The relative concentrations of chondroitin 4-and chondroitin &sulfate in different normal human cartilages are reported. Articular cartilages contained higher concentrations of chondroitin &sulfate, whereas growth cartilages contained nearly equal amounts of chondroitin 4-and chondroitin 6sulfate. Adult cartilages, in which the calcification process is already complete, contained only chondroitin &sulfate. The results suggest that chondroitin h u l f a t e is related to the integrity of the articular surfaces, whereas chondroitin 4-sulfate seems to be an important factor in the calcification process. The pathogenesis of the bone and cartilage alterations that occur in patients affected by heritable disorders of the sulfation of chondroitin sulfate are discussed in view of these findings.The various functions of cartilages include providing frameworks that direct the growth of bones (growth cartilages) and providing a covering for the articular surfaces of bones (articular cartilages) in order to withstand compressive loads and to enable the bones to slide smoothly against each other. Among the macromolecular components of cartilages, both collagen and a component of the proteoglycan molecules (namely, glycosaminoglycan) are known to be responsible for the tensile strength and the resilience of the articular cartilages, and are known to be involved in the ossification process that occurs in the growth cartilages (1,2).In the last decade, several groups of workers have reported changes in the concentration of cartilaginous glycosaminoglycans under normal and pathologic conditions. For example, several authors have reported changes in the relative proportions of chondroitin 4-and chondroitin 6-sulfate in human epiphyseal cartilages with aging and arthrosis (3,4), differences in the molecular weight of chondroitin sulfates obtained from articular and subarticular cartilages (9, and an increase in the concentration of keratan sulfate in articular cartilage with aging (4,6).This report details the relative concentrations of chondroitin 4-and chondroitin 6-sulfate in different normal human cartilages obtained from infants and adults. The results allow an extensive discussion about modifications that occur in the cartilages of patients affected by heritable disorders of the biosynthesis of chondroitin sulfate.
PATIENTS AND METHODS