Objective: Since statins and fibrates are capable of improving the metabolic profile of patients as well as decreasing inflammation, they are considered as potential drugs for preventing osteoarthritis (OA). The goal of the present study was to investigate the effect of these drugs in the STR/Ort spontaneous OA mouse model. Design: Male STR/Ort mice received control diet or control diet containing two different dosages of simvastatin or fenofibrate or a combination of both. Mice were euthanized after 16 weeks of treatment at the age of 24 weeks. Serum analysis for metabolic and inflammatory markers, histologic OA grading and micro computed tomography (μCT) analysis of subchondral bone plate were performed. Results: Simvastatin treatment did not have a statistically significant effect on any of the measured parameters. Fenofibrate treated mice gained less body weight (BW) and had lower serum amyloid A (SAA) levels, but higher Interleukin (IL)-1α and MIP1α than other mice. Mice treated with 200mg/kg BW/day fenofibrate had less subchondral bone plate volume than control, but no statistically significant reduction in cartilage damage. In the combination treatment group, BW and SAA were lower than control.Overall, bodyweight, synovium membrane cell layers and SAA levels correlated to subchondral bone plate changes and subchondral bone plate changes correlated to cartilage damage. Conclusions: Statins and fibrates did not affect development of cartilage damage in the STR/Ort spontaneous OA mouse model. Fenofibrates however, had an effect on BW, serum inflammation markers and subchondral bone plate morphology.

Cartilage, Mouse, Osteoarthritis, Subchondral bone, Therapy pharmacological
dx.doi.org/10.1016/j.joca.2013.11.009, hdl.handle.net/1765/69182
Osteoarthritis and Cartilage
Department of Orthopaedics

Wei, W, Clockaerts, S, Bastiaansen-Jenniskens, Y.M, Gierman, L.M, Botter, S.M, Bierma-Zeinstra, S.M, … van Osch, G.J.V.M. (2014). Statins and fibrates do not affect development of spontaneous cartilage damage in STR/Ort mice. Osteoarthritis and Cartilage, 22(2), 293–301. doi:10.1016/j.joca.2013.11.009