HISTOLOGICAL AND HISTOCHEMISTRY COMPARISONS BETWEEN MEDIAL AND LATERAL MENISCI IN OSTEOARTHRITIS PATIENTS
DOI:
https://doi.org/10.55766/sujst-2024-04-e03380Keywords:
Osteoarthritis, Cartilage, Meniscus, Pathology, ApoptosisAbstract
Osteoarthritis (OA) is a joint disease affecting articular cartilage, menisci, and other joint components. The main objective of this study was to investigate structural and biochemical changes in the medial and lateral menisci of Thai OA patients. Histologically, the bone marrow-like structure was mainly observed at the posterior horn of both medial and lateral menisci. The numbers of meniscal cells were significantly lower at the posterior and anterior horns of the medial and menisci, respectively. Cells at the posterior horn of the medial meniscus were significantly hypertrophied. A decrease in proteoglycan was observed mainly at the posterior horn of both medial and lateral menisci, while collagen fibers markedly increased at the posterior horn of the medial meniscus. Moreover, apoptotic cells were significantly higher in numbers at the posterior and anterior horns of the lateral and medial menisci respectively. The results revealed that the pathology of OA occurred mostly at the posterior horn of the medial meniscus.
References
Adams, C.S. and Horton, W.E.Jr. (1998). Chondrocyte apoptosis increases with age in the articular cartilage of adult animals. The Anatomical Record, 250(4):418-425. https://doi.org/10.1002/(SICI)1097-0185(199804)250:4<418::AID-AR4>3.3.CO;2-B
Badlani, J.T., Borrero, C., Golla, S., Harner, C.D., and Irrgang, J.J. (2013). The effects of meniscus injury on the development of knee osteoarthritis: Data from the osteoarthritis initiative. The American Journal of Sports Medicine, 41(6):1238-1244. https://doi.org/10.1177/0363546513490276
Baratz, M.E., Fu, F.H., and Mengato, R. (1986). Meniscal tears: The effect of meniscectomy and of repair on intraarticular contact areas and stress in the human knee: A preliminary report. The American Journal of Sports Medicine, 14(4):270-275. https://doi.org/10.1177/036354658601400405
Barceló, X., Eichholz, K., Gonçalves, I., Kronemberger, G.S., Dufour, A., Garcia, O., and Kelly, D.J. (2023). Bioprinting of scaled-up meniscal grafts by spatially patterning phenotypically distinct meniscus progenitor cells within melt electrowritten scaffolds. Biofabrication, 16(1):015013. https://doi.org/10.1088/1758-5090/ad0ab9
Barceló, X., Eichholz, K.F., Gonçalves, I.F., Garcia, O., Kelly, and D.J. (2023). Bioprinting of structurally organized meniscal tissue within anisotropic melt electrowritten scaffolds. Acta Biomaterialia, 158:216-227. https://doi.org/10.1016/j.actbio.2022.12.047
Bertrand, J. and Held, A. (2017). Cartilage: Role of Proteoglycans in Osteoarthritis, Spring, Germany, p. 36-80. https://doi.org/10.1007/978-3-319-45803-8_4
Bhatia, S., LaPrade, C.M., Ellman, M.B., and LaPrade, R.F. (2014). Meniscal root tears: significance, diagnosis, and treatment. The American Journal of Sports Medicine, 42(12):3016-3030. https://doi.org/10.1177/0363546514524162
Blanco, F.J., Guitian, R., Vázquez-Martul, E., de Toro, F.J., and Galdo, F. (1998). Osteoarthritis chondrocytes die by apoptosis: A possible pathway for osteoarthritis pathology. Arthritis & Rheumatology, 41(2):284-289. https://doi.org/10.1002/1529-0131(199802)41:2<284::AID-ART12>3.3.CO;2-K
