Elsevier

Ageing Research Reviews

Volume 7, Issue 2, April 2008, Pages 106-113
Ageing Research Reviews

Review
Osteoarthritis in the context of ageing and evolution: Loss of chondrocyte differentiation block during ageing

https://doi.org/10.1016/j.arr.2007.10.001Get rights and content

Abstract

Ageing is the main risk factor of primary osteoarthritis (OA) and OA is the disease most strongly correlated with ageing. Both in humans and other animals OA development appears to be not strictly time-dependent but to hold pace with ageing processes. A characteristic of OA is deviant behaviour of chondrocytes in articular cartilage. These chondrocytes resemble terminal differentiated chondrocytes in growth plates and actively produce matrix degrading enzymes. The latter results in cartilage degeneration and eventually OA. We postulate that at a young age progression of chondrocyte differentiation is actively blocked in articular cartilage. This block declines when the evolutionary pressure to maintain this block, after reproductive life, is minimized. The loss of this differentiation block, maybe as a result of changes in chondrocyte TGF beta signalling, results in combination with normal joint loading in cartilage degeneration and OA.

Introduction

The only way to prevent ageing is an early death. With regard to ageing one has to separate theoretical life span from the actual life expectancy. Human life expectancy has increased tremendously from 20 up to 80 years in the western world but maximal life span has remained stable. The maximal life span of Homo sapiens is about 100–120 years and this has not changed over the years as far as is known. Given that life expectancy for most individuals has been short, age-related diseases were rare in the older days and only nowadays this is an exponentially increasing problem.

Ageing is any time related process. However, just because two processes occur in parallel this not necessarily implies a cause and effect relationship. The process of ageing is time-related and osteoarthritis is also time-related. Ageing is the risk factor most strongly related to osteoarthritis. However, whether ageing processes are responsible for OA development is not elucidated yet.

Section snippets

Evolution of ageing and senescence

Ageing and senescence have been for most individuals in human evolution a bridge to far. The expectation of human life at birth in early human history was only 20 years and in ancient Greece and the Roman Empire this was only 30–35 years, but it was long enough to allow for children to be born and for the populations to expand (Waterlow, 1989). Also many animal species show a short life expectancy in nature. In the wild, over 90% of mice die within their first year of life (Phelan and Austad,

Ageing and osteoarthritis

OA incidence appears to hold pace with life expectancy. Not only humans develop OA but many other animals have been reported to develop OA. OA has been reported in terrestrial mammalian species, such as elephants, dogs, mice but also in water-bound species like whales. Birds develop OA irrespective of their size and posture and also in reptiles, such as turtles, OA has been observed (Rothschild and Panza, 2006, Kessler et al., 1986, Harcourt, 1971). Animals with a long life expectancy (humans)

Ageing and maintenance of articular cartilage

Cartilage can be divided in temporary and permanent cartilage. Temporary cartilage is replaced by bone while permanent cartilage is inhibited to take this route under normal conditions. The default route of chondrocyte differentiation appears to be terminal differentiation ending with endochondral ossification (Szuts et al., 1998, Pacifici et al., 1990). In vitro chondrogenic differentiation of mesenchymal stem cells and chondrocytes precursors results in terminal differentiation as

Concluding remarks

Osteoarthritis has been termed Alzheimer of articular cartilage (Aigner et al., 2004). Both OA and Alzheimer's disease (AD) are highly age-associated diseases occurring in tissues with little repair capacity. Interesting, a remarkable relationship between reduced TGF-beta signaling and AD has been demonstrated (Tesseur and Wyss-Coray, 2006, Luo et al., 2006, Tesseur et al., 2006, Wyss-Coray, 2006, Das and Golde, 2006). Alzheimer's disease, characterized by progressive neurodegeneration, showed

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