Collagen XII Deficiency Increases the Risk of Anterior Cruciate Ligament Injury in Mice

Anterior cruciate ligament (ACL) rupture is a common knee injury for athletes. Although surgical reconstruction is recommended for the treatment of ACL ruptures, 100% functional recovery is unlikely. Therefore, the discovery of risk factors for ACL ruptures may prevent injury. Several studies have r...

Full description

Bibliographic Details
Main Authors: Shin Fukusato, Masashi Nagao, Kei Fujihara, Taiju Yoneda, Kiyotaka Arai, Manuel Koch, Kazuo Kaneko, Muneaki Ishijima, Yayoi Izu
Format: Article
Language:English
Published: MDPI AG 2021-09-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/10/18/4051
_version_ 1797518767276687360
author Shin Fukusato
Masashi Nagao
Kei Fujihara
Taiju Yoneda
Kiyotaka Arai
Manuel Koch
Kazuo Kaneko
Muneaki Ishijima
Yayoi Izu
author_facet Shin Fukusato
Masashi Nagao
Kei Fujihara
Taiju Yoneda
Kiyotaka Arai
Manuel Koch
Kazuo Kaneko
Muneaki Ishijima
Yayoi Izu
author_sort Shin Fukusato
collection DOAJ
description Anterior cruciate ligament (ACL) rupture is a common knee injury for athletes. Although surgical reconstruction is recommended for the treatment of ACL ruptures, 100% functional recovery is unlikely. Therefore, the discovery of risk factors for ACL ruptures may prevent injury. Several studies have reported an association between polymorphisms of the collagen XII gene <i>COL12A1</i> and ACL rupture. Collagen XII is highly expressed in tendons and ligaments and regulates tissue structure and mechanical property. Therefore, we hypothesized that collagen XII deficiency may cause ACL injury. To elucidate the influence of collagen XII deficiency on ACL, we analyzed a mouse model deficient for <i>Col12a1</i>. Four- to 19-week-old male <i>Col12a1</i><sup>-/-</sup> and wild-type control mice were used for gait analysis; histological and immunofluorescent analysis of collagen XII, and real-time RT-PCR evaluation of <i>Col12a1</i> mRNA expression. The <i>Col12a1</i><sup>-/-</sup> mice showed an abnormal gait with an approximately 2.7-fold increase in step angle, suggesting altered step alignment. <i>Col12a1</i><sup>-/-</sup> mice displayed 20–60% ACL discontinuities, but 0% discontinuity in the posterior cruciate ligament. No discontinuities in knee ligaments were found in wild-type mice. Collagen XII mRNA expression in the ACL tended to decrease with aging. Our study demonstrates for the first time that collagen XII deficiency increases the risk of ACL injury.
first_indexed 2024-03-10T07:34:15Z
format Article
id doaj.art-ceba4bc1159c4e6db79e4a802199a532
institution Directory Open Access Journal
issn 2077-0383
language English
last_indexed 2024-03-10T07:34:15Z
publishDate 2021-09-01
publisher MDPI AG
record_format Article
series Journal of Clinical Medicine
spelling doaj.art-ceba4bc1159c4e6db79e4a802199a5322023-11-22T13:38:43ZengMDPI AGJournal of Clinical Medicine2077-03832021-09-011018405110.3390/jcm10184051Collagen XII Deficiency Increases the Risk of Anterior Cruciate Ligament Injury in MiceShin Fukusato0Masashi Nagao1Kei Fujihara2Taiju Yoneda3Kiyotaka Arai4Manuel Koch5Kazuo Kaneko6Muneaki Ishijima7Yayoi Izu8Department of Medicine for Orthopaedics and Motor Organs, Juntendo University Graduate School of Medicine, 2-1-1 Hongo, Bunkyo-Ku, Tokyo 113-8421, JapanDepartment of Medicine for Orthopaedics and Motor Organs, Juntendo University Graduate School of Medicine, 2-1-1 Hongo, Bunkyo-Ku, Tokyo 113-8421, JapanDepartment of Laboratory Animal Science, Faculty of Veterinary Science, Okayama University of Science, 1-3 Ikoinooka, Imabari 794-8555, JapanDepartment of Laboratory Animal Science, Faculty of Veterinary Science, Okayama University of Science, 1-3 Ikoinooka, Imabari 794-8555, JapanDepartment of Veterinary Surgery, Faculty of Veterinary Science, Okayama University of Science, 1-1 Ridai-cho, Kita-ku, Okayama 700-0005, JapanInstitute for Dental Research