Chae, S., Lee, S.S., Choi, Y.J., Hong, D.H., Gao, G., Wang, J.H., and Cho, D.W. (2021). 3D cell-printing of biocompatible and functional meniscus constructs using meniscus-derived bioink. Biomaterials, 267:120466. https://doi.org/10.1016/j.biomaterials.2020.120466
Chirichella, P.S., Jow, S., Iacono, S., Wey, H.E., and Malanga, G.A. (2019). Treatment of Knee Meniscus Pathology: Rehabilitation, Surgery, and Orthobiologics. Journal of Injury, Function and Rehabilitation, 11(3):292-308. https://doi.org/10.1016/j.pmrj.2018.08.384
Cui, A., Li, H., Wang, D., Zhong, J., Chen, Y., and Lu, H. (2020). Global, regional prevalence, incidence and risk factors of knee osteoarthritis in population-based studies. EClinicalMedicine, 29-30:100587. https://doi.org/10.1016/j.eclinm.2020.100587
Elmore, S. (2007). Apoptosis: a review of programmed cell death. Toxicologic Pathology, 35(4):495-516. https://doi.org/10.1080/01926230701320337
Englund, M., Guermazi, A., and Lohmander, S.L. (2009). The role of the meniscus in knee osteoarthritis: a cause or consequence?. Radiologic Clinics of North America, 47(4):703-712. https://doi.org/10.1016/j.rcl.2009.03.003
Englund, M., Guermazi, A., Gale, D., Hunter, D.J., Aliabadi, P., Clancy, M., and Felson, D.T. (2008). Incidental meniscal findings on knee MRI in middle-aged and elderly persons. New England Journal of Medicine, 359(11):1108-1115. https://doi.org/10.1056/NEJMoa0800777
Fox, A.J., Bedi, A., and Rodeo, S.A. (2012). The Basic Science of Human Knee Menisci: Structure, Composition, and Function. Sports Health, 4(4):340-351. https://doi.org/10.1177/1941738111429419
Hashimoto, S., Ochs, R.L., Komiya, S., and Lotz, M. (1998). Linkage of chondrocyte apoptosis and cartilage degradation in human osteoarthritis. Arthritis & Rheumatology, 41(9):1632-1638. https://doi.org/10.1002/1529-0131(199809)41:9<1632::AID-ART14>3.0.CO;2-A
Hayashi, M., Koga, S., and Kitagawa, T. (2023). Effectiveness of Rehabilitation for Knee Osteoarthritis Associated With Isolated Meniscus Injury: A Scoping Review. Cureus, 15(2):e34544. https://doi.org/10.7759/cureus.34544
Héraud, F., Héraud, A., and Harmand, M.F. (2000). Apoptosis in normal and osteoarthritic human articular cartilage. Annals of the Rheumatic Diseases. 59(12):959-965. https://doi.org/10.1136/ard.59.12.959
Hui Mingalone, C.K., Liu, Z., Hollander, J.M., Garvey, K.D., Gibson, A.L., Banks, R.E., Zhang, M., McAlindon, T.E., Nielsen, H.C., Georgakoudi, I., and Zeng, L. (2018). Bioluminescence and second harmonic generation imaging reveal dynamic changes in the inflammatory and collagen landscape in early osteoarthritis. Laboratory Investigation, 98:656-669. https://doi.org/10.1038/s41374-018-0040-9
Hulth, A., Lindberg, L., and Telhag, H. (1972). Mitosis in human osteoarthritic cartilage. Clinical Orthopaedics and Related Research, 84:197-199. https://doi.org/10.1097/00003086-197205000-00032
Katsuragawa, Y., Saitoh, K., Tanaka, N., Wake, M., Ikeda, Y., Furukawa, H., Tohma, S., Sawabe, M., Ishiyama, M., Yagishita, S., Suzuki, R., Mitomi, H., and Fukui, N. (2010). Changes of human menisci in osteoarthritic knee joints. Osteoarthritis and Cartilage, 18(9):1133-1143. https://doi.org/10.1016/j.joca.2010.05.017
Katz, J.N. and Losina, E. (2013). Surgery versus physical therapy for meniscal tear and osteoarthritis. The New England Journal of Medicine, 369(7):677-678. https://doi.org/10.1056/NEJMc1307177
Kim, H.A., Lee, Y.J., Seong, S.C., Choe, K.W., and Song, Y.W. (2000). Apoptotic chondrocyte death in human osteoarthritis. The Journal of Rheumatology, 27(2):455-462.
Krych, A.J., Johnson, N.R., Mohan, R., Hevesi, M., Stuart, M.J., Littrell, L.A., and Collins, M.S. (2018). Arthritis Progression on Serial MRIs Following Diagnosis of Medial Meniscal Posterior Horn Root Tear. Journal of Knee Surgery, 31(7):698-704. https://doi.org/10.1055/s-0037-1607038
Kwok, J., Onuma, H., Olmer, M., Lotz, M.K., Grogan, S.P., and D'Lima, D.D. (2016). Histopathological analyses of murine menisci: implications for joint aging and osteoarthritis. Osteoarthritis Cartilage, 24(4):709-718. https://doi.org/10.1016/j.joca.2015.11.006
López-Franco, M. and Gómez-Barrena, E. (2018). Cellular and molecular meniscal changes in the degenerative knee: a review. Journal of Experimental Orthopaedics, 5(1):11. https://doi.org/10.1186/s40634-018-0126-8
Lv, H., Deng, G., Lai, J., Yu, Y., Chen, F., Yao, J. (2023). Advances in 3D Bioprinting of Biomimetic and Engineered Meniscal Grafts. Macromolecular Bioscience, 23(12):e2300199. https://doi.org/10.1002/mabi.202300199
Mahmood, M.F., Clarke, M.J., and Riches, D.P. (2020). Proteoglycans exert a significant effect on human meniscal stiffness through ionic effects. Clinical Biomechanics, 77:105028. https://doi.org/10.1016/j.clinbiomech.2020.105028
McCulloch, K., Litherland, G.J., and Rai, T.S. (2017). Cellular senescence in osteoarthritis pathology. Aging Cell, 16(2):210-218. https://doi.org/10.1111/acel.12562
McDevitt, C.A. and Webber, R.J.( 1990). The ultrastructure and biochemistry of meniscal cartilage. Clinical Orthopaedics and Related Research, 252:8-18. https://doi.org/10.1097/00003086-199003000-00003
Meachim, G. and Collins, D.H. (1962). Cell counts of normal and osteoarthritic articular cartilage in relation to the uptake of sulphate (35SO4) in vitro. Annals of Rheumatic Diseases, 21(1):45-50. https://doi.org/10.1136/ard.21.1.45
Messner, K. and Gao, J. (1998). The menisci of the knee joint. Anatomical and functional characteristics, and a rationale for clinical treatment. The Journal of Anatomy, 193(2):161-178. https://doi.org/10.1046/j.1469-7580.1998.19320161.x
Milachowski, K.A., Weismeier, K., and Wirth, C.J. (1989). Homologous meniscus transplantation. Experimental and clinical results. International Orthopaedics, 13(1):1-11. https://doi.org/10.1007/BF00266715
Millucci, L., Giorgetti, G., Viti, C., Ghezzi, L., Gambassi, S., Braconi, D., Marzocchi, B., Paffetti, A., Lupetti, P., Bernardini, G., Orlandini, M., and Santucci, A. (2015). Chondroptosis in alkaptonuric cartilage. Journal of Cellular Physiology, 230(5):1148-1157. https://doi.org/10.1002/jcp.24850
Miosge, N., Hartmann, M., Maelicke, C., and Herken, R. (2004). Expression of collagen type I and type II in consecutive stages of human osteoarthritis. Histochem. Histochemistry and Cell Biology, 122(3):229-236. https://doi.org/10.1007/s00418-004-0697-6
Moon, H.S., Choi, C.H., Jung, M., Lee, D.Y., Eum, K.S., Kim, S.H. (2020). Medial meniscal posterior horn tears are associated with increased posterior tibial slope: A case-control study. The American Journal of Sports Medicine, 48(7):1702-1710. https://doi.org/10.1177/0363546520917420
Mora, J. C., Przkora, R., and Cruz-Almeida, Y. (2018). Knee osteoarthritis: pathophysiology and current treatment modalities. Journal of Pain Research, 11:2189-2196. https://doi.org/10.2147/JPR.S154002
Nishida, M., Higuchi, H., Kobayashi, Y., and Takagishi, K. (2005). Histological and biochemical changes of experimental meniscus tear in the dog knee. Journal of Orthopaedic Science, 10(4):406-413. https://doi.org/10.1007/s00776-005-0916-6
Ozeki, N., Koga, H., and Sekiya, I. (2022). Degenerative Meniscus in Knee Osteoarthritis: From Pathology to Treatment. Life (Basel, Switzerland), 12(4):603. https://doi.org/10.3390/life12040603
Roopsawang, I. and Aree-ue, S. (2015). Knee Osteoarthritis in Adult and Older Thais Living in Rural and Urban Areas: A Comparative Study. Pacific Rim International Journal of Nursing Research, 19(3):187-201.
Rothwell, A.G. and Bentley, G. (1973). Chondrocyte multiplication in osteoarthritic articular cartilage. The Journal of bone and joint surgery, 55(3):588-594. https://doi.org/10.1302/0301-620X.55B3.588
Salucci, S., Falcieri, E., and Battistelli, M. (2022). Chondrocyte death involvement in osteoarthritis. Cell and Tissue Research, 389(2):159-170. https://doi.org/10.1007/s00441-022-03639-4
Sandell, L.J. and Aigner, T. (2001). Articular cartilage and changes in arthritis. An introduction: cell biology of osteoarthritis. Arthritis Research, 3(2):107-113. https://doi.org/10.1186/ar148
Terkawi, M.A., Ebata, T., Yokota, S., Takahashi, D., Endo, T., Matsumae, G., Shimizu, T., Kadoya, K., and Iwasaki, N. (2022). Low-grade inflammation in the pathogenesis of osteoarthritis:Cellular and molecular mechanisms and strategies for future therapeutic intervention. Biomedicines, 10(5):1109. https://doi.org/10.3390/biomedicines10051109
Thompson, W.O., Thaete, F.L., Fu, F.H., and Dye, S.F. (1991). Tibial meniscal dynamics using three-dimensional reconstruction of magnetic resonance imaging. The American Journal of Sports Medicine, 19:210-216. https://doi.org/10.1177/036354659101900302
Wang, X., Jing, L., Wang, X., Li, Z., Li, Z., Zhang, Z., and Yang, J. (2020). Effects of medial meniscal slope and medial posterior tibial slope on the locations of meniscal tears: A retrospective observational study. Medicine (Baltimore), 99(47):e23351. https://doi.org/10.1097/MD.0000000000023351
Westermann, R.W. and Wolf, B.R. (2018). 101 - Meniscal Repair with Anterior Cruciate Ligament Reconstruction. The Anterior Cruciate Ligament (Second Edition), p. 403-407. https://doi.org/10.1016/B978-0-323-38962-4.00101-6
Wu, P.J., Masouleh, M.I., Dini, D., Paterson, C., Török, P., Overby, D.R., and Kabakova, I.V. (2019). Detection of proteoglycan loss from articular cartilage using Brillouin microscopy, with applications to osteoarthritis. Biomed. Biomedical Optics Express, 10(5):2457-2466. https://doi.org/10.1364/BOE.10.002457
Yoshioka, N.K., Young, G.M., Khajuria, D.K., Karuppagounder, V., Pinamont, W.J., Fanburg-Smith, J.C., Abraham, T., Elbarbary, R.A., and Kamal, F. (2022). Structural changes in the collagen network of joint tissues in late stages of murine OA. Scientifc Reports, 12(1):9159. https://doi.org/10.1038/s41598-022-13062-y
Yunus, M.H.M., Nordin, A., and Kamal, H. (2020). Pathophysiological perspective of osteoarthritis. Medicina, 56(11):614. https://doi.org/10.3390/medicina56110614








