Statins and fibrates do not affect development of spontaneous cartilage damage in STR/Ort mice

W Wei1, S Clockaerts2, Y M Bastiaansen-Jenniskens1

  • 1Department of Orthopaedics, Erasmus MC University Medical Center, Rotterdam, The Netherlands.

Abstract

Insights

Statins and fibrates did not prevent osteoarthritis (OA) development in mice. Fenofibrates affected body weight, inflammation markers, and bone structure, but not cartilage damage in this OA model.

Area of Science:

  • Biochemistry
  • Pharmacology
  • Orthopedics

Background:

  • Osteoarthritis (OA) is a degenerative joint disease with limited treatment options.
  • Statins and fibrates are known to improve metabolic profiles and reduce inflammation, suggesting potential OA therapeutic benefits.
  • The STR/Ort mouse model spontaneously develops OA, making it suitable for investigating preventative strategies.

Purpose of the Study:

  • To evaluate the efficacy of simvastatin and fenofibrate, alone or in combination, in preventing osteoarthritis development.
  • To assess the impact of these drugs on metabolic and inflammatory markers, cartilage integrity, and subchondral bone structure in the STR/Ort mouse model.

Main Methods:

  • Male STR/Ort mice were administered control diet, simvastatin, fenofibrate, or a combination for 16 weeks.
  • Serum analysis included metabolic and inflammatory markers (e.g., SAA, IL-1α, MIP1α).
  • Histological grading assessed cartilage damage, and micro-computed tomography (μCT) analyzed subchondral bone plate morphology.

Main Results:

  • Simvastatin showed no significant effect on OA parameters.
  • Fenofibrate treatment led to reduced body weight and lower serum amyloid A (SAA) levels, but increased Interleukin (IL)-1α and MIP1α.
  • While fenofibrate altered subchondral bone plate volume, it did not significantly reduce cartilage damage. Combination therapy also lowered body weight and SAA.
  • Correlations were observed between body weight, SAA levels, synovium cell layers, subchondral bone plate changes, and cartilage damage.

Conclusions:

  • Neither statins nor fibrates demonstrated a preventive effect on cartilage damage in the STR/Ort spontaneous OA mouse model.
  • Fenofibrates influenced body weight, serum inflammatory markers, and subchondral bone plate morphology, but not OA progression.
  • Further research is needed to explore the complex interplay between metabolic factors, inflammation, bone structure, and cartilage degeneration in OA.