Expression of early and late differentiation markers (proliferating cell nuclear antigen, syndecan-3, annexin VI, and alkaline phosphatase) by human osteoarthritic chondrocytes

Am J Pathol. 2001 Nov;159(5):1777-83. doi: 10.1016/S0002-9440(10)63024-6.


Although osteoarthritis is characterized by a progressive loss of the extracellular cartilage matrix, very little is known about the fate of articular chondrocytes during the progression of the disease. In this study we examined the expression of syndecan-3, a marker of early chondrocyte differentiation, and annexin VI, a marker of late chondrocyte differentiation, in mammalian embryonic growth plate cartilage and normal and osteoarthritic human articular cartilage. Whereas syndecan-3 was expressed in the proliferative and hypertrophic zones of growth platecartilage, immunostaining for annexin VI waspredominately found in the hypertrophic and mineralizing zones of fetal bovine growth plate cartilage. Approximately 20% of chondrocytes were immunopositive for syndecan-3 in normal human articular cartilage, the number of syndecan-3-expressing chondrocytes significantly increased during the progression of osteoarthritis with more than 80% syndecan-3-positive cells in the upper zone of severely affected osteoarthritic cartilage. Similarly, the number of annexin VI-expressing cells significantly increased in the upper cartilage zones during the progression of osteoarthritis. Furthermore, immunostaining for proliferating cell nuclear antigen, a marker for cell proliferation, was detected in chondrocytes in the upper zone of osteoarthritic cartilage. Double-labeling experiments with antibodies against syndecan-3 and annexin VI revealed chondrocytes that expressed only syndecan-3, and cells that expressed both syndecan-3 and annexin VI. These results suggest that the expression of early (proliferating cell nuclear antigen, syndecan-3) and late differentiation markers (annexin VI, alkaline phosphatase) is activated in chondrocytes of osteoarthritic cartilage.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Alkaline Phosphatase / metabolism*
  • Animals
  • Annexin A6 / metabolism*
  • Cartilage / cytology
  • Cartilage / metabolism
  • Cartilage, Articular / metabolism
  • Cartilage, Articular / pathology
  • Cattle / embryology
  • Chick Embryo
  • Chondrocytes / metabolism*
  • Growth Plate / cytology
  • Growth Plate / metabolism
  • Humans
  • Membrane Glycoproteins / metabolism*
  • Osteoarthritis / metabolism*
  • Osteoarthritis / pathology
  • Proliferating Cell Nuclear Antigen / metabolism*
  • Proteoglycans / metabolism*
  • Reference Values
  • Syndecan-3


  • Annexin A6
  • Membrane Glycoproteins
  • Proliferating Cell Nuclear Antigen
  • Proteoglycans
  • SDC3 protein, human
  • Syndecan-3
  • Alkaline Phosphatase