The OARSI histopathology initiative – recommendations for histological assessments of osteoarthritis in the guinea pig  V.B. Kraus, J.L. Huebner, J. DeGroot,

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The OARSI histopathology initiative – recommendations for histological assessments of osteoarthritis in the guinea pig  V.B. Kraus, J.L. Huebner, J. DeGroot, A. Bendele  Osteoarthritis and Cartilage  Volume 18, Pages S35-S52 (October 2010) DOI: 10.1016/j.joca.2010.04.015 Copyright © 2010 Osteoarthritis Research Society International Terms and Conditions

Fig. 1 Guinea pig knee joint structures. A frontal section through a 12-month-old guinea pig knee joint to demonstrate its structures and the landmarks and features typical of advanced OA at the center of the tibiofemoral joint (M=medial; L=lateral). Osteoarthritis and Cartilage 2010 18, S35-S52DOI: (10.1016/j.joca.2010.04.015) Copyright © 2010 Osteoarthritis Research Society International Terms and Conditions

Fig. 2 The timecourse of spontaneous histological OA in the Hartley guinea pig knee. (a) Representative sections of the central medial tibial plateau stained with toluidine blue for each age group (ages 2–18 months). Scores of cartilage structure (CS) and proteoglycan content (PG) using the recommended scoring system for the regions shown is as follows: 2 months CS=0/PG=0; 4 months CS=2/PG=1; 7 months CS=5/PG=4; 10 months CS=5/PG=5; 12 months CS=8/PG=5; and 18 months CS=8/PG=6. (b) Mean histological scores of the knee demonstrating increasing OA severity with age in this model system (N=6 for each group ages 2–12 months and N=10 for 18 month age group). Error bars=SD. Osteoarthritis and Cartilage 2010 18, S35-S52DOI: (10.1016/j.joca.2010.04.015) Copyright © 2010 Osteoarthritis Research Society International Terms and Conditions

Fig. 3 Macroscopic images of the guinea pig knee joint. (a) Guinea pig knee joint demonstrating normal dimensions of approximately 1cm×1cm (width×depth). (b) Arial views of the tibial plateau oriented (medial on left, lateral on right) with macroscopic lesions of increasing severity from no lesions (left panel), to moderate surface fissuring (middle panel), and severe full depth erosion to bone (right panel); the diseased areas in the middle and right panels are indicated by the dotted demarcated region. Osteoarthritis and Cartilage 2010 18, S35-S52DOI: (10.1016/j.joca.2010.04.015) Copyright © 2010 Osteoarthritis Research Society International Terms and Conditions

Fig. 4 Landmarks of the central region of the guinea pig tibiofemoral joint. (a) A schematic representation of a centrally sectioned guinea pig knee joint based upon Cashin35 and reproduced by permission of Oxford University Press. (b) A series of four sections taken at 200μm intervals in the coronal plane, spanning the anterior of the joint through to the center. Note the elongated appearance of the lateral meniscus (on left) and the more rounded appearance of the medial meniscus (on right) when the center of the knee joint is attained. Osteoarthritis and Cartilage 2010 18, S35-S52DOI: (10.1016/j.joca.2010.04.015) Copyright © 2010 Osteoarthritis Research Society International Terms and Conditions

Fig. 5 Plane of sectioning of the guinea pig knee joint. The lateral aspect of the guinea pig knee showing the plane of sectioning (A–A′) based on Cashin35 and reproduced by permission of Oxford University Press. Note that the knee is in slight flexion. Osteoarthritis and Cartilage 2010 18, S35-S52DOI: (10.1016/j.joca.2010.04.015) Copyright © 2010 Osteoarthritis Research Society International Terms and Conditions

Fig. 6 Zones of articular cartilage. Accurate scoring requires the ability to distinguish the four zones of articular cartilage as depicted here: I-superficial zone, II-middle zone, III-deep zone, and IV-calcified cartilage zone, and the tidemark separating zones III and IV. Reproduced by permission of Dr. James Williams. Osteoarthritis and Cartilage 2010 18, S35-S52DOI: (10.1016/j.joca.2010.04.015) Copyright © 2010 Osteoarthritis Research Society International Terms and Conditions

