were quantified and compared between the two groups. The effect of joint's region and cartilage condition was examined on each dependent variable.

RESULTS: The CMMC number and morphology were affected by region of the joint, but not by cartilage condition. On the other hand, the minimum and maximum CMMC size was changed by both the location on the joint, as well as the cartilage condition. The smallest CMMC were consistently detected at the load-bearing region (LBR) of the joint. Compared to non-pathological subjects, the size of the microchannels was enlarged in early OA, most noticeably at the non-load-bearing region (NLBR) and the peripheral rim (PR) of the femoral head. Furthermore, subchondral bone thinning was observed in early OA as a localized occurrence linked with areas of partial chondral defect.

CONCLUSION: Our data point to an enlargement of the SB microchannel network, and a collective structural deterioration of SB in early idiopathic OA.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:31

Enthalten in:

Osteoarthritis and cartilage - 31(2023), 1 vom: 10. Jan., Seite 49-59

Sprache:

Englisch

Beteiligte Personen:

Taheri, S [VerfasserIn]
Yoshida, T [VerfasserIn]
Böker, K O [VerfasserIn]
Foerster, R H [VerfasserIn]
Jochim, L [VerfasserIn]
Flux, A L [VerfasserIn]
Grosskopf, B [VerfasserIn]
Hawellek, T [VerfasserIn]
Lehmann, W [VerfasserIn]
Schilling, A F [VerfasserIn]

Links:

Volltext

Themen:

Bone micro-CT
Bone microarchitecture
Cartilage-bone marrow microchannel connectors
Human femoral head
Journal Article
Osteoarthritis
Research Support, Non-U.S. Gov't
Subchondral bone

Anmerkungen:

Date Completed 20.12.2022

Date Revised 04.01.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.joca.2022.10.002

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM347582974