SAGE-Hindawi Access to Research
Journal of Tissue Engineering
Volume 2011, Article ID 587547, 10 pages
doi:10.4061/2011/587547
Research Article
The Constitutive Expression of Type X Collagen in Mesenchymal
Stem Cells from Osteoarthritis Patients Is Reproduced in a Rabbit
Model of Osteoarthritis
Fackson Mwale,
1, 2
Sonia Rampersad,
2
H´ el` ene Richard,
3
Yao Guoying,
2
Sora Al Rowas,
2
Padma Madiraju,
2
John Antoniou,
1, 2
and Sheila Laverty
3
1
Division of Orthopaedic Surgery, McGill University, Montreal, Quebec, Canada H3H 2P2
2
Lady Davis Institute for Medical Research, SMBD—Jewish General Hospital, 3755 Chemin de la Cˆ ote Ste-Catherine,
Montreal, Quebec, Canada H3T 1E2
3
Comparative Orthopaedic Research Laboratory, Faculty of Veterinary Medicine, University of Montreal, Saint Hyacinthe,
Quebec, Canada J2S 7C6
Correspondence should be addressed to Fackson Mwale, fmwale@ldi.jgh.mcgill.ca
Received 21 April 2011; Accepted 18 June 2011
Academic Editor: Alastair J. Sloan
Copyright © 2011 Fackson Mwale et al. This is an open access article distributed under the Creative Commons Attribution
License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly
cited.
The expression of type X collagen (COL X), a late-stage chondrocyte hypertrophy marker in human mesenchymal stem cells
(MSCs) from osteoarthritis (OA) patients poses a major setback to current cartilage and intervertebral disc tissue engineering
efforts. However, it is not yet clear whether COL X is expressed by all human bone marrow stem cells or if it is related to age, gender,
site, disease status, or drug therapy. In the current study, we report that COL X expression is upregulated in MSCs from rabbits in
a surgical instability model of OA (anterior cruciate ligament transection (ACLT)) when compared to control rabbit MSCs. Thus
COL X expression in OA is a common phenomenon that is due to the disease process itself and not to other environmental factors.
It is, therefore, critical to understand MSC phenotype in OA patients, as these cells are essential clinically for biological repair of
cartilage lesions using autologous stem cells.
1. Introduction
Osteoarthritis (OA) is characterized by a slow degeneration
of articular cartilage and subchondral bone [1, 2]. At the
molecular level, degradation of type II collagen (COL II)
and proteoglycan components of the extracellular matrix
occurs resulting in a loss of both the tensile and compressive
strength of articular cartilage [1, 3, 4]. The incidence of OA
increases progressively with age [5] and is viewed as an age-
related dynamic reaction pattern of a joint in response to
insult or injury. Many authors have reported evidence for
chondrocyte differentiation in OA including proliferation,
cell cloning, expression of type X collagen (COL X) [6],an-
nexins and alkaline phosphatase, parathyroid-hormone-re-
lated peptide, matrix calcification, and apoptotic cell death
of the terminally differentiated chondrocytes. These cellular
changes are also observed in the growth platewhenthegrowth
cartilage is converted intobone(endochondralossification)
[7]. In line with these findings, we recently identified calcium
deposits and COL X in degenerative and scoliotic interverte-
bral discs (IVD), but not in control discs, and the level of the
indicators of calcification potential was consistently higher in
degenerative and scoliotic discs than in control discs [8]. If
the biological repair of cartilage and IVD is to become a real-
ity, calcification or subsequent bone formation of engineered
tissues has to be avoided.
COL X, a short-chain collagen was first isolated from
chick hypertrophic chondrocytes and is a specific marker
for hypertrophic chondrocytes of the growth plate, the final
stage before cartilage is converted to bone [9]. It is synthe-
sized and secreted prior to calcification and interacts with
fibrils of COL II throughout the cartilage matrix [10]. It was