Glycophenotyping of osteoarthritic cartilage and chondrocytes by RT-qPCR, mass spectrometry, histochemistry with plant/human lectins and lectin localization with a glycoprotein
© Toegel et al.; licensee BioMed Central Ltd. 2013
Received: 3 May 2013
Accepted: 12 September 2013
Published: 4 October 2013
This study aimed to characterize the glycophenotype of osteoarthritic cartilage and human chondrocytes.
Articular knee cartilage was obtained from nine osteoarthritis (OA) patients. mRNA levels for 27 glycosyltransferases were analyzed in OA chondrocytes using RT-qPCR. Additionally, N- and O-glycans were quantified using mass-spectrometry. Histologically, two cartilage areas with Mankin scores (MS) either ≤4 or ≥9 were selected from each patient representing areas of mild and severe OA, respectively. Tissue sections were stained with (1) a selected panel of plant lectins for probing into the OA glycophenotype, (2) the human lectins galectins-1 and -3, and (3) the glycoprotein asialofetuin (ASF) for visualizing β-galactoside-specific endogenous lectins.
We found that OA chondrocytes expressed oligomannosidic structures as well as non-, mono- and disialylated complex-type N-glycans, and core 2 O-glycans. Reflecting B4GALNT3 mRNA presence in OA chondrocytes, LacdiNAc-terminated structures were detected. Staining profiles for plant and human lectins were dependent on the grade of cartilage degeneration, and ASF-positive cells were observed in significantly higher rates in areas of severe degeneration.
In summary, distinct aspects of the glycome in OA cartilage are altered with progressing degeneration. In particular, the alterations measured by galectin-3 and the pan-galectin sensor ASF encourage detailed studies of galectin functionality in OA.
The emerging concept of the ‘sugar code’ has fundamentally changed our understanding of the significance of glycosylation . Structures that were initially seen as an appendix solely modulating physicochemical properties of proteins turned out to be bioactive with high-density coding capacity. In fact, glycans of cellular glycoconjugates are intimately involved in diverse processes of cell-cell and cell-matrix interactions . Work on hereditary diseases and murine models with engineered genetic deficiencies in glycosylation has revealed ample connections to apparent dysfunctions [2, 3]. Insights into T cell activation and tumor suppressor-dependent changes of glycogene (glycosyltransferases, lectins) expression, for instance, have exemplified how swift reprogramming of distinct aspects of the glycophenotype elicits growth regulation [4–11]. Among others, these cases demonstrate that substitutions of the N-glycan core, known to act as switches for cis/trans-interactions [1, 12], and the status/linkage type of sialylation are particularly prone to marked regulation: a result that guides the selection of tools (for example, lectins ) to monitor these aspects of the glycophenotype under disease conditions.
Panel of lectins (plant agglutinins and human galectins) used for glycophenotyping of human OA cartilage
Plant and lectins
Optimized concentration (ng/μl)
Potent oligosaccharide/glycoprotein glycan ligands
Canavalia ensiformis (jack bean) agglutinin
Pisum sativum (pea) agglutinin
N-glycan binding enhanced by core fucosylation
Phaseolus vulgaris (kidney bean) erythroagglutinin
Bisected complex-type N-glycans: Galβ3/4GlcNAcβ2Manα6(GlcNAcβ2-Manα3)(GlcNAcβ4)Manβ4GlcNAcβ4GlcNAc
Phaseolus vulgaris (kidney bean) leukoagglutinin
Tetra- and triantennary N-glycans with β6-branching
Viscum album (mistletoe) agglutinin
Galβ3(4)GlcNAc without/with α2,6-sialylation, Galα3(4)Gal, Galβ2(3)Gal, Fucα2Gal
Lycopersicon esculentum (tomato) agglutinin
core and stem regions of high-mannose-type N-glycans, (GlcNAcβ3Galβ4GlcNAcβ3Gal) repeats (LacDiNAc to polyLacNAc)
Maackia amurensis agglutinin-I (leukoagglutinin)
Neu5Ac/Gcα3Galβ4GlcNAc/Glc b , 3′-sulfation instead of sialylation and 9′-O-acetylation tolerated
Sambucus nigra (elderberry) agglutinin
Neu5Ac/Gcα6Gal/GalNAc c , clustered Tn-antigen, 9′-O-acetylation tolerated
Dolichos biflorus (horse gram) agglutinin
GalNAcα3GalNAcα3Galβ4Galβ4Glc, clustered Tn-antigen, histo-blood group A- tetrasaccharide, β-linked GalNAc in Sda antigen
Arachis hypogaea (peanut) agglutinin
Artocarpus integrifolia (jack fruit) agglutinin
Galβ3GalNAcα, sialylation of T/Tn antigens tolerated
Type I/II disaccharides (α2,3-sialylation/sulfation tolerated), LacNAc repeats (terminal α2,6-sialylation not tolerated), Fucα2Gal, extended core 2/4 structures, multiantennary N-glycans
Type I/II and core 1 disaccharides (α2,3-sialylation/sulfation tolerated), LacNAc repeats (terminal α2,6-sialylation tolerated), GalNAcβ4GlcNAc (LacdiNAc), Galα3Galβ4GlcNAc, histo-blood group ABH epitopes, multiantennary N-glycans/clustered T-antigen
Human articular cartilage was obtained during total knee replacement surgeries in patients with OA (n = 9) with informed consent and in accordance with the terms of the ethics committee of the Medical University of Vienna (EK-No.: 1065/2011). Details on clinical specimens are given in Additional file 1: Table S1.
