Objective. In vitro studies have indicated that levels of neutral metalloproteinases in osteoarthritic (OA) cartilage are elevated and that doxycycline (doxy) inhibits collagenolytic and gelatinolytic activity in extracts of OA cartilage. The purpose of the present study was to test the effect of oral doxy administration on the severity of cartilage degeneration in OA.Methods. OA was induced in 12 adult mongrel dogs by transection of the anterior cruciate ligament (ACL) 2 weeks after dorsal root ganglionectomy. Six dogs received doxy orally from the day after ACL transection until they were killed 8 weeks later; the other 6 served as untreated OA controls.Results. The unstable knee of each untreated dog exhibited extensive full-thickness cartilage ulceration of the medial femoral condyle. In sharp contrast, cartilage on the distal aspect of the femoral condyle of the unstable knee was grossly normal in 2 doxy-treated dogs, and exhibited only thinning andlor surface irregularity in the others. Degenerative cartilage lesions on the medial trochlear ridge, superficial fibrillation of the medial tibia1 plateau, and osteophytosis were, however, unaffected by doxy treatment. Collagenolytic activity and gelatinolytic activity in cartilage extracts from OA knees of untreated dogs were 5-fold and 4-fold greater, respectively, than in extracts from dogs given doxy.Conclusion. Prophylactic administration of doxy markedly reduced the severity of OA in weight-bearing regions of the medial femoral condyle. It remains to be determined whether administration of doxy after OA changes have developed is also effective.Tetracyclines inhibit the activity of neutral matrix metalloproteinases (MMPs) (1-3). This effect has been believed to be due, at least in part, to chelation of zinc and/or calcium (1,4), which maintain the normal structural conformation and hydrolytic activity of the MMPs (5).In osteoarthritis (OA), the activities of MMP-1 (collagenase), MMP-2 (gelatinase), and MMP-3 (stromelysin) in the degenerating cartilage are increased (6-8). We recently showed that doxycycline (doxy), in a concentration approximating that found in human serum after a 200-mg oral dose, inhibited type XI collagenolytic activity in homogenates of human OA cartilage (9). Doxy similarly inhibited the activity of purified kidney epithelial cell gelatinase, a metalloproteinase that yields digestion products from type XI collagen identical to those produced by the OA cartilage homogenates (9). In both cases, we showed that the inhibition could be overcome by addition of excess zinc or calcium. We now present evidence that oral administration of doxy ameliorates cartilage destruction in a canine model of experimentally induced OA.