Summary
Breakdown of articular cartilage is a primary feature of osteoarthritis (OA) that leads to loss of joint function. Cartilage degradation involves a progressive loss of proteoglycan matrix and chondrocytes, surface fraying, and erosion. Matrix metalloproteases (MMPs) have been implicated in the destruction of cartilage in OA. CGS 27023A is an orally active inhibitor of stromelysin (MMP-3) and collagenase (MMP-1). CGS 27023A was used to evaluate the effects of an MMP inhibitor on the development of cartilage pathology in a surgical model of OA in rabbits and naturally occurring OA in guinea pigs. Focal OA lesions were produced in rabbits by partial lateral meniscectomy (MNX). Rabbits given CGS 27023A at 100mg/kg in food for 8 weeks following MNX had a lower mean score for cartilage pathology (P <.005) than controls. Spontaneous OA occurs naturally in the knees of guinea pigs, starting during the first 6 months of age and progressing during the next year. By 12 months of age, articular cartilage degeneration including loss of proteoglycan and chondrocytes and surface fibrillation were observed in the medial tibia of the majority of untreated guinea pigs. Guinea pigs administered CGS 27023A in food from 6 months to 12 months of age had reduced histology scores for cartilage lesions (P <.05). These observations support the hypothesis that an MMP inhibitor would ameliorate cartilage destruction by protecting the collagen framework and proteoglycan matrix in OA patients.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Mankin HJ, Dorfman H, Lipidio L, et al (1971) Biochemical and metabolic abnormalities in articular cartilage from osteoarthritic human hips. II. Correlation of morphology with biochemical and metabolic data. J Bone Joint Surg [Am] 53A:523–537
Birkedal-Hansen H, Moore WGI, Boden MK (1993) Matrix metalloproteases: a review. Crit Rev Oral Biol Med 4:197–250
Docherty AJP, Murphy G (1990) The tissue metalloprotease family and the inhibitor TIMP: a study using cDNAs and recombinant proteins. Ann Rheum Dis 49:469–479
Sapolsky AI, Keiser H, Howell DS, et al (1976) Metalloproteases of human articular cartilage that digest cartilage proteoglycan at neutral pH. J Clin Invest 58:1030–1041
Ehrlich MG, Mankin HJ, Jones H, et al (1977) Collagenase and collagenase inhibitors in osteoarthritic and normal human cartilage. J Clin Invest 59:226–233
Dean DD, Azzo W, Martel-Pellitier J, et al (1987) Levels of metalloproteases and tissue inhibitors of metalloproteases in human osteoarthritic cartilage. J Rheumatol 14S:43–44.
Pelletier J-P, Martel-Pelletier J, Howell DS, et al (1983) Collagenase and collagenolytic activity in human osteoarthritic cartilage. Arthritis Rheum 26:63–68
Martel-Pelletier J, Pelletier J-P, Cloutier J-M, et al (1984) Neutral proteases capable of proteoglycan digesting activity in osteoarthritic and normal human articular cartilage. Arthritis Rheum 27:305–312
Martel-Pelletier J, Pelletier J-P, Malemud CJ (1988) Activation of neutral metalloprotease in human osteoarthritic knee cartilage: evidence of degradation in the core protein of sulfated proteoglycan. Ann Rheum Dis 47:801–808
Dean DD, Martel-Pelletier J, Pelletier J-P, et al (1989) Evidence for metalloprotease and metalloprotease inhibitor (TIMP) imbalance in human osteoarthritic cartilage. J Clin Invest 84:678–685
Gunja-Smith Z, Nagase H, Woessner JF (1989) Purification of the neutral proteoglycan-degrading metalloprotease from human articular cartilage tissue and its identification as stromelysin matrix metalloprotease-3. Biochem J 258:115–119
Okada Y, Shinmei M, Tanaka O, et al (1992) Localization of matrix metalloprotease 3 (stromelysin) in osteoarthritic cartilage and synovium. Lab Invest 66:680–690
Dodge GR, Poole AR (1989) Immunohistochemical detection and immunochemical analysis of type II collagen degradation in human normal, rheumatoid and osteoarthritic articular cartilages and in expiants of bovine articular cartilages cultured with interleukin-1. J Clin Invest 83:647–661
Martel-Pelletier J, McCollum R, Fujimoto N, et al (1994) Excess of metalloproteases over tissue inhibitor of metalloprotease may contribute to cartilage degradation in osteoarthritis and rheumatoid arthritis. Lab Invest 70:807–815
Hollander AP, Heathfield TF, Webber C, et al (1994) Increased damage to type II collagen in osteoarthritic articular cartilage detected by a new immunoassay. J Clin Invest 93:1722–1732
Hollander AP, Pidoux I, Reiner A, et al (1995) Damage to type II collagen in aging and osteoarthritis starts at the articular surfaces, originates around chondrocytes, and extends into the cartilage with progressive degeneration. J Clin Invest 96:2859–2869
Moskowitz R, Davis W, Sammarco J, et al (1973) Experimentally induced degenerative joint lesions following partial meniscectomy in the rabbit. Arthritis Rheum 16:397–405
Moskowitz RW, Goldberg VM (1987) Studies of osteophyte pathogenesis in experimentally induced osteoarthritis. J Rheumatol 14:311–320
