Consequences of metabolic and oxidative modifications of cartilage tissue

John A Hardin1, Neil Cobelli1, Laura Santambrogio2

  • 1Department of Orthopedic Surgery, Montefiore Medical Centre, 1250 Waters Place, New York, NY 10467, USA.

Insights

Protein modifications like glycation and carbonylation are early signs of metabolic diseases and oxidative stress. These changes in cartilage proteins compromise joint structure and function, impacting overall bio-performance.

Area of Science:

  • Biochemistry
  • Biomaterials Science
  • Pathology

Background:

  • Chronic metabolic diseases (e.g., diabetes, metabolic syndrome) and oxidative stress are linked to extensive protein post-translational modifications.
  • These modifications, including glycation, glycoxidation, carbonylation, and nitrosylation, are found on structural cartilage proteins.

Purpose of the Study:

  • To investigate the impact of protein post-translational modifications on cartilage structure and function.
  • To understand the role of these modifications in the pathogenesis of joint and intervertebral disc degeneration.

Main Methods:

  • Analysis of protein modifications in cartilage from affected joints and intervertebral discs.
  • Assessment of the effects of modifications on protein folding, aggregation, and cartilage microanatomy.
  • Evaluation of the impact on matrix degradation and cartilage viscoelasticity.

Main Results:

  • Detected extensive protein modifications (glycation, glycoxidation, carbonylation, nitrosylation) on structural cartilage proteins.
  • Observed that these modifications affect protein folding and induce aggregation, leading to microanatomical changes in the proteoglycan-collagen network.
  • Demonstrated that modifications promote oxidative cleavage and enzymatic matrix degradation.

Conclusions:

  • Biochemical changes in proteins are an early event in cartilage degeneration.
  • These modifications compromise cartilage organization and viscoelasticity, impairing its ability to sustain pressure.
  • Protein post-translational modifications significantly affect cartilage bio-performance in metabolic diseases and oxidative stress conditions.

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