Objective: This study was undertaken in order to study the expression of ty
pe VI collagen in normal and osteoarthritic human knee cartilage.
Methods: Seventy-two osteoarthritic cartilage/bone samples were obtained fo
rm 29 patients with primary OA undergoing surgery for a total knee replacem
ent. Normal cartilage was collected from five human knees at the time of au
topsy. Type VI collagen protein was localized using a polyclonal anti human
type VI collagen antibody, the corresponding mRNA was detected with an 310
base antisense probe, specific for the alpha 2(VI) collagen chain.
Results: In normal cartilage, type VI collagen protein is concentrated peri
cellularly around the chondrocytes of all cartilage zones. In the middle an
d deep zones, type VI collagen was also found in the interterritorial matri
x. Type VI collagen mRNA expression was detected in chondrocytes of all car
tilage zones. In moderately affected osteoarthritic cartilage, type VI coll
agen expression was increased. An intensive immunohistological interterrito
rial staining for type VI collagen was observed in the middle and deep cart
ilage zones. Specific mRNA signals were also increased especially in the mi
ddle and deep cartilage zone. In the superficial zone and calcified cartila
ge of these samples, type VI collagen mRNA expression was restricted to foc
al areas. In severe osteoarthritic cartilage, an intensive staining for typ
e VI collagen mRNA was found in clusters of proliferating chondrocytes and
in the deep cartilage zone. Type VI collagen was localized pericellularly a
nd in the matrix of chondrocyte clusters. Furthermore, chondrocytes from th
e deep zone showed a territorial distribution of type VI collagen.
Conclusions: These results demonstrate that in normal and osteoarthritic ca
rtilage, type VI collagen is expressed in a zone specific pattern. The obse
rved increase of type VI collagen expression in osteoarthritis suggests a p
otential role in the disease process.