Improved cartilage integration and interfacial strength after enzymatic treatment in a cartilage transplantation model

Arthritis Res Ther. 2004;6(5):R469-76. doi: 10.1186/ar1216. Epub 2004 Aug 6.

Abstract

The objective of the present study was to investigate whether treatment of articular cartilage with hyaluronidase and collagenase enhances histological and mechanical integration of a cartilage graft into a defect. Discs of 3 mm diameter were taken from 8-mm diameter bovine cartilage explants. Both discs and annulus were either treated for 24 hours with 0.1% hyaluronidase followed by 24 hours with 10 U/ml collagenase or left untreated (controls). Discs and annulus were reassembled and implanted subcutaneously in nude mice for 5 weeks. Integration of disc with surrounding cartilage was assessed histologically and tested biomechanically by performing a push-out test. After 5 weeks a significant increase in viable cell counts was seen in wound edges of the enzyme-treated group as compared with controls. Furthermore, matrix integration (expressed as a percentage of the total interface length that was connected; mean +/- standard error) was 83 +/- 15% in the treated samples versus 44 +/- 40% in the untreated controls. In the enzyme-treated group only, picro-Sirius Red staining revealed collagen crossing the interface perpendicular to the wound surface. Immunohistochemical analyses demonstrated that the interface tissue contained cartilage-specific collagen type II. Collagen type I was found only in a small region of fibrous tissue at the level of the superficial layer, and collagen type III was completely absent in both groups. A significant difference in interfacial strength was found using the push-out test: 1.32 +/- 0.15 MPa in the enzyme-treated group versus 0.84 +/- 0.14 MPa in the untreated controls. The study shows that enzyme treatment of cartilage wounds increases histological integration and improves biomechanical bonding strength. Enzymatic treatment may represent a promising addition to current techniques for articular cartilage repair.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Cartilage, Articular / chemistry
  • Cartilage, Articular / drug effects*
  • Cartilage, Articular / pathology
  • Cartilage, Articular / transplantation*
  • Cattle
  • Cell Count
  • Cell Survival / physiology
  • Chondrocytes / chemistry
  • Chondrocytes / physiology
  • Chondrocytes / transplantation
  • Collagen Type I / immunology
  • Collagen Type II / immunology
  • Collagenases / therapeutic use
  • Frozen Sections
  • Hyaluronoglucosaminidase / therapeutic use
  • Mice
  • Mice, Inbred BALB C
  • Mice, Nude
  • Models, Animal
  • Transplantation, Heterologous / methods*

Substances

  • Collagen Type I
  • Collagen Type II
  • Hyaluronoglucosaminidase
  • Collagenases