and Oral Musculoskeletal Biology and Center for Biochemistry, Medical Faculty, University of Cologne, D-50931 Cologne, GermanyDepartment of Medicine for Orthopaedics and Motor Organs, Juntendo University Graduate School of Medicine, 2-1-1 Hongo, Bunkyo-Ku, Tokyo 113-8421, JapanDepartment of Medicine for Orthopaedics and Motor Organs, Juntendo University Graduate School of Medicine, 2-1-1 Hongo, Bunkyo-Ku, Tokyo 113-8421, JapanDepartment of Laboratory Animal Science, Faculty of Veterinary Science, Okayama University of Science, 1-3 Ikoinooka, Imabari 794-8555, JapanAnterior cruciate ligament (ACL) rupture is a common knee injury for athletes. Although surgical reconstruction is recommended for the treatment of ACL ruptures, 100% functional recovery is unlikely. Therefore, the discovery of risk factors for ACL ruptures may prevent injury. Several studies have reported an association between polymorphisms of the collagen XII gene <i>COL12A1</i> and ACL rupture. Collagen XII is highly expressed in tendons and ligaments and regulates tissue structure and mechanical property. Therefore, we hypothesized that collagen XII deficiency may cause ACL injury. To elucidate the influence of collagen XII deficiency on ACL, we analyzed a mouse model deficient for <i>Col12a1</i>. Four- to 19-week-old male <i>Col12a1</i><sup>-/-</sup> and wild-type control mice were used for gait analysis; histological and immunofluorescent analysis of collagen XII, and real-time RT-PCR evaluation of <i>Col12a1</i> mRNA expression. The <i>Col12a1</i><sup>-/-</sup> mice showed an abnormal gait with an approximately 2.7-fold increase in step angle, suggesting altered step alignment. <i>Col12a1</i><sup>-/-</sup> mice displayed 20–60% ACL discontinuities, but 0% discontinuity in the posterior cruciate ligament. No discontinuities in knee ligaments were found in wild-type mice. Collagen XII mRNA expression in the ACL tended to decrease with aging. Our study demonstrates for the first time that collagen XII deficiency increases the risk of ACL injury.https://www.mdpi.com/2077-0383/10/18/4051collagen XIIACL injuryrisk factor
spellingShingle Shin Fukusato
Masashi Nagao
Kei Fujihara
Taiju Yoneda
Kiyotaka Arai
Manuel Koch
Kazuo Kaneko
Muneaki Ishijima
Yayoi Izu
Collagen XII Deficiency Increases the Risk of Anterior Cruciate Ligament Injury in Mice
Journal of Clinical Medicine
collagen XII
ACL injury
risk factor
title Collagen XII Deficiency Increases the Risk of Anterior Cruciate Ligament Injury in Mice
title_full Collagen XII Deficiency Increases the Risk of Anterior Cruciate Ligament Injury in Mice
title_fullStr Collagen XII Deficiency Increases the Risk of Anterior Cruciate Ligament Injury in Mice
title_full_unstemmed Collagen XII Deficiency Increases the Risk of Anterior Cruciate Ligament Injury in Mice
title_short Collagen XII Deficiency Increases the Risk of Anterior Cruciate Ligament Injury in Mice
title_sort collagen xii deficiency increases the risk of anterior cruciate ligament injury in mice
topic collagen XII
ACL injury
risk factor
url https://www.mdpi.com/2077-0383/10/18/4051
work_keys_str_mv AT shinfukusato collagenxiideficiencyincreasestheriskofanteriorcruciateligamentinjuryinmice
AT masashinagao collagenxiideficiencyincreasestheriskofanteriorcruciateligamentinjuryinmice
AT keifujihara collagenxiideficiencyincreasestheriskofanteriorcruciateligamentinjuryinmice
AT taijuyoneda collagenxiideficiencyincreasestheriskofanteriorcruciateligamentinjuryinmice
AT kiyotakaarai collagenxiideficiencyincreasestheriskofanteriorcruciateligamentinjuryinmice
AT manuelkoch collagenxiideficiencyincreasestheriskofanteriorcruciateligamentinjuryinmice
AT kazuokaneko collagenxiideficiencyincreasestheriskofanteriorcruciateligamentinjuryinmice
AT muneakiishijima collagenxiideficiencyincreasestheriskofanteriorcruciateligamentinjuryinmice
AT yayoiizu collagenxiideficiencyincreasestheriskofanteriorcruciateligamentinjuryinmice