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In This Article

  • Summary
  • Abstract
  • Introduction
  • Protocol
  • Representative Results
  • Discussion
  • Acknowledgements
  • Materials
  • References
  • Reprints and Permissions

Summary

The current protocol establishes a rigorous and reproducible method for quantification of morphological joint changes that accompany osteoarthritis. Application of this protocol can be valuable in monitoring disease progression and evaluating therapeutic interventions in osteoarthritis.

Abstract

One of the most prevalent joint disorders in the United States, osteoarthritis (OA) is characterized by progressive degeneration of articular cartilage, primarily in the hip and knee joints, which results in significant impacts on patient mobility and quality of life. To date, there are no existing curative therapies for OA able to slow down or inhibit cartilage degeneration. Presently, there is an extensive body of ongoing research to understand OA pathology and discover novel therapeutic approaches or agents that can efficiently slow down, stop, or even reverse OA. Thus, it is crucial to have a quantitative and reproducible approach to accurately evaluate OA-associated pathological changes in the joint cartilage, synovium, and subchondral bone. Currently, OA severity and progression are primarily assessed using the Osteoarthritis Research Society International (OARSI) or Mankin scoring systems. In spite of the importance of these scoring systems, they are semiquantitative and can be influenced by user subjectivity. More importantly, they fail to accurately evaluate subtle, yet important, changes in the cartilage during the early disease states or early treatment phases. The protocol we describe here uses a computerized and semiautomated histomorphometric software system to establish a standardized, rigorous, and reproducible quantitative methodology for the evaluation of joint changes in OA. This protocol presents a powerful addition to the existing systems and allows for more efficient detection of pathological changes in the joint.

Introduction

One of the most prevalent joint disorders in the United States, OA is characterized by progressive degeneration of articular cartilage, primarily in the hip and knee joints, which results in significant impacts on patient mobility and quality of life1,2,3. Articular cartilage is the specialized connective tissue of diarthrodial joints designed to minimize friction, facilitate movement, and endure joint compression4. Articular cartilage is composed of two primary components: chondrocytes and extracellular matrix. Chondrocytes are specialized, metabolica....

Protocol

Twelve-week-old male C57BL/6 mice were purchased from Jax Labs. All mice were housed in groups of 3–5 mice per micro-isolator cage in a room with a 12 h light/dark schedule. All animal procedures were performed according to the National Institute of Health (NIH) Guide for the Care and Use of Laboratory Animals and approved by the Animal Care and Use Committee of Pennsylvania State University.

1. Post-traumatic osteoarthritis (PTOA) surgical model

  1. Anesthetize mice usi.......

Representative Results

DMM-induced OA results in articular cartilage degeneration and chondrocyte loss
DMM-induced OA resulted in an increased OARSI score compared to sham mice, distinctly characterized by surface erosion and cartilage loss (Figure 1A,D). The histomorphometry protocol detailed here detected several OA-associated changes, including a decrease in total cartilage area and in the uncalcified cartilage area (Figure 1A,B

Discussion

Recent osteoarthritis research has enhanced our understanding of the crosstalk between the different tissues within the joint and the role each tissue plays in disease initiation or progression8,9,10,35,36. Accordingly, it has become obvious that the assessment of OA should not be limited to analysis of the cartilage but should also include analysis of the sub.......

Acknowledgements

We would like to acknowledge the assistance of the Department of Comparative Medicine staff and the Molecular and Histopathology core at Penn State Milton S. Hershey Medical Center. Funding sources: NIH NIAMS 1RO1AR071968-01A1 (F.K.), ANRF Arthritis Research Grant (F.K.).

....

Materials

NameCompanyCatalog NumberComments
10% Buffered Formalin PhosphateFisher ChemicalSF100-20For sample fixation following harvest
Acetic Acid, Glacial (Certified A.C.S.)Fisher ChemicalA38S-212For Decalcification Buffer preparation and acetic acid solution preparation for staining
Cintiq 27QHD Creative Pen DisplayWacomhttps://www.wacom.com/en-es/products/pen-displays/cintiq-27-qhd-touchFor histomorphometric analysis and imaging
Cintiq Ergo standWacomhttps://www.wacom.com/en-es/products/pen-displays/cintiq-27-qhd-touchFor histomorphometric analysis and imaging
Ethylenediaminetetraacetic acid, tetrasodium salt dihydrate, 99%Acros OrganicsAC446080010For Decalcification Buffer preparation
Fast Green stainSIGMA Life SciencesF7258For sample staining
Fisherbrand Superfrost Plus Microscope SlidesFisher12-550-15For sample section collection
HistoPrep XyleneFisherbrandHC-700-1GALFor sample deparrafinization and staining
Histosette II Tissue Cassettes - Combination Lid and BaseFisher15-182-701AFor sample processing and embedding
HP Z440 WorkstationHPProduct number: Y5C77US#ABAFor histomorphometric analysis and imaging
Manual Rotary MicrotomeLeicaRM 2235For sample sectioning
Marking pensLeica3801880For sample labeling, cassettes and slides
OLYMPUS BX53 MicroscopeOLYMPUShttps://www.olympus-lifescience.com/en/microscopes/upright/bx53f2/For histomorphometric analysis and imaging
OLYMPUS DP 73 Microscope CameraOLYMPUShttps://www.olympus-lifescience.com/en/camera/color/dp73/For histomorphometric analysis and imaging (discontinued)
ORION STAR A211 pH meterThermo ScientificSTARA2110For Decalcification Buffer preparation
OsteoMeasure SoftwareOsteoMetricshttps://www.osteometrics.com/index.htmFor histomorphometric measurement and analysis
Perfusion Two Automated Pressure Perfusion systemLeicaModel # 39471005For mouse knee harvest
PRISM 7 SoftwareGraphPadInstitutional Access AccountStatistical Analysis
Safranin-O stainSIGMA Life SciencesS8884For sample staining
ThinkBoneStage - Rotating Microscope StageThink Bone Consulting Inc. - OsteoMetrics (supplier)http://thinkboneconsulting.com/index_files/Slideholder.phpFor histomorphometric analysis and imaging
Wacom Pro Pen StylusWacomhttps://www.wacom.com/en-es/products/pen-displays/cintiq-27-qhd-touchFor histomorphometric analysis and imaging
Weigerts Iron Hematoxylin AFisher5029713For hematoxylin staining
Weigerts Iron Hematoxylin BFisher5029714For hematoxylin staining

References

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HistomorphometricOsteoarthritisJoint ChangesQuantitative AnalysisCartilageBoneReproducibleStandardized ProtocolMouse ModelCalcified CartilageChondrocyteSubchondral Bone

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