Colombo C, Butler M, O’Byrne E, et al (1983) A new model of osteoarthritis in rabbits. I. Development of knee joint pathology following partial lateral meniscectomy and section of the fibular collateral and sesamoid ligaments. Arthritis Rheum 26:875–886
Colombo C (1988) Partial lateral meniscectomy with section of fibular collateral and sesamoid ligaments in the rabbit. In: Greenwald RA, Diamond HS, (eds) Handbook of animal models for the rheumatic diseases, vol 2. CRC Press, Boca Raton, pp 27–55
Mehraban F, Riera H, Fuo SY, et al (1993) Cartilage metalloprotease genes are up-regulated in experimental osteoarthritis and in isolated osteoarthritic chondrocytes in culture. Trans Orthop Res Soc 18:682
Mehraban F, Riera H, Fuo SY, et al (1994) Prostromelysin and procollagenase are differentially up-regulated in chondrocytes from the knees of rabbits with experimental osteoarthritis. Arthritis Rheum 37:1189–1197
Bendele AM, White SL (1987) Early histopathologic and ultrastructural alterations in femorotibial joints of partial medial meniscectomised guinea pigs. Vet Pathol 24:436–443
Bendele AM (1987) Progressive chronic osteoarthritis in femorotibial joints of partial medial meniscectomised guinea pigs. Vet Pathol 24:444–448
Bendele AM, Hulman JF (1988) Spontaneous cartilage degeneration in guinea pigs. Arthritis Rheum 31:561–565
Bendele AM, White SL, Hulman JF (1989) Osteoarthritis in guinea pigs: histopathologic and scanning electron microscopic features. Lab Anim Sci 39:115–121
Silverstein E, Sokoloff K (1958) Natural history of degenerative joint disease in small laboratory animals. V. Osteoarthritis in guinea pigs. Arthritis Rheum 1:82–86
Meacock SCR, Bodmer JL, Billingham MEJ (1990) Experimental osteoarthritis in guinea-pigs. J Exp Pathol 71:279–293
Bendele AM, Hulman JF (1991) Effects of body weight restriction on the development and progression of spontaneous osteoarthritis in guinea pigs. Arthritis Rheum 34:1180–1184
De Bri E, Rheinholt FP, Svensson O (1995) Primary osteoarthritis in guinea pigs: a stereological study. J Orthop Res 13:769–776
Greenwald RA, Chowdhury MH, Moak SA, et al (1994) Long term doxycycline treatment inhibits histologic and immunologic features of spontaneous osteoarthritis in guinea pigs. Trans Orthop Res Soc 19:473
Olszewski J, McDonnell J, Stevens K, et al (1996) A matrix-metalloprotease-generated aggrecan neopeptide as a marker of skeletal maturation and aging in cartilage. Arthritis Rheum 39:1234–1237
MacPherson LJ, Bayburt EK, Capparelli MP, et al (1997) Discovery of CGS 27023A, a non-peptidic, potent, and orally active stromelysin inhibitor that blocks cartilage degradation in rabbits. J Med Chem 40:2525–2532
O’Byrne EM, Parker DT, Roberts ED, et al (1995) Oral administration of a matrix metalloprotease inhibitor, CGS 27023A, protects the cartilage proteoglycan matrix in a partial meniscectomy model of osteoarthritis in rabbits. Inflamm Res 44S:S117–S118
O’Byrne E, Blancuzzi V, Singh HN, et al (1995) A matrix metalloprotease (MMP) inhibitor, CGS 27023A, in animal models of osteoarthritis. World Congress on Inflammation (abstract). Inflamm Res 44S3:W10/08.
Harrison R, Teahan J, Stein R (1989) A semicontinuous, high-performance liquid chromatography-based assay for stromelysin. Anal Biochem 180:110–113
Knight CG, Willenbrock F, Murphy G (1992) A novel coumarin-labelled peptide for sensitive continuous assays of the matrix metalloproteinases. FEBS 296:263–266
Goldberg RL, Parker D, MacPherson L, et al (1995) Intra-articular injection of stromelysin into rabbit knees as a model to evaluate matrix metalloprotease inhibitors. Inflamm Res 44S:2:S115–S116
O’Byrne EM, Blancuzzi V, Wilson DE, et al (1990) Elevated substance P and accelerated cartilage degradation in rabbit knees injected with interleukin-1 and tumor necrosis factor. Arthritis Rheum 33:1023–1028
Goldberg RL, Kolibas LM (1990) An improved method for the determination of proteoglycans synthesized by chondrocytes in culture. Connect Tissue Res 24:265–275
Farnesdale RW, Sayers CA, Barrett AJ (1982) A direct spectrophotometric microassay for sulfated glycosaminoglycans in cartilage cultures. Connect Tissue Res 9:247–248
Thonar EJ-M, Lenz ME, Klinsworth GK, et al (1985) Quantification of keratan sulfate in blood as a marker of cartilage metabolism. Arthritis Rheum 48:1367–1376
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1999 Springer-Verlag Tokyo
About this paper
Cite this paper
O’Byrne, E., Blancuzzi, V., Singh, H., MacPherson, L.J., Parker, D.T., Roberts, E.D. (1999). Chondroprotective Activity of a Matrix Metalloprotease Inhibitor, CGS 27023A, in Animal Models of Osteoarthritis. In: Tanaka, S., Hamanishi, C. (eds) Advances in Osteoarthritis. Springer, Tokyo. https://doi.org/10.1007/978-4-431-68497-8_13
Download citation
DOI: https://doi.org/10.1007/978-4-431-68497-8_13
Publisher Name: Springer, Tokyo
Print ISBN: 978-4-431-68499-2
Online ISBN: 978-4-431-68497-8
eBook Packages: Springer Book Archive