Objectives
Aging is a main risk factor for osteoarthritis (OA), the most prevalent musculoskeletal disorder. Defects in autophagy, an essential cellular homeostasis mechanism, have recently been observed in OA articular cartilage. The objectives of this study were to establish the constitutive level of autophagy activation in normal cartilage and monitor the temporal relationship of changes in autophagy and aging-related cartilage degradation.
Methods
In GFP-LC3 transgenic mice, GFP-LC3 is ubiquitously expressed, and the accumulation of GFP puncta, representing autophagosomes, was quantified by confocal microscopy as a measure of autophagy activation. Expression of the autophagy proteins Atg5 and LC3 was analyzed by immunohistochemistry. Cartilage cellularity, apoptotic cell death and cartilage structural damage and changes in synovium and bone were examined by histology and immunohistochemistry.
Results
Basal autophagy activation was detected in young (6 months) mouse liver and knee articular cartilage, with higher levels in cartilage than in liver in the same animals. In aged 28 months old mice, there was a statistically significant reduction in the total number of autophagic vesicles per cell (P < 0.01) and in the total area of vesicles per cell (P < 0.01) compared to young 6 months old mice in articular cartilage. With increasing age, the expression of Atg5 and LC3 decreased, followed by a reduction in cartilage cellularity and an increase in the apoptosis marker PARP p85. Cartilage structural damage progressed in an age-dependent manner, subsequent to autophagy changes.
Conclusions
Autophagy is constitutively activated in normal cartilage. This is compromised with aging and precedes cartilage cell death and structural damage.