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    <Identifier>26dkou369</Identifier>
    <IdentifierDoi>10.3205/26dkou369</IdentifierDoi>
    <IdentifierUrn>urn:nbn:de:0183-26dkou3697</IdentifierUrn>
    <ArticleType>Meeting Abstract</ArticleType>
    <TitleGroup>
      <Title language="en">Age-related changes in knee joint cartilage and bone: Focus on collagens</Title>
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        <PersonNames>
          <Lastname>Gatto</Lastname>
          <LastnameHeading>Gatto</LastnameHeading>
          <Firstname>Giulio</Firstname>
          <Initials>G</Initials>
        </PersonNames>
        <Address>
          <Affiliation>Dr. Rolf M. Schwiete Research Unit for Osteoarthritis, Department of Trauma Surgery and Orthopedics, University Hospital Frankfurt, Goethe University, Frankfurt am Main, Deutschland</Affiliation>
        </Address>
        <Creatorrole corresponding="no" presenting="yes">author</Creatorrole>
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      <Creator>
        <PersonNames>
          <Lastname>Kirschweng</Lastname>
          <LastnameHeading>Kirschweng</LastnameHeading>
          <Firstname>Coletta</Firstname>
          <Initials>C</Initials>
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        <Address>
          <Affiliation>Dr. Rolf M. Schwiete Research Unit for Osteoarthritis, Department of Trauma Surgery and Orthopedics, University Hospital Frankfurt, Goethe University, Frankfurt am Main, Deutschland</Affiliation>
        </Address>
        <Creatorrole corresponding="no" presenting="no">author</Creatorrole>
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      <Creator>
        <PersonNames>
          <Lastname>Signor</Lastname>
          <LastnameHeading>Signor</LastnameHeading>
          <Firstname>Matteo</Firstname>
          <Initials>M</Initials>
        </PersonNames>
        <Address>
          <Affiliation>Dr. Rolf M. Schwiete Research Unit for Osteoarthritis, Department of Trauma Surgery and Orthopedics, University Hospital Frankfurt, Goethe University, Frankfurt am Main, Deutschland</Affiliation>
        </Address>
        <Creatorrole corresponding="no" presenting="no">author</Creatorrole>
      </Creator>
      <Creator>
        <PersonNames>
          <Lastname>Zaucke</Lastname>
          <LastnameHeading>Zaucke</LastnameHeading>
          <Firstname>Frank</Firstname>
          <Initials>F</Initials>
        </PersonNames>
        <Address>
          <Affiliation>Dr. Rolf M. Schwiete Research Unit for Osteoarthritis, Department of Trauma Surgery and Orthopedics, University Hospital Frankfurt, Goethe University, Frankfurt am Main, Deutschland</Affiliation>
        </Address>
        <Creatorrole corresponding="no" presenting="no">author</Creatorrole>
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      <Publisher>
        <Corporation>
          <Corporatename>German Medical Science GMS Publishing House</Corporatename>
        </Corporation>
        <Address>D&#252;sseldorf</Address>
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    <SubjectGroup>
      <SubjectheadingDDB>610</SubjectheadingDDB>
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    <DatePublishedList>
     <DatePublished>20261020</DatePublished>
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    <Language>engl</Language>
    <License license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/4.0/">
      <AltText language="en">This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License.</AltText>
      <AltText language="de">Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung).</AltText>
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      <Meeting>
        <MeetingId>M0659</MeetingId>
        <MeetingSequence>369</MeetingSequence>
        <MeetingCorporation>Deutsche Gesellschaft f&#252;r Orthop&#228;die und Unfallchirurgie</MeetingCorporation>
        <MeetingCorporation>Deutsche Gesellschaft f&#252;r Orthop&#228;die und Orthop&#228;dische Chirurgie</MeetingCorporation>
        <MeetingCorporation>Deutsche Gesellschaft f&#252;r Unfallchirurgie</MeetingCorporation>
        <MeetingCorporation>Berufsverband f&#252;r Orthop&#228;die und Unfallchirurgie</MeetingCorporation>
        <MeetingName></MeetingName>
        <MeetingTitle>Deutscher Kongress f&#252;r Orthop&#228;die und Unfallchirurgie (DKOU 2026)</MeetingTitle>
        <MeetingSession>Grundlagenforschung &#124; Tribologie &#38; Gelenke</MeetingSession>
        <MeetingCity>Berlin</MeetingCity>
        <MeetingDate>
          <DateFrom>20261020</DateFrom>
          <DateTo>20261023</DateTo>
        </MeetingDate>
      </Meeting>
    </SourceGroup>
    <ArticleNo>DKOU26&#95;Abs&#95;2171</ArticleNo>
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      <MainHeadline>Text</MainHeadline><Pgraph><Mark1>Objectives and questions: </Mark1>In knee joints, aging is associated with progressive degradation of the extracellular matrix (ECM). Collagen II is a major component of cartilage ECM, determining its mechanical properties and undergoing age-related molecular modifications. However, other collagen types (e.g., collagen III, IX, and X) also contribute to cartilage development and function. In addition, collagen I is the main component of subchondral bone (SB), located beneath articular cartilage and subjected to sclerosis or osteoporosis during aging. The aim of the present study was to investigate age-related changes in the expression of specific collagen types and the fibril organization during aging and joint compartments.</Pgraph><Pgraph><Mark1>Material and methods: </Mark1>50 WT C57BL&#47;6J mice (3-, 6-, 12-, 18- and 24-months-old, 5 males and 5 females per timepoint) were sacrificed and dissected. Paraffin-embedded knee sections were stained with Picrosirius red (PSR) and collagens I, II, III, IX and X were detected by immunohistochemistry (IHC). Staining was analyzed in menisci, different articular cartilage compartments and SB. The surface percentage of thick and thin collagen fibers was determined in PSR-stained sections, while immunostained sections were evaluated quantitatively to characterize age-related changes.</Pgraph><Pgraph><Mark1>Results: </Mark1>The amount of thick collagen fibers decreased during aging in articular cartilage and SB (p&#60;0,001 between 3 and 18 months of age), displaying a significant re-increase at 24 months (p&#60;0,05, compared with 3 months old). Thick fibers were more abundant in medial compared to lateral and femoral compared to tibial cartilage compartments (max. p&#60;0,05). Thin fibers displayed an increase between 3 and 6 months old mice in SB (p&#60;0,05) and were more expressed in femoral compared to tibial cartilage (p&#60;0,05). Collagen II and III IHC revealed an age-dependent decrease in articular cartilage and different expression between femoral and tibial compartments similar to the ones observed in PSR-stained thick fibers (same significances). Collagen III IHC displayed differences between lateral and medial menisci (p&#60;0,05). A stronger expression of collagen IX and X was visually found in 24 months old mice compared to other time points. No sex-specific differences were detected.</Pgraph><Pgraph><Mark1>Discussion and conclusions: </Mark1>A clear age-dependent change in both collagen fiber surface and expression was observed in mouse knee joints. The re-increase in thick fibers between 18 and 24 months may result from collagen molecular modifications or from reactivation of collagen synthesis and secretion by chondrocytes at later life stages. Intra-articular compartmental variations may reflect developmental differences and&#47;or an altered mechanical loading. Differences between PSR- and IHC-derived results suggest a differential susceptibility of specific collagen types to aging-related processes. Overall, our findings reveal age-related molecular dynamics and intra-articular differences which, if confirmed in humans, could substantially advance our understanding of aging-associated osteoarthritis.</Pgraph></TextBlock>
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