Vitamin D Supplementation for Prevention of Post-Traumatic Osteoarthritis: Evaluation in Animal and Clinical Models

Abstract

This study evaluated the impact of Vitamin D in prevention and progression of post-traumatic osteoarthritis (PTOA). In animals, we surgically induced osteoarthritis in mice, with supplementation of varying levels of Vitamin D, and evaluated using histology, immunohistochemistry, and micro-CT. We evaluated a clinical cohort of USMA cadets treated for anterior cruciate ligament (ACL) tear, with pre- and post-injury serum 25-hydroxy-Vitamin D levels. Findings from the animal model showed evidence that Vitamin D supplementation may decrease OA in female animals, with histologic change sin animals given one of two supraphysiologic doses of oral Vitamin D. Micro-CT demonstrates greater osteophyte volume in females; immunohistochemistry showed decreased staining of key enzymes that breakdown cartilage with increased Vitamin D supplementation. In the clinical portion, we enrolled 89 cadets and evaluated Vitamin D in ACL injured and control cadet cohorts. We noted a significant difference in baseline Vitamin D by sex, but no differences over time or between injured vs. controls. Interestingly, approximately half the cadets tested had serum Vitamin D levels considered low or low-normal.

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Document Details

Document Type
Technical Report
Publication Date
Dec 01, 2019
Accession Number
AD1090599

Entities

People

  • Jennifer M. Wolf

Organizations

  • University of Chicago

Tags

DTIC Thesaurus Topics

  • Arm Injuries
  • Arthritis
  • Bone Diseases
  • Bone Fractures
  • Cartilage
  • Diseases And Disorders
  • Health Services
  • Joint Diseases
  • Joints (Anatomy)
  • Ligaments
  • Medical Personnel
  • Musculoskeletal Diseases
  • Musculoskeletal System
  • New England
  • Orthopedic Surgical Procedures
  • Orthopedics
  • Osteogenesis
  • Surgery
  • Therapy
  • Wounds And Injuries

Fields of Study

  • Medicine

Readers

  • Exercise and Sports Science.
  • Immunology and Pathology
  • Neurotrauma and Rehabilitation Medicine.