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Targeting mitochondrial responses to intra-articular fracture to prevent posttraumatic osteoarthritis
Journal article   Open access   Peer reviewed

Targeting mitochondrial responses to intra-articular fracture to prevent posttraumatic osteoarthritis

Mitchell C Coleman, Jessica E Goetz, Marc J Brouillette, Dongrim Seol, Michael C Willey, Emily B Petersen, Nathan R Hendrickson, Jocelyn Compton, Behnoush Khorsand, Angie S Morris, …
Science Translational Medicine, Vol.10(427), p.eaan5372
2018
DOI: 10.1126/scitranslmed.aan5372
PMCID: PMC5987523
PMID: 29437147
url
https://doi.org/10.1126/scitranslmed.aan5372View
Published (Version of record) Open Access

Abstract

We tested whether inhibiting mechanically responsive articular chondrocyte mitochondria after severe traumatic injury and preventing oxidative damage represent a viable paradigm for posttraumatic osteoarthritis (PTOA) prevention. We used a porcine hock intra-articular fracture (IAF) model well suited to human-like surgical techniques and with excellent anatomic similarities to human ankles. After IAF, amobarbital or N-acetylcysteine (NAC) was injected to inhibit chondrocyte electron transport or downstream oxidative stress, respectively. Effects were confirmed via spectrophotometric enzyme assays or glutathione/glutathione disulfide assays and immunohistochemical measures of oxidative stress. Amobarbital or NAC delivered after IAF provided substantial protection against PTOA at 6 months, including maintenance of proteoglycan content, decreased histological disease scores, and normalized chondrocyte metabolic function. These data support the therapeutic potential of targeting chondrocyte metabolism after injury and suggest a strong role for mitochondria in mediating PTOA.

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