Primary human OA chondrocytes were enzymatically isolated from femoral condyles and tibial plateaus of articular OA cartilage (n = 5) following established protocols [16–18]. Isolated chondrocytes were cultured in (Dulbecco’s) modified Eagle’s medium ((D)MEM; Gibco, Lofer, Austria) containing 10% fetal calf serum (FCS; Biochrom, Berlin, Germany) and 2 μl/ml gentamycin (Biochrom) in a humidified atmosphere of 5% CO2/95% air at 37°C. For all assays, only freshly isolated and seeded cells without subculturing were used.
Quantitative real-time RT-PCR
Chondrocytes were grown in 12-well tissue culture plates (Iwaki, Tokyo, Japan) to 90% confluence. Total RNA was extracted using the NucleoSpin RNA II Kit (Macherey-Nagel, Düren, Germany). Each sample was run on the Agilent 2100 Bioanalyzer Nano LabChip for quality control and quantification of total RNA prior to reverse transcription into cDNA using the high capacity cDNA reverse transcription kit (Applied Biosystems, Vienna, Austria). RNA integrity numbers were between 9.6 and 10.
SYBR-green based qPCR assays for the glycosyltransferase transcripts were used as described previously [17, 18]. The primers for B4GALNT3 (NM_173593; Forward: TGTTGAGATGGCACTGAAGAG; Reverse: TGGAGGTCACAGAGGAAGATG), an enzyme responsible for producing GalNAcβ4GlcNAc (LacdiNAc) termini , were designed using AlleleID software. In melting curve analysis, only one peak was observed confirming target specificity. Amplification efficiencies of primers were assessed using dilution series of cDNA prepared from chondrocyte mRNA. mRNA expression levels were calculated as relative copy numbers considering actual amplification efficiencies and with respect to that of glyceraldehyde-3-phosphate dehydrogenase (GAPDH) set at 1,000. Technically, the protocol deliberately followed the minimal guidelines for the design and documentation of qPCR experiments as recently outlined . A qPCR checklist listing all relevant information is provided to assess the technical adequacy of the used qPCR protocols (see Additional file 2: Table S2).
Protein and glycan preparation, quantification of oligosaccharides using LC-ESI-MS
The quantification of oligosaccharides using liquid chromatography-electrospray ionization-mass spectrometry (LC-ESI-MS) essentially followed previously described protocols [17, 18]. Briefly, cultured OA chondrocytes were lysed and precipitated proteins were subjected to SDS-PAGE. Free N-glycans were obtained after trypsin and PNGase F digestions. O-Glycans were released by reducing β-elimination and further analyzed as done for borohydride-reduced N-glycans. Analysis of the glycans (from an aliquot equivalent to 2.5 × 105 cells) by positive-ion LC-ESI-MS was performed with a 100 × 0.32 mm porous graphite carbon (PGC) column (Thermo, Vienna, Austria) at a flow rate of 5 μl/min maintained with a Dionex Ultimate 3000 cap flow system. Mass spectrometry was done using a Waters Q-TOF Ultima Global mass spectrometer with standard ESI source and MassLynx V4.0 SP4 software. The peak heights of the deconvoluted spectra as generated with the MaxEnt3 routine of MassLynx V4.0 served as measures for relative molar abundance.
