Chinese Journal of Tissue Engineering Research ›› 2024, Vol. 28 ›› Issue (20): 3170-3175.doi: 10.12307/2024.353

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Cartilage protective effect of swimming exercise in aged mice with knee osteoarthritis

Zhu Shijie1, Yang Yiting1, Cao Yuting1, Zheng Liangdong1, Lin Kaili2, Zhu Rui1   

  1. 1School of Medicine, Yangzhi Rehabilitation Hospital, Tongji University, Shanghai 200092, China; 2Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China
  • Received:2023-04-18 Accepted:2023-06-15 Online:2024-07-18 Published:2023-09-09
  • Contact: Zhu Rui, MD, Associate professor, School of Medicine, Yangzhi Rehabilitation Hospital, Tongji University, Shanghai 200092, China
  • About author:Zhu Shijie, Master candidate, School of Medicine, Yangzhi Rehabilitation Hospital, Tongji University, Shanghai 200092, China
  • Supported by:
    National Key Research and Development Program, No. 2020YFC2008703 (to ZR)

Abstract: BACKGROUND: Swimming is an important non-pharmacological treatment for knee osteoarthritis, which can effectively alleviate the disease. However, the effect and mechanism of swimming on senile knee osteoarthritis are still unclear.
OBJECTIVE: To investigate the effect of swimming exercise on the articular cartilage of aged mice with knee osteoarthritis.
METHODS: Six 3-month-old male C57BL/6 mice were selected as the young group, and twelve 18-month-old male C57BL/6 mice were randomized into the aged group and the swimming group, with six mice in each group. Mice in the swimming group received adaptive swimming for 1 week and formal swimming for 8 weeks. After the intervention, stride length analysis and sampling were performed in each group. The total number of leukocytes and lymphocytes in peripheral blood was detected by blood routine examinations. The morphology of the articular cartilage was observed by hematoxylin-eosin and safranin O-fast green staining. Chondrocyte counts and the modified Mankin’s score were used to evaluate the degree of articular cartilage damage. The protein and mRNA expressions of type II collagen, aggrecan and matrix metalloproteinase 13 in articular cartilage were detected by immunohistochemical staining and RT-qPCR. 
RESULTS AND CONCLUSION: Compared with the young group, the mice in the aged group showed significantly decreased stride length (P < 0.05), significantly increased numbers of peripheral leukocytes and lymphocytes (P < 0.05), significantly decreased count of chondrocytes (P < 0.05), significantly increased modified Mankin’s score (P < 0.05), significantly decreased protein and mRNA expression of type II collagen and aggreca (P < 0.05), and significantly increased matrix metalloproteinase 13 expression (P < 0.05). Moreover, hematoxylin-eosin and safranin O-fast green staining showed the uneven surface of the articular cartilage, abnormal chondrocytes, and proteoglycan loss in the aged group. Compared with the aged group, swimming exercise significantly improved the stride length of mice (P < 0.05), decreased the count of peripheral blood lymphocytes (P < 0.05), increased the count of chondrocytes (P < 0.05), decreased the modified Mankin’s score (P < 0.05), increased the protein and mRNA expression of type II collagen and aggrecan (P < 0.05), and decreased the expression of matrix metalloproteinase 13 (P < 0.05). Hematoxylin-eosin and safranin O-fast green staining showed that the articular surface of mice in the swimming group was smooth, chondrocytes were normal, and proteoglycan loss was less. All these findings indicate that swimming exercise can reduce the number of inflammatory cells in the blood of aged mice, improve articular chondrocytes, matrix composition and cartilage tissue morphology; thus, it has a protective effect on the cartilage of aged mice with knee osteoarthritis.

Key words: swimming exercise, elderly, knee osteoarthritis, cartilage protection, extracellular matrix

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