Enhanced healing of cartilaginous injuries by glucosamine hydrochloride

We investigated the restorative effect of orally administered glucosamine hydrochloride (GlcN) on the experimentally produced cartilaginous injuries in rabbits. A total of three holes in the left stifle joint including one in the medial trochlear ridge and two in the trochlear sulcus (proximal and distal) of articular cartilage were made surgically using a drill. For the control group, only tap water and for the glucosamine group, a water based solution of GlcN (1 g/head) was administered daily, respectively. We observed the clinical symptoms daily and the condition of the injured part was observed visually and histologically at 3 weeks after the operation. There was no difference in body weight or general conditions between the two groups. However, in the control group, the muscle weight of the biceps of the left femur was significantly reduced (p<0.05). With respect to the medial trochlear injury, four out of six cases in the control group and five out of six cases in the glucosamine group were cured, respectively. With respect to the proximal and the distal holes in sulcus, only two out of six cases in the control group and five expansive out of six cases in the glucosamine group were cured. There was significant difference between the glucosamine group and the control with respect to healing of the proximal hole (p<0.05) and the total points (p<0.05), indicating that the artificial cartilage injuries were facilitated by GlcN. On histological examination, the injured parts were covered by fibrous connective tissues in the control, whereas in the glucosamine group, the massive proliferation of matured cartilaginous tissues was observed, and the regenerated cartilaginous tissues were surrounded by the proliferation of chondroblast cells. In the regenerated tissue, matured cartilage substrate was about to be formed. Safranin O and alcian blue stains marked significantly dense in the glucosamine group than in the control (p<0.01) in injured parts as well as in non-injured joint cartilage.