S-47 Clinical and Experimental Rheumatology 2017
Departments of Pharmacology and
Anaesthesia, Pain Management &
Perioperative Medicine, Dalhousie
University, Halifax, Canada.
Melissa O’Brien*,
Holly T. Philpott*,
Jason J. McDougall,
*Co-frst authors
Please address correspondence to:
Dr Jason J. McDougall,
Departments of Pharmacology
and Anaesthesia, Pain Management
and Perioperative Medicine,
Dalhousie University,
5850 College Street,
Halifax, Nova Scotia, B3H 4R2, Canada.
E-mail: jason.mcdougall@dal.ca
Received and accepted on September 9,
2017.
Clin Exp Rheumatol 2017; 35 (Suppl. 107):
S47-S52.
© Copyright CliniCal and
ExpErimEntal rhEumatology 2017.
Key words: arthritis, animal models
of disease, ageing, animal behaviour,
electrophysiology, joint injury,
nervous system, neuropathic pain,
obesity.
Competing interests: none declared.
ABSTRACT
Osteoarthritis (OA) is the most preva-
lent musculoskeletal disease world-
wide. Chronic pain remains the fore-
most concern of OA patients and is
poorly controlled by available phar-
macotherapies. Current preclinical
research, which aims to develop anal-
gesics better suited for OA, is largely
dependent on animal models and labo-
ratory pain testing. This review sum-
marises commonly used small animal
models for studying experimental OA,
including their benefts and limitations.
Also discussed are a variety of vali-
dated methods for studying pain within
these models.
Introduction
Osteoarthritis (OA) is a multifaceted
musculoskeletal disease which affects
up to 50% of people aged 65 and over
worldwide (1). OA is characterised
by the inability of a damaged joint to
launch an effective healing response.
The foremost concern of OA patients is
the alleviation of chronic pain which is
not well controlled by current pharma-
cotherapies. The frst line drug therapy
for OA pain are the non-steroidal anti-
infammatory drugs (NSAIDs). While
these drugs are effective for acute pain,
their analgesic capacity diminishes for
the long-term treatment of OA pain
while their risk of causing adverse
side effects increases (2). The develop-
ment of highly targeted analgesics for
OA pain is crucial, but is hampered by
poorly understood mechanisms of OA
pain. To elucidate the pathogenesis of
OA pain further, translatable animal
models and valid pain assessment tech-
niques are required.
Animal models of osteoarthritis
Spontaneous models
• Dunkin Hartley spontaneous OA
Mice, rabbits, guinea pigs, dogs, sheep,
and horses naturally develop OA as
they age. The most commonly studied
of these animals is the Dunkin Hartley
guinea pig which exhibits spontaneous
OA that is remarkably similar to that in
humans. The earliest changes in joint
structure can be seen when animals are
approximately 3-months old and by
12-months to 2 years severe medial de-
generation of the knee joints are present
(3).
The relationship between joint dam-
age and nociception was elegantly ex-
plored in these animals using histopa-
thology and electrophysiology where
it was discovered that nociception did
not correlate with joint damage in this
model of OA (4). The beneft of using
this model is the natural progression of
OA with age, which is similar to the hu-
man condition. Limitations include the
long experimental time needed for OA
development which in turn elevates the
cost of experimentation. The lethargic
and obese nature of these animals also
precludes them for effective pain be-
havioural assessment.
• Obesity and arthritis
Obesity has been identifed as a major
risk factor for OA of the knee, but has
also been implicated in hip and hand
OA (5, 6). Obesity is associated with
a chronic infammatory state with the
overproduction of proinfammatory
molecules. In addition, overloading the
joints contributes to the pathogenesis
and progression of OA in these animals.
Griffn et al. examined various infam-
matory, biomechanical, and osteoar-
thritic changes in mice that were fed a
high-fat diet for 45 weeks. This high-fat
diet induced greater OA changes such
as increased proteoglycan loss, de-
creased musculoskeletal performance,
and hyperalgesia to a thermal stimulus
compared to control animals receiving
a normal diet (7). These studies also re-
vealed a correlation between severity of
knee osteoarthritis and serum levels of
leptin adiponectin, and IL-1α (7).
Often preclinical models do not inte-
grate risk factors and comorbidities, but
by using a diet-induced obesity model it
Understanding osteoarthritis pain through animal models
M. O’Brien, H.T. Philpott, J.J. McDougall