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An in vitro study of the effect of the optimal irrigation solution conditions during canine articular surgery

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Abstract

Objectives

To establish whether chondrocyte viability, matrix degradation and the induction of proteolytic gene expression in canine cartilage is independent of irrigation fluid osmolality and time following exposure to the irrigation fluid.

Methods

Canine cartilage explants were exposed to one of three different solution types i) Culture medium (270–280 mOsmol/kg) ii) NaCl 0.9% (302 mOsmol/kg) iii) NaCl 0.9% with sucrose (600 mOsmol/kg). Chondrocyte viability and selected proteolytic gene expression were measured at two time points; immediately following exposure and 24 h following exposure. The media samples at 24 h following exposure were assessed for sulphated glycosaminoglycan (sGAG) release.

Results

In all samples, no cell death was observed across the superficial or deeper layers of the cartilage. When adjusting for time, gene expression was not shown to be dependent on solution type. However for all solution types, Matrix Metalloproteinase 13 (MMP13) and A Disintegrin and Metalloproteinase with Thrombospondin Motifs 5 (ADAMTS5) expression was significantly decreased in cartilage samples at 24 h post exposure comparatively to samples tested immediately post exposure. No significant differences were identified in the relative sGAG release between the solution types.

Clinical Signifcance

Arthroscopic solution irrigation of cartilage explants had no effect on cell viability or proteinase production. At present there is no indication to optimise irrigation fluid osmolarity, as conventional arthroscopic solution was not deleterious to healthy cartilage in this model.

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References

  • Amin AK, Huntley JS, Bush PG, Simpson AH, Hall AC (2008) Osmolarity influences chondrocyte death in wounded articular cartilage. J Bone Joint Surg Am 90:1531–1542

    Article  Google Scholar 

  • Amin AK, Huntley JS, Hall AC (2010) Increasing the osmolarity of joint irrigation solutions may avoid injury to cartilage: a pilot study. Clin Orthop Relat Res 468:875–884

    Article  Google Scholar 

  • Amin AK, Huntley JS, Patton JT, Brenkel IJ, Simpson AHRW, Hall AC (2011) Hyperosmolarity protects chondrocytes from mechanical injury in human articular cartilage. An experimental report. The Journal of Bone and Joint Surgery [British Volume] 93:277–284

    Article  CAS  Google Scholar 

  • Baumgarten M, Bloebaum RD, Ross SD, Campbell P, Sarmiento A (1985) Normal human synovial fluid: osmolality and exercise-induced changes. J Bone Joint Surg Am 67(9):1336–1339

    Article  CAS  Google Scholar 

  • Benjamini Y, Hochberg Y (1995) Controlling the false discovery rate: a practical and powerful approach to multiple testing. J R Stat Soc Ser B 57(1):289–300

    Google Scholar 

  • Bulstra SK, Kuijer R, Eerdmans P et al (1994) The effect in vitro of irrigating solutions on intact rat articular cartilage. J Bone Joint Surg (Br) 76:468

    Article  CAS  Google Scholar 

  • Bush PG, Hodkinson PD, Hamilton GL, Hall AC (2005) Viability and volume of in situ bovine articular chondrocytes-changes following a single impact and effects of medium osmolarity. Osteoarthritis and cartilage. 13(1):54–65

    Article  Google Scholar 

  • Capito NM, Smith MJ, Stoker AM, Werner N, Cook JL (2015) Hyperosmolar irrigation compared with a standard solution in a canine shoulder arthroscopy model. J Shoulder Elb Surg 24(8):1243–1248

    Article  Google Scholar 

  • Clements DN, Fitzpatrick N, Carter SD, Day PJR (2009) Cartilage gene expression correlates with radiographic severity of canine elbow osteoarthritis. Vet J 179:211–218

    Article  CAS  Google Scholar 

  • Eltawil NM, Howie SEM, Simpson AHRW, Amin AK, Hall AC (2015) The use of hyperosmotic saline for chondroprotection: implications for orthopaedic surgery and cartilage repair. Osteoarthr Cartil 23:469–477

    Article  CAS  Google Scholar 

  • Farr J, Mathew LM, Stoker AM, Sherman SL, Cook JL (2015) Effects on exposed articular cartilage during open surgical procedures: a comparison of various fluids in an animal model. Arthroscopy 31(1):113–117

    Article  Google Scholar 

  • Glasson SS, Askew R, Sheppard B, Carito B, Blanchet T, Hak-Ling M, Flannery CR, Peluso D, Kanki K, Yang Z, Majumdar MK, Morris EA (2005) Deletion of active ADAMTS5 prevents cartilage degradation in a murine model of osteoarthritis. Nature 434:644

    Article  CAS  Google Scholar 

  • Gradinger R, Träger J, Klauser RJ (1995) Influence of various irrigation fluids on articular cartilage. Arthroscopy 11(3):263–269

    Article  CAS  Google Scholar 

  • Gulihar A, Bryson DJ, Taylor GJ (2013) Effects of different irrigation fluids on human articular cartilage: An in vitro study. Arthroscopy 29(2):251–256

    Article  Google Scholar 

  • Kevorkian L, Young DA, Darrah C, Donell ST, Shepstone L, Porter S, Brockbank SM, Edwards DR, Parker AE, Clark IM (2004) Expression profiling of metalloproteinases and their inhibitors in cartilage. Arthritis Rheum 50:131–141

    Article  CAS  Google Scholar 

  • Maccoux LJ, Clements DN, Salway F et al (2007) Identification of new reference genes for the normalisation of canine osteoarthritic joint tissue transcripts from microarray data. BMC Molecular Biology 8:62

    Article  Google Scholar 

  • Mitchell N, Shepard N (1989) The deleterious effects of drying on articular cartilage. J Bone Joint Surg Am 71:89–95

    Article  CAS  Google Scholar 

  • Shanfield S, Campbell P, Baumgarten M, Bloebaum R, Sarmiento A (1988) Synovial fluid osmolality in osteoarthritis and rheumatoid arthritis. Clin Orthop Relat Res 235:289–295

    Google Scholar 

  • Stoker AM, Cook JL, Kuroki K, Fox DB (2006) Site-specific analysis of gene expression in early osteoarthritis using the pond-Nuki model in dogs. J Orthop Surg Res 1:8

    Article  Google Scholar 

  • Urban JPG, Hall AC, Gehl KA (1993) Regulation of matrix synthesis rates by the ionic and osmotic environment of articular chondrocytes. J Cell Physiol 154:262–270

    Article  CAS  Google Scholar 

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Acknowledgements

The Roslin Institute is supported by an Institute Core Strategic Grant from the BBSRC.

Funding

This study was not funded.

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Contributions

All authors contributed to the design of the study, collected and analysed the data and drafted the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to E. Henderson.

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The authors declare that they have no competing interests.

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“All applicable international, national, and/or institutional guidelines for the care and use of animals were followed.”

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Supplementary Figure 1

Figure detailing the sample collection from each stifle joint. (PNG 13 kb)

High Resolution Image (TIF 13 kb)

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Henderson, E., Clements, D.N. & Johnson, C.I. An in vitro study of the effect of the optimal irrigation solution conditions during canine articular surgery. Vet Res Commun 44, 1–7 (2020). https://doi.org/10.1007/s11259-019-09765-9

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  • DOI: https://doi.org/10.1007/s11259-019-09765-9

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