Effects of hyaluronic acid and γ-globulin concentrations on the frictional response of human osteoarthritic articular cartilage

PLoS One. 2014 Nov 26;9(11):e112684. doi: 10.1371/journal.pone.0112684. eCollection 2014.

Abstract

Synovial fluid plays an important role in lubricating synovial joints. Its main constituents are hyaluronic acid (HA) and γ-globulin, acting as boundary lubricants for articular cartilage. The aim of the study was to demonstrate the concentration-dependent effect of HA and γ-globulin on the boundary-lubricating ability of human osteoarthritis (OA) cartilage. Normal, early and advance stage articular cartilage samples were obtained from human femoral heads and in presence of either HA or γ-globulin, cartilage frictional coefficient (µ) was measured by atomic force microscopy (AFM). In advanced stage OA, the cartilage superficial layer was observed to be completely removed and the damaged cartilage surface showed a higher µ value (∼ 0.409) than the normal cartilage surface (∼ 0.119) in PBS. Adsorbed HA and γ-globulin molecules significantly improved the frictional behavior of advanced OA cartilage, while they were ineffective for normal and early OA cartilage. In advanced-stage OA, the concentration-dependent frictional response of articular cartilage was observed with γ-globulin, but not with HA. Our result suggested that HA and γ-globulin may play a significant role in improving frictional behavior of advanced OA cartilage. During early-stage OA, though HA and γ-globulin had no effect on improving frictional behavior of cartilage, however, they might contribute to disease modifying effects of synovial fluid as observed in clinical settings.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged, 80 and over
  • Cartilage, Articular / drug effects*
  • Cartilage, Articular / pathology
  • Cartilage, Articular / surgery
  • Disease Progression
  • Dose-Response Relationship, Drug
  • Elasticity
  • Femur Head / drug effects*
  • Femur Head / pathology
  • Femur Head / surgery
  • Friction / drug effects*
  • Humans
  • Hyaluronic Acid / pharmacology*
  • Lubrication
  • Microscopy, Atomic Force
  • Middle Aged
  • Osteoarthritis / pathology*
  • Osteoarthritis / surgery
  • Severity of Illness Index
  • Synovial Fluid / chemistry
  • Tissue Culture Techniques
  • gamma-Globulins / pharmacology*

Substances

  • gamma-Globulins
  • Hyaluronic Acid

Grants and funding

This research was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education, (NRF-2013R1A1A2062436 & NRF-2014R1A1A4A03009388) and by Leading Foreign Research Institute Recruitment Program through the NRF grant funded by the Ministry of Science, ICT & Future Planning (No. 2009-00495). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.