For immunohistochemistry, tissue specimens from femoral condyles were selected macroscopically to provide one area of mild and one area of severe degeneration whenever possible. The specimens were fixed in formalin and decalcified using Titriplex-Tris-Solution (Gatt-Koller, Absam, Austria) prior to embedding in paraffin according to standard procedures. Paraffin sections (2.5 μm) were stained with safranin-O (Sigma, Vienna, Austria) and counter-stained using light-green Goldner III solution (Morphisto, Frankfurt, Germany). Using the Mankin scale, the degree of cartilage degeneration in the sections was graded according to histological and histochemical characteristics . The Mankin score (MS) considers abnormalities in cartilage structure, cell population, safranin O stain distribution and tidemark integrity, and results in a final grade ranging from 0 (most intact) to 14 (most degenerated). From each patient, two areas with MS ≤4 and MS ≥9 were selected, representing one area of mild and one area of severe degeneration, respectively. Consecutive sections were then processed for lectin histochemical staining as described below.
All lectin probes used for glycan mapping and their respective carbohydrate specificities are listed in Table 1. The plant lectins DBA, JAC, LEA, MAA-I, PHA-E, PHA-L, PNA and SNA were obtained as biotinylated probes from Vector Labs Burlingame, CA, USA. The Viscum album agglutinin (VAA; from extracts of leaves ) and the galectins (from recombinant production) were purified by affinity chromatography on lactosylated Sepharose 4B, obtained after divinyl sulfone activation, ConA and PSA (from seeds) on mannosylated Sepharose 4B, biotinylated under activity-preserving conditions and rigorously checked for maintained activity by solid-phase/cell assays as described [5, 20, 38]. Bovine fetuin was chemically desialylated by acid/heat treatment to yield ASF, which was biotinylated as described , followed by ascertaining galectin reactivity in solid-phase assays using labeled Gal-1/-3 as sensors.
Performing titration experiments, optimal lectin concentrations that yielded best signal-to-background ratios were determined and kept constant for processing within this comparative study (all listed in Table 1). Following deparaffinization, the tissue sections were washed twice with PBS for 5 minutes, then exposed to PBS/H2O2 (200 ml PBS mixed with 6 ml 30% H2O2) to block endogenous peroxidase activity for three minutes and finally washed again twice with PBS. The biotinylated lectins were diluted with 2% BSA/HEPES and the biotinylated galectins were diluted with 2% BSA/PBS. Epitope-independent binding was blocked by preincubation with the respective BSA solutions for 30 minutes at room temperature. The sections were then incubated overnight with the biotinylated probes at 4°C and, after thorough washing, developed using the VECTASTAIN Elite ABC Kit (Vector Labs) with NovaRED peroxidase substrate kit (Vector Labs). Counterstaining was performed using Mayer’s hemalum solution (Merck, Vienna, Austria). Thereafter, sections were thoroughly rinsed and mounted for microscopy. The omission of biotinylated probes from the process or competitive inhibition (by lactose) was performed to test the carbohydrate dependence of lectin histochemistry. The samples were evaluated using an Olympus Vanox AHBT3 microscope and the images were processed using cell^D software (Olympus). Staining intensities above background levels were scored as positive. The staining of chondrons and interterritoreal matrix of mildly degenerated (MS ≤4; n = 7) and severely degenerated (MS ≥9; n = 9) areas was assessed independently by two observers. Cooperative analysis of discordant slides led to consensus in all cases.
The percentage of ASF-reactive chondrocytes in the areas of mild and severe degeneration was determined by evaluating the fraction of stained cells at a magnification of 20× on the basis of 100 chondrocytes per area (starting from the cartilage surface). For statistical analysis of the data, a paired t-test following control for Gaussian distribution was performed using the Microsoft Excel integrated analysis tool. In accordance with recent guidelines , all analysis units (n) given in figure and table legends refer to the number of independent observations (biological replicates) underlying the respective descriptive statistics and statistical tests.
