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