Objective. Our previous research demonstrated that, in contrast to normal chondrocytes, human osteoarthritic (OA) chondrocytes were hyporesponsive to stimulation by insulin-like growth factor 1 (IGF-1). The aim of the present investigation was to examine whether this finding was due to an alteration in the level of IGF receptors (IGFRs) and/or IGF binding proteins (IGFBP).Methods. A quantitative reverse transcriptase polymerase chain reaction technique (RT-PCR) was used to measure the type 1 IGFR messenger RNA (mRNA) level, and Northern blotting was used to measure type 2 IGFR and IGFBP mRNA levels. Western immunoblotting was used to identify and measure IGFBP levels.Results. There were similar levels of type 1 IGFR mRNA in normal and OA chondrocytes. The level of type 2 IGFR mRNA, in which an increased amount of which can interfere with the biologic effects of IGF-1, was lower in OA chondrocytes compared with normal chondrocytes. Articular chondrocytes produced IGFBP-2, IGFBP-3, and IGFBP-4, and OA chondrocytes secreted and expressed higher amounts than did normal chondrocytes. There was also an increased level of IGFBP-3Supported by grants from The Arthritis Society. Ginette Tardif, PhD, Pascal Reboul, PhD, Jean-Pierre Pelletier, MD, Changshan Geng, PhD, Jean-Marie Cloutier, MD, Johanne Martel-Pelletier, PhD: University of Montreal, and Louis-Charles Simard Research Center, Notre-Dame Hospital, Montreal, Quebec, Canada.Drs. Tardif and Reboul had an equal scientific input in the realization of this study.Address reprint requests to Johanne Martel-Pelletier, PhD, Rheumatic Disease Unit, Notre-Dame Hospital, 1560 Sherbrooke Street East, Montreal, Quebec, H2L 4K8, Canada.Submitted for publication September 13, 1995; accepted in revised form January 17, 1996. in the OA chondrocyte lysates. IGFBPs 1,5, and 6 were not detectable.Conclusion. OA chondrocytes synthesize and express a larger amount of 3 IGFBPs. This observation, along with a lack of detectable change in type 1 IGFR mRNA level, suggests that the hyporesponsiveness of OA chondrocytes to IGF-1 might implicate the involvement of IGFBPs in this pathologic process.Osteoarthritis (OA) is characterized by a progressive degeneration and erosion of the cartilage, and it results from a failure of the chondrocyte to maintain the balance between synthesis and degradation of the extracellular matrix. The pathologic changes are related, depending on the stage of the disease, to a combination of both a degradation of the main components of the matrix and/or a decrease in the synthesis and/or quality of the matrix macromolecules (1). Among the constituents that play a role in the mechanism of cartilage repair are growth factors, such as insulin-like growth factor 1 (IGF-1) (2,3). This growth factor enhances the synthesis of collagen and proteoglycan (2-5). There is also evidence that it could play a role in the pathogenesis of OA. This was shown both in vitro, where IGF-1 was found to reduce interleukin-1 (IL-1)-stimulated cartilage degradation (6), and in vivo in an ...