Fig. 7 Representative images of guinea pig knees (aged 2–18 months) demonstrating varying severities of histological lesions. Examples of lesions scored by the recommended histochemical-histological scoring scheme. The mean score generated by two experts is shown in the bottom right of each panel in Fig. 7(a)–(c). Cartilage structure (CS) scoring atlas. Microscopic toluidine blue stained images of the guinea pig knee joint demonstrating the nine levels (scores 0–8) of cartilage structure (CS) corresponding to the criteria in Table IV. Magnification bar 500μm. (b) Proteoglycan content (PG) and Tidemark (TM) scoring atlas. Microscopic toluidine blue stained images of the guinea pig knee joint demonstrating the seven levels (scores 0–6) of proteoglycan content (PG) (Magnification bar=500μm), and the two levels (scores 0–1) of Tidemark (TM) integrity (Magnification bar=50μm) corresponding to the criteria in Table IV. (c) Osteophyte (OST) and Cellularity (CL) scoring atlas. Microscopic toluidine blue stained images of the guinea pig knee joint demonstrating the four levels (scores 0–3) of osteophyte (OST) (Magnification bar=250μm), and the four levels (scores 0–3) of Cellularity (CL) (Magnification bar=50μm) corresponding to the criteria in Table IV. Osteoarthritis and Cartilage 2010 18, S35-S52DOI: (10.1016/j.joca.2010.04.015) Copyright © 2010 Osteoarthritis Research Society International Terms and Conditions

Fig. 7 Representative images of guinea pig knees (aged 2–18 months) demonstrating varying severities of histological lesions. Examples of lesions scored by the recommended histochemical-histological scoring scheme. The mean score generated by two experts is shown in the bottom right of each panel in Fig. 7(a)–(c). Cartilage structure (CS) scoring atlas. Microscopic toluidine blue stained images of the guinea pig knee joint demonstrating the nine levels (scores 0–8) of cartilage structure (CS) corresponding to the criteria in Table IV. Magnification bar 500μm. (b) Proteoglycan content (PG) and Tidemark (TM) scoring atlas. Microscopic toluidine blue stained images of the guinea pig knee joint demonstrating the seven levels (scores 0–6) of proteoglycan content (PG) (Magnification bar=500μm), and the two levels (scores 0–1) of Tidemark (TM) integrity (Magnification bar=50μm) corresponding to the criteria in Table IV. (c) Osteophyte (OST) and Cellularity (CL) scoring atlas. Microscopic toluidine blue stained images of the guinea pig knee joint demonstrating the four levels (scores 0–3) of osteophyte (OST) (Magnification bar=250μm), and the four levels (scores 0–3) of Cellularity (CL) (Magnification bar=50μm) corresponding to the criteria in Table IV. Osteoarthritis and Cartilage 2010 18, S35-S52DOI: (10.1016/j.joca.2010.04.015) Copyright © 2010 Osteoarthritis Research Society International Terms and Conditions

Fig. 8 Examples of synovitis associated with spontaneous OA in the Hartley guinea pig knee joint. Representative images (100×) of synovitis scored according to the recommended scoring system in Table VI. Sections stained with toluidine blue (a and c) or Hematoxylin and Eosin (b and d). Normal synovium from a 60-day-old animal (a); Synovitis scores of three in a 145-day-old animal (b) and a 180-day-old animal (c) based on scoring synovial hyperplasia=1 (3–5 layers), villous hyperplasia=1, and scattered infiltrate=1. Synovitis score of seven in a 2-year-old animal (d) based on scoring synovial hyperplasia=2 (≥6 layers), villous hyperplasia=3, and infiltrate=2. Osteoarthritis and Cartilage 2010 18, S35-S52DOI: (10.1016/j.joca.2010.04.015) Copyright © 2010 Osteoarthritis Research Society International Terms and Conditions

Fig. 9 Effect of caging on guinea pig knee joint histological OA severity. Animals were housed either singly (n=26, white bars), or in pairs (n=14, dark bars) from 2 to 12 months of age. Paraffin central sections of these knee joints (aged 12 months) were scored using the recommended scoring scheme to assess cartilage structure (CS) and proteoglycan content (PG) or a combination of both (Total), of the medial tibia (MT) or entire medial compartment (MED). A comparison of paired housing with single housing by the non-parametric Mann–Whitney test, was associated with slight but significantly greater histological scores in the paired-housed animals compared with single-housed animals (*P=0.02; §P=0.04, respectively). Error bars=SEM. Osteoarthritis and Cartilage 2010 18, S35-S52DOI: (10.1016/j.joca.2010.04.015) Copyright © 2010 Osteoarthritis Research Society International Terms and Conditions