OA chondrocytes were seeded on glass coverslips placed into 24-well plates. Cells were fixed with 400 μl ice-cold methanol for 20 minutes and rehydrated in 700 μl PBS for 20 minutes at room temperature. Cells were incubated with 250 μl of solution containing biotinylated ASF (20 μg/ml in 1% BSA/PBS) for 1 hour at 37°C. After three washing steps with PBS, cells were incubated for 1 hour at 37°C with streptavidin-PE (diluted 1:40 in 1% BSA/PBS; Sigma) and 300 nM DAPI (Invitrogen, Darmstadt, Germany). After washing three times with PBS, cells were embedded in FluorSaveTM Reagent (Calbiochem, San Diego, CA, USA) for microscopic inspection at 62× magnification using a Carl Zeiss LSM 700 Laser Scanning Microscope and Zen software.
Expression of selected glycosyltransferase genes
Presence of mRNA for selected glycosyltransferases in OA chondrocytes
The enzyme profile let us expect synthesis of complex-type N-glycan (MAN2A1, MGAT2) with core substitutions (FUT8, MGAT3) and branching (MGAT4, MGAT5). The considerable level of B4GALNT3 expression by OA chondrocytes suggested the presence of LacdiNAc termini in N-glycans of OA chondrocytes. Of note for O-glycans, expression of GALNT1 (from the complexity of this enzyme family, we focused on this representative major member [42, 43]), B3GNT2 and GCNT enables production of core 2 glycans with LacNAc repeats. Sialylation can also be expected (Table 2).
In principle, these data reveal fulfillment of an essential prerequisite for glycan biosynthesis but should not be interpreted to reliably predict quantitative aspects of actual glycosylation. Correct positioning of the gene products within the glycosylation machinery and availability of substrates, among others, are factors playing into the production of glycans. Thus, to provide insights into the glycome, we monitored the presence of glycans by LC-ESI-MS.
Profiling of N-and O-glycans
Glycophenotyping by plant lectins
Con A, in contrast to the other lectins, stained all mildly and severely degenerated cartilage regions. Chondrons in both mildly (100%; 7/7) and severely degenerated (100%; 9/9) specimens were positive (see Additional file 3: Table S3). Cells were stained in the middle and deeper zones in mildly degenerated areas (Figure 2c), whereas severely degenerated areas showed cell staining throughout the entire cartilage (Figure 2d), strong reactivity of blood vessels and osteocytes was observed, and the subchondral bone matrix remained unstained (not shown).
PSA, reactive with core-fucosylated N-glycans, stained OA cartilage with a quantitative difference according to the MS (see Additional file 3: Table S3). In the majority of severely degenerated areas, the interterritorial matrix presented intense reactivity (Figure 2e). Comparable to ConA, the subchondral bone matrix was negative, whereas osteocytes and blood vessels bound the lectin (not shown).
PHA-E stained chondrocytes in mildly degenerated regions (2/7; 29%) less frequently and intensely than in severely degenerated regions (5/9; 56 %; Figure 2f, g; Additional file 3: Table S3). The interterritorial matrix was negative in less degenerated cartilage (0/7; 0%). but reactive in more degenerated areas (4/9; 44%). Pannus-like tissue, whenever present, as well as osteocytes and blood vessels showed reactivity for PHA-E, whereas subchondral bone matrix was not stained (not shown).
PHA-L neither bound to chondrocytes nor to interterritorial matrix of mildly degenerated cartilage regions (0/7; 0%). In comparison, positive chondrocytes and interterritorial matrix were detected in 22% (2/9) and 11 % (1/9) of severely degenerated areas, respectively (Figure 2h). Similar to PHA-E, PHA-L preferentially stained complex chondrons. Cells of the pannus-like tissue, blood vessels and parts of the subchondral bone matrix presented PHA-L reactivity (not shown).
VAA, negative in areas of mild degeneration (0/7; Figure 2i), reacted with chondrons and interterritorital matrix of severely affected regions (3/9; Figure 2j; Additional file 3: Table S3). The subchondral bone matrix and blood vessels were stained too, but not the pannus-like tissue (not shown).
LEA binding was selective for chondrons and interterritorial matrix in 22% (2/9) of severely degenerated cartilage regions (Figure 2k; Additional file 3: Table S3). In addition, the subchondral bone matrix was positive in the two reactive specimens. Less affected areas (0%; 0/7), pannus-like tissue, blood vessels and osteocytes were negative (not shown).
MAA-I did not react with chondrons and matrix of mildly degenerated cartilage areas (0/9; 0%). In 44% (4/9) of severely degenerated regions, reactivity for MAA-I was observed in the chondrons and, in 56% (5/9) of severely degenerated areas, the interterritorial matrix was also positive (Figure 2l; Additional file 3: Table S3). Pannus-like tissue was positive whenever present, whereas blood vessels or the subchondral bone presented no reactivity (not shown).
SNA was rarely reactive with chondrons and matrix in cartilage regions of mild degeneration (1/7; 14%; Additional file 3: Table S3, Figure 2m). In comparison, 44% (4/9) of severely degenerated areas presented reactive chondrons, while 22% (2/9) of these regions showed reactivity for interterritorial matrix (Figure 2n). Pannus-like tissue, blood vessels and subchondral bone were negative (not shown).
DBA stained chondrons only in areas of severe degeneration (22%; 2/9; Figure 2o; Additional file 3: Table S3). The interterritorial matrix presented staining in a comparable amount of areas of mild (29%; 2/7) and severe degeneration (33%; 3/9). Pannus-like tissue reactivity was observed in one out of two cases. Blood vessels and the subchondral bone were unstained throughout all samples (not shown).
PNA reacted with chondrons of all mildly degenerated cartilage regions (100%; 7/7; Figure 2p). Interestingly, only 67% (6/9) of the severely degenerated regions showed PNA-positive chondrons (see Additional file 3: Table S3). In contrast, interterritorial matrix was positive in only 43% (3/7) of less affected areas, whereas a marked increase and intensive staining was observed in more affected regions (100%; 9/9; Figure 2q). The pannus-like tissue gave signals whenever present. In five cases, PNA staining was observed in osteocytes, whereas in the subchondral bone matrix no staining was found (not shown).
JAC bound the interterritorial matrix in the proximity of surface fissures in three out of nine cases of severely degenerated regions (33%; Additional file 3: Table S3). Interestingly, chondrons were negative, resulting in characteristic, unstained regions around chondrocytes (Figure 2r). In those three specimens, the subchondral bone matrix was also positive. In contrast, mildly degenerated cartilage areas exhibited no staining of cells or matrix. Furthermore, pannus-like tissue, blood vessels or osteocytes were negative.
These data define the glycophenotype of OA cartilage with respect to distinct carbohydrate determinants. Moving from plant to human lectins as probes to strengthen the aspect of potential physiological implications, we next applied two human lectins, that is, Gal-1 and Gal-3, to the cartilage sections. In addition to their reactivity to glycans (please see Table 1 for details), these endogenous effectors can also react with distinct proteins intracellularly.
Glycophenotyping with human galectins
Mildly degenerated cartilage, especially the matrix, was rarely positive for Gal-3 (Figure 3a, d). In contrast, this lectin stained – partly intensely – chondrons (5/5) and interterritorial matrix (4/5) of most severely degenerated cartilage specimens (Figure 3a, e). Pannus-like tissue, whenever present, was also positive.
Regarding the detection of LacdiNAc-presenting N-glycans and core 2 O-glycans it should be noted that LacdiNAc is known as ligand for Gal-3, for which core 2 branching is not a favorable factor [44, 45]. Having herewith proven the presence of galectin-binding sites and illustrated their spatial distribution, we became interested to reveal whether tissue galectins were expressed in OA cartilage. Thus, we employed labeled ASF, known to serve as a pan-galectin sensor .
In quantitative comparison, ASF-positive cells were present in significantly higher rates in severely degenerated areas than in mildly degenerated areas (Figure 4c). At the subcellular level, ASF binding was seen in a fine-granular manner throughout the cytoplasm whereas the nucleus and the cell membrane were consistently negative (Figure 4d).
This study was designed to characterize the glycophenotype of OA cartilage using human chondrocytes in vitro and lectin histochemical analysis of clinical specimens. Initially, we monitored glycosyltransferase mRNA levels as well as N- and O-glycans (excluding glycans present in the used serum in the culture medium) by RT-qPCR and by LC-ESI-MS, respectively. The presented quantitative data, encouraging detailed glycogene monitoring (for example, β1,3/4-galactosyltransferases or glycohydrolases such as sialidases), gave reason for selecting a panel of plant lectins for the histochemical investigations. In this context, we focused on lectins targeting substitutions of the N-glycan core, which are potent switches for conformational behavior and reactivity for tissue lectins [12, 47], presence of LacNAc repeats and the status of sialylation. Owing to previous indications for plant lectins (that is, ConA and wheat germ agglutinin) to act as probes for degenerative joint diseases , we also included ConA. The semiquantitative assessment of stained OA cartilage defined the presence and localization of plant-lectin-reactive glycan epitopes. An enzymatic pre-treatment to remove glycosaminoglycans was deliberately not performed to avoid non-physiological alteration of accessibility to probes, especially in view of the binding of the human galectins. Most importantly, it delineated differences with respect to the degeneration grade of cartilage within the patients (as determined using the MS) in certain cases. In particular, altered staining frequency and intensity were observed for lectins specific for (1) α2,3-sialylation of LacNAc-terminated N-glycans, (2) galactosides (reactive with VAA) and (3) bisected N-glycans (the bisecting GlcNAc residue acts on the local density of branch-end epitopes and may affect recognition processes directly or indirectly [47, 49]). Since distinct sugar epitopes are the docking sites for tissue lectins to turn glycoconjugates into the ligand part of functional counter-receptors, we next applied two human adhesion/growth-regulatory lectins, that is, Gal-1 and Gal-3, as histochemical tools.
The respective results illustrate the feasibility of this application and show differences between the binding patterns of the two tested galectins. Whereas the interterritorial matrix of cartilage and blood vessels were the main sites of Gal-1 reactivity, chondrons and pannus-like tissue bound Gal-3. Of note, isolated OA chondrocytes, as previously observed for samples of rabbits with articular cartilage deterioration , presented N-glycans with the LacdiNAc terminus, a binding partner for Gal-3 but not for Gal-1.
Based on these findings, it can be postulated that galectins should be present in OA cartilage as on-site effectors that can translate the sugar code of cells and matrix into biological functions. The presence of binding sites for the glycoprotein ASF, whose glycans bind rather equally well to the human galectins , underscores this assumption. In fact, our data revealed an increase of ASF reactivity of OA cartilage as a function of the MS, suggesting elevated levels of galectins in areas of cartilage degeneration. Of relevance for joint diseases, Gal-3 was shown to localize in the synovium obtained from rheumatoid arthritis patients at the sites of cartilage and bone destruction, whereas Gal-1 was detected mostly in the sublining layer . In addition, other galectins including galectins-8 and -9 appear of interest. Galectin-8 is widely expressed in human tissues and tumors [53, 54] and, to emphasize potential orthopedic relevance, is produced and secreted by human synovial fluid cells in patients with rheumatoid arthritis . Detection of autoantibodies against this and other galectins in sera of respective patients has been reported . Interestingly, a clinical association of a single nucleotide polymorphism in the coding region of the galectin-8 gene (that is, the F19Y substitution) was recently revealed with rheumatoid arthritis .
In summary, the present study adds to the characterization of the glycophenotype of chondrocytes and matrix in OA, with special emphasis on clinical specimens. In particular, it reports first insights into the reactivity of OA cartilage with tissue effectors and thereby gives further work on endogenous lectins a clear direction: systematic monitoring to define the localization of galectins by immunohistochemical fingerprinting in OA, along with monitoring binding-site availability and target glycoproteins, and the in vitro testing of galectins in relevant cell models.
Bovine serum albumin
Canavalia ensiformis agglutinin
Dolichos biflorus agglutinin
(Dulbecco’s) modified Eagle’s medium
Fetal calf serum
Artocarpus integrifolia agglutinin
Liquid chromatography-electrospray ionization-mass spectrometry
Lycopersicon esculentum agglutinin
Maackia amurensis agglutinin-I
Phosphate buffered saline
Polymerase chain reaction
Phaseolus vulgaris erythroagglutinin
Phaseolus vulgaris Leucoagglutinin
Arachis hypogaea agglutinin
Pisum sativum agglutinin
Quantitative real-time PCR
Sambucus nigra agglutinin
Viscum album agglutinin.
This study was generously supported by funding from the EC Seventh Framework Program under grant agreement no. 2602600 (‘GlycoHIT’) and also the RTN activity GLYCOPHARM. The funding sources did not have a role in the study design, collection, analysis and interpretation of data, nor in the writing of the manuscript and the decision to submit the manuscript for publication. The authors thank R. Gruebl-Barabas and M. Cezanne for excellent assistance with histological techniques and cell culturing, respectively, and Dr. B. Friday for valuable discussions. This work is dedicated to the memory of Mr. Guenter Brand who contributed over many years to the progress of the Karl Chiari Lab for Orthopaedic Biology of the Department of Orthopaedics, Medical University of Vienna.
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