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Chondroitin sulphate to indicate abnormal joint metabolism in asymptomatic osteochondritic hors
The diagnosis of osteochondrosis dissecans (OCD) and other joint diseases in horses an be extremly challengeing if the animals are asymptomatic, and thus alternative methods to evaluate the joint condition in asymptomatic may be useful. This new study investigates possible changes in synovial fluid composition that may lead to joint conditions in asymptomatic OCD, in mature horses.

Animals aged >2 years, of different breeds, with OCD in the intermediate ridge of distal tibia, symptomatic or not, were studied.

Synovial fluid samples (10 healthy; 11 asymptomatic OCD; 25 symptomatic OCD) were collected by arthroscopy from 29 horses.

Glycosaminoglycans (GAGs) were analysed by a combination of agarose gel electrophoresis and enzymatic degradation with specific GAG lyases. The viscosity, white blood cell (WBC) count, protein concentration and hyaluronic acid (HA) molecular weight were also determined.

Results: The method used here to analyse synovial fluid GAGs is reliable, reproducible and specific.

The main synovial fluid GAGs are HA and chondroitin sulphate (CS), 93% and 7% respectively in normal horses.

In symptomatic OCD, the concentrations of both increased (expressed as GAG/urea ratios), but CS increased more.

The CS increased also in asymptomatic OCD.

An inflammatory reaction was suggested by the increased WBC counts in OCD.

The molecular weight of the synovial fluid HA was reduced in OCD, explaining the lower viscosity observed.

Conclusions: The increased CS in synovial fluid of OCD joints in mature horses suggests that the synovial fluid CS and the WBC count are good markers of the joint conditions, allowing the identification of pathological phase in joint diseases.

Potential relevance: The analysis of synovial fluid GAGs shows that cartilage damage occurs even in asymptomatic OCD, implying that arthroscopic removal of osteochondral fragments should be performed even in asymptomatic OCD.

Source: MACHADO, T. S. L., CORREIA da SILVA, L. C. L., BACCARIN, R. Y. A. and MICHELACCI, Y. M. (2012), Synovial fluid chondroitin sulphate indicates abnormal joint metabolism in asymptomatic osteochondritic horses. Equine Veterinary Journal, 44: 404–411. doi: 10.1111/j.2042-3306.2011.00539.x





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