Effects of low and high dose intraarticular tiludronate on synovial fluid and clinical variables in healthy horses—a preliminary investigation

To determine effects of intraarticularly administered tiludronate on articular cartilage in vivo, eight healthy horses were injected once with tiludronate (low dose tiludronate [LDT] 0.017 mg, n = 4; high dose tiludronate [HDT] 50 mg, n = 4) into one middle carpal joint and with saline into the cont...

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Main Authors: Katja F. Duesterdieck-Zellmer, Lindsey Moneta, Jesse F. Ott, Maureen K. Larson, Elena M. Gorman, Barbara Hunter, Christiane V. Löhr, Mark E. Payton, Jeffrey T. Morré, Claudia S. Maier
Format: Article
Language:English
Published: PeerJ Inc. 2014-09-01
Series:PeerJ
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Online Access:https://peerj.com/articles/534.pdf
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author Katja F. Duesterdieck-Zellmer
Lindsey Moneta
Jesse F. Ott
Maureen K. Larson
Elena M. Gorman
Barbara Hunter
Christiane V. Löhr
Mark E. Payton
Jeffrey T. Morré
Claudia S. Maier
author_facet Katja F. Duesterdieck-Zellmer
Lindsey Moneta
Jesse F. Ott
Maureen K. Larson
Elena M. Gorman
Barbara Hunter
Christiane V. Löhr
Mark E. Payton
Jeffrey T. Morré
Claudia S. Maier
author_sort Katja F. Duesterdieck-Zellmer
collection DOAJ
description To determine effects of intraarticularly administered tiludronate on articular cartilage in vivo, eight healthy horses were injected once with tiludronate (low dose tiludronate [LDT] 0.017 mg, n = 4; high dose tiludronate [HDT] 50 mg, n = 4) into one middle carpal joint and with saline into the contralateral joint. Arthrocentesis of both middle carpal joints was performed pre-treatment, and 10 min, 24 h, 48 h, 7 and 14 days after treatment. Synovial nucleated cell counts and total solids, tiludronate, sulfated glycosaminoglycan (sGAG), chondroitin sulfate 846 epitope (CS-846, a measure of aggrecan synthesis), and collagen type II cleavage neoepitope (C2C) concentrations were determined. Histologic analysis of joint tissues and sGAG quantitation in cartilage was performed at 14 days in HDT horses. Data were analyzed by repeated measures non-parametric ANOVA and Wilcoxon signed-rank test. High dose tiludronate administration produced synovial fluid tiludronate concentrations of 2,677,500 ng/mL, exceeding concentrations that were safe for cartilage in vitro, and LDT administration produced synovial fluid concentrations of 1,353 ng/mL, remaining below concentrations considered potentially detrimental to cartilage. With HDT, synovial fluid total solids concentration was higher at 24 h and 7 days and sGAG concentration was higher at 48 h, compared to control joints. Synovial fluid CS-846 concentration was increased over pre-treatment values in HDT control but not in HDT treated joints at 24 and 48 h. All joints (HDT and LDT control and treated) showed a temporary decrease in synovial fluid C2C concentration, compared to pre-treatment values. Histologic features of articular cartilage and synovial membrane did not differ between HDT treated and control joints. High dose tiludronate treatment caused a transient increase in synovial total solids and temporarily increased proteoglycan degradation in cartilage. Although clinical significance of these changes are questionable, as they did not result in articular cartilage damage, further investigation of the safety of intraarticular HDT in a larger number of horses is warranted.
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spelling doaj.art-890cc577551b437e836e3bf5905cae5a2023-12-03T10:52:39ZengPeerJ Inc.PeerJ2167-83592014-09-012e53410.7717/peerj.534534Effects of low and high dose intraarticular tiludronate on synovial fluid and clinical variables in healthy horses—a preliminary investigationKatja F. Duesterdieck-Zellmer0Lindsey Moneta1Jesse F. Ott2Maureen K. Larson3Elena M. Gorman4Barbara Hunter5Christiane V. Löhr6Mark E. Payton7Jeffrey T. Morré8Claudia S. Maier9Department of Clinical Sciences, College of Veterinary Medicine, Oregon State University, Corvallis, OR, USACollege of Veterinary Medicine, Oregon State University, Corvallis, OR, USADepartment of Clinical Sciences, College of Veterinary Medicine, Oregon State University, Corvallis, OR, USADepartment of Clinical Sciences, College of Veterinary Medicine, Oregon State University, Corvallis, OR, USADepartment of Biomedical Sciences, College of Veterinary Medicine, Oregon State University, Corvallis, OR, USADepartment of Clinical Sciences, College of Veterinary Medicine, Oregon State University, Corvallis, OR, USADepartment of Biomedical Sciences, College of Veterinary Medicine, Oregon State University, Corvallis, OR, USADepartment of Statistics, Oklahoma State University, Stillwater, OK, USADepartment of Chemistry, Oregon State University, Corvallis, OR, USADepartment of Chemistry, Oregon State University, Corvallis, OR, USATo determine effects of intraarticularly administered tiludronate on articular cartilage in vivo, eight healthy horses were injected once with tiludronate (low dose tiludronate [LDT] 0.017 mg, n = 4; high dose tiludronate [HDT] 50 mg, n = 4) into one middle carpal joint and with saline into the contralateral joint. Arthrocentesis of both middle carpal joints was performed pre-treatment, and 10 min, 24 h, 48 h, 7 and 14 days after treatment. Synovial nucleated cell counts and total solids, tiludronate, sulfated glycosaminoglycan (sGAG), chondroitin sulfate 846 epitope (CS-846, a measure of aggrecan synthesis), and collagen type II cleavage neoepitope (C2C) concentrations were determined. Histologic analysis of joint tissues and sGAG quantitation in cartilage was performed at 14 days in HDT horses. Data were analyzed by repeated measures non-parametric ANOVA and Wilcoxon signed-rank test. High dose tiludronate administration produced synovial fluid tiludronate concentrations of 2,677,500 ng/mL, exceeding concentrations that were safe for cartilage in vitro, and LDT administration produced synovial fluid concentrations of 1,353 ng/mL, remaining below concentrations considered potentially detrimental to cartilage. With HDT, synovial fluid total solids concentration was higher at 24 h and 7 days and sGAG concentration was higher at 48 h, compared to control joints. Synovial fluid CS-846 concentration was increased over pre-treatment values in HDT control but not in HDT treated joints at 24 and 48 h. All joints (HDT and LDT control and treated) showed a temporary decrease in synovial fluid C2C concentration, compared to pre-treatment values. Histologic features of articular cartilage and synovial membrane did not differ between HDT treated and control joints. High dose tiludronate treatment caused a transient increase in synovial total solids and temporarily increased proteoglycan degradation in cartilage. Although clinical significance of these changes are questionable, as they did not result in articular cartilage damage, further investigation of the safety of intraarticular HDT in a larger number of horses is warranted.https://peerj.com/articles/534.pdfCartilageHorseTiludronateBisphosphonateJoint injectionGlycosaminoglycans
spellingShingle Katja F. Duesterdieck-Zellmer
Lindsey Moneta
Jesse F. Ott
Maureen K. Larson
Elena M. Gorman
Barbara Hunter
Christiane V. Löhr
Mark E. Payton
Jeffrey T. Morré
Claudia S. Maier
Effects of low and high dose intraarticular tiludronate on synovial fluid and clinical variables in healthy horses—a preliminary investigation
PeerJ
Cartilage
Horse
Tiludronate
Bisphosphonate
Joint injection
Glycosaminoglycans
title Effects of low and high dose intraarticular tiludronate on synovial fluid and clinical variables in healthy horses—a preliminary investigation
title_full Effects of low and high dose intraarticular tiludronate on synovial fluid and clinical variables in healthy horses—a preliminary investigation
title_fullStr Effects of low and high dose intraarticular tiludronate on synovial fluid and clinical variables in healthy horses—a preliminary investigation
title_full_unstemmed Effects of low and high dose intraarticular tiludronate on synovial fluid and clinical variables in healthy horses—a preliminary investigation
title_short Effects of low and high dose intraarticular tiludronate on synovial fluid and clinical variables in healthy horses—a preliminary investigation
title_sort effects of low and high dose intraarticular tiludronate on synovial fluid and clinical variables in healthy horses a preliminary investigation
topic Cartilage
Horse
Tiludronate
Bisphosphonate
Joint injection
Glycosaminoglycans
url https://peerj.com/articles/534.pdf
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