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Topic:Cartilage

Cartilage in horses is a specialized connective tissue found in joints, providing a smooth, lubricated surface for articulation and facilitating the transmission of loads with low friction. It is composed of chondrocytes embedded within an extracellular matrix rich in collagen fibers, proteoglycans, and water. Cartilage does not contain blood vessels or nerves, relying on diffusion for nutrient delivery and waste removal. This avascularity contributes to its limited capacity for repair and regeneration. Research on equine cartilage focuses on understanding its structure, function, and the biological processes involved in cartilage development, maintenance, and degeneration. Studies also explore the impact of various conditions, such as osteoarthritis, on cartilage integrity and investigate potential therapeutic approaches for cartilage repair and preservation. This page gathers peer-reviewed research and scholarly articles that delve into the biology, pathology, and treatment of cartilage-related conditions in horses.
An assessment of equine cartilage degeneration.
Biomedical sciences instrumentation    May 12, 2004   Volume 40 261-265 
Harmel JL, Lewis CW, Sah RL, Kawcak CE, Wheeler DL.Millions of Americans suffer from osteoarthritis, a joint disease characterized by cartilage degradation and subchondral bone sclerosis. However, little is known about its pathology. It remains to be discovered which comes first in the progression of osteoarthritis: subchondral bone remodeling or cartilage degeneration. This study assessed equine cartilage degeneration, based upon measurements of cartilage thickness and Indian ink stain uptake. By gaining a greater understanding of the determining factors in cartilage degeneration, we may be able to better understand the pathomechanics of oste...
Assessment of the effects of age and joint disease on hydroxyproline and glycosaminoglycan concentrations in synovial fluid from the metacarpophalangeal joint of horses.
American journal of veterinary research    March 19, 2004   Volume 65, Issue 3 296-302 doi: 10.2460/ajvr.2004.65.296
van den Boom R, Brama PA, Kiers GH, de Groot J, van Weeren PR.To assess the effects of age and joint disease on hydroxyproline and glycosaminoglycan (GAG) concentrations in synovial fluid from the metacarpophalangeal joint of horses and evaluate the association of those concentrations with severity of osteoarthritis and general matrix metalloproteinase (MMP) activity. Methods: Synovial fluid was collected from the metacarpophalangeal joints of foals at birth (n = 10), 5-month-old foals (10), 11-month-old foals (5), and adult horses (73). Methods: Hydroxyproline and GAG concentrations were determined in synovial fluid samples. The severity of osteoarthrit...
Evaluation of serum concentrations of biomarkers of skeletal metabolism and results of radiography as indicators of severity of osteochondrosis in foals.
American journal of veterinary research    February 21, 2004   Volume 65, Issue 2 143-150 doi: 10.2460/ajvr.2004.65.143
Billinghurst RC, Brama PA, van Weeren PR, Knowlton MS, McIlwraith CW.To determine whether serum concentrations of biomarkers of skeletal metabolism can, in conjunction with radiographic evaluation, indicate severity of osteochondrosis in developing horses. Methods: 43 Dutch Warmblood foals with varying severity of osteochondrosis. Methods: 24 foals were monitored for 5 months and 19 foals were monitored for 11 months. Monthly radiographs of femoropatellar-femorotibial and tibio-tarsal joints were graded for osteochondral abnormalities. Serial blood samples were assayed for 8 cartilage and bone biomarkers. At the end of the monitoring period, foals were examined...
Effects of insulin-like growth factor-II on the mitogenic and metabolic activities of equine articular cartilage with and without interleukin 1-beta.
American journal of veterinary research    February 21, 2004   Volume 65, Issue 2 238-244 doi: 10.2460/ajvr.2004.65.238
Davenport-Goodall CL, Boston RC, Richardson DW.To investigate the effects of insulin-like growth factor-II (IGF-II) on DNA and glycosaminoglycan (GAG) synthesis and the expression of matrix-related genes in equine articular cartilage explants and chondrocytes, respectively, with and without interleukin 1-beta (IL1-beta). Methods: Articular cartilage from 12 adult horses. Methods: Articular cartilage was incubated in standard media with and without equine IL1-beta (10 ng/mL) containing various concentrations of IGF-II for 72 hours. Synthesis of DNA and GAG was determined by incorporation of thymidine labeled with radioactive hydrogen (3H) a...
Repair of extensive articular cartilage defects in horses by autologous chondrocyte transplantation.
Annals of biomedical engineering    February 18, 2004   Volume 32, Issue 1 57-69 doi: 10.1023/b:abme.0000007791.81433.1a
Litzke LE, Wagner E, Baumgaertner W, Hetzel U, Josimović-Alasević O, Libera J.Damaged adult articular cartilage has very limited capacity to heal. Autologous chondrocyte transplantation (ACT) has been used clinically and studied in experimental animals in an attempt to provide biologically based cartilage regeneration. This study evaluated cartilage repair following ACT in a large animal model over a period of 2 years. Articular cartilage defects (10 mm in diameter, full-thickness) were created in the minor load-bearing area on the lateral talus of tibiotarsal joints of eight adult horses. In each animal, the right joint was repaired using autologous chondrocytes inject...
A dose titration of triamcinolone acetonide on insulin-like growth factor-1 and interleukin-1-conditioned equine cartilage explants.
Equine veterinary journal    February 6, 2004   Volume 36, Issue 1 58-63 doi: 10.2746/0425164044864615
Sandler EA, Frisbie DD, McIlwraith CW.Previous in vitro pilot studies have defined a potentially beneficial effect of insulin-like growth factor-1 (IGF-1) and triamcinolone acetonide (TA) on interleukin-1 (IL-1)-conditioned equine cartilage. Furthermore, an optimal dose for IGF-1 treatment alone has been documented previously using the same test system as in the current project. Objective: To perform a dose titration of TA on IL-1-conditioned equine articular cartilage explants in the presence of an optimised IGF-1 dose, in order to optimise a triamcinolone concentration for use in combination with IGF-1 for future investigations....
Effect of radiosynovectomy with holmium-166 ferric hydroxide macroaggregate on adult equine cartilage.
The Journal of rheumatology    February 5, 2004   Volume 31, Issue 2 321-328 
Mäkelä OT, Lammi MJ, Uusitalo H, Viitanen M, Hyttinen MM, Jurvelin JS, Vuorio E, Helminen HJ, Tulamo RM.To analyze the effect of radiosynovectomy with holmium-166 ferric hydroxide macroaggregate (166Ho-FHMA) on articular cartilage in 6 adult horses. Methods: Arthritic changes and mechanical properties of articular cartilage were evaluated with arthroscopy and postmortem microscopic analyses. Glycosaminoglycan content was measured by safranin-O staining combined with digital densitometry, uronic acid analyses, and dimethylene blue binding assay. 35S-sulfate labeling and autoradiography were used to localize proteoglycan synthesis and to characterize proteoglycan structures using SDS-agarose gel e...
Fibronectin fragments cause release and degradation of collagen-binding molecules from equine explant cultures.
Osteoarthritis and cartilage    January 16, 2004   Volume 12, Issue 2 149-159 doi: 10.1016/j.joca.2003.10.008
Johnson A, Smith R, Saxne T, Hickery M, Heinegård D.Previous experiments have shown that addition of fragmented fibronectin can induce cartilage chondrolysis. In this study we investigated the fate of the collagen- and cell-binding molecules Cartilage oligomeric matrix protein (COMP) and chondroadherin. Methods: Equine articular cartilage explants were stimulated with the C-terminal and the N-terminal heparin-binding fragments of fibronectin respectively, and the conditioned media were analysed by both quantitative (ELISA) and qualitative (mass spectrometry, Western blots) methods. Results: Both COMP and chondroadherin were released in a dose-d...
Expression of bone morphogenetic protein-6 and -2 and a bone morphogenetic protein antagonist in horses with naturally acquired osteochondrosis.
American journal of veterinary research    January 15, 2004   Volume 65, Issue 1 110-115 doi: 10.2460/ajvr.2004.65.110
Semevolos SA, Nixon