Literature DB >> 22933328

The biophysical mechanisms of altered hyaluronan concentration in synovial fluid after anterior cruciate ligament transection.

William J McCarty1, Justin C Cheng, Bradley C Hansen, Tomonori Yamaguchi, Gary S Firestein, Koichi Masuda, Robert L Sah.   

Abstract

OBJECTIVE: The residence time of hyaluronan (HA) in knee joint synovial fluid (SF) was investigated using a rabbit anterior cruciate ligament transection (ACLT) model. The aims of this study were to assess, at 7 and 28 days after surgery, the 1) HA concentration and molecular mass (M(r) ) distribution in the SF, 2) endogenous replenishment of HA after saline washout, 3) HA residence times in the SF, and 4) synovium and subsynovium cellularity of the knee joints of rabbits subjected to ACLT, compared to sham-operated and nonoperated control joints.
METHODS: Adult NZW rabbits underwent ACLT or sham surgery on one hind limb, while each contralateral limb was the nonoperated control. On day 7 or 28 after surgery, the joints were aspirated for SF, lavaged with saline, and injected with saline or polydisperse HA, and samples were obtained for analysis at set time points up to 8 hours after injection. Joint fluid samples were analyzed for the concentration and M(r) distribution of HA to calculate the HA residence time constant.
RESULTS: Analysis of HA concentrations and M(r) distributions showed 1) loss of high-M(r) HA in the SF on day 7 and a shift toward a lower-M(r) distribution on day 28, 2) endogenous replenishment of high-M(r) HA after washout, and 3) M(r) -dependent loss of HA from the knee joints after ACLT, particularly on day 7 postsurgery. The HA residence time decreased with decreasing HA M(r) (residence time ∼27 hours with an M(r) load of 7,000-2,500 kd, to ∼7 hours with an M(r) load of 250-50 kd). HA residence time also decreased (by ∼70%) in the knee joints on day 7 after ACLT. The subsynovium of the joints subjected to ACLT displayed increased cellularity and neovascularization on days 7 and 28 postsurgery.
CONCLUSION: The residence time of HA in the SF is transiently decreased after ACLT, suggesting that a biophysical transport mechanism is responsible for the altered composition of the SF after joint injury or during inflammation.
Copyright © 2012 by the American College of Rheumatology.

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Year:  2012        PMID: 22933328      PMCID: PMC3510334          DOI: 10.1002/art.37682

Source DB:  PubMed          Journal:  Arthritis Rheum        ISSN: 0004-3591


  49 in total

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3.  Hyaluronan concentration and size distribution in human knee synovial fluid: variations with age and cartilage degeneration.

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Journal:  Arthritis Res Ther       Date:  2016-01-21       Impact factor: 5.156

4.  Detection of synovial sepsis in horses using enzymes as biomarkers.

Authors:  Rhea Haralambus; Agnieszka Florczyk; Eva Sigl; Sinan Gültekin; Claus Vogl; Sabine Brandt; Marlies Schnierer; Clemens Gamerith; Florien Jenner
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  4 in total

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