Gd. Jay et Cj. Cha, The effect of phospholipase digestion upon the boundary lubricating ability of synovial fluid, J RHEUMATOL, 26(11), 1999, pp. 2454-2457
Objective. To identify the boundary lubricant in synovial fluid (SF). Is sy
novial lubrication mediated by surface active phospholipid as opposed to mu
cinous glycoprotein?
Methods. A sonicated preparation of phosphatidylcholine and bovine SF were
tested in vitro in a bearing of latex oscillating against polished glass un
der a load of 0.35 x 10(6) N/m(2). The friction apparatus isolates conditio
ns of boundary lubrication and has been validated against a cartilaginous b
earing. Coefficient of friction (mu) was measured and compared against mu f
rom physiologic saline, which served as a control. Separate digestions were
carried out upon the SF with trypsin, phospholipase C, and phospholipase A
(2) in the presence and absence of proteolytic inhibitors.
Results, Digestions of bovine SF by phospholipase C in the presence of prot
ease inhibitors did not remove boundary lubricating ability compared to an
undigested control (p = 0.89). Digestion of bovine SF with trypsin removed
all lubricating ability and raised friction (p = 0.004). Commercial purifie
d phospholipase C contained trypsin-like activity when activity was tested
with N alpha-benzoyl-L-arginine ethyl ester as substrate. Similar results w
ere observed for phospholipase A(2), which possesses a lower amount of tryp
sin activity.
Conclusion, The results indicate that phospholipid does not play a prominen
t role in synovial fluid's ability to lubricate an artificial bearing. Rath
er, the boundary lubricating ability of SF is attributable to lubricin, a m
ucinous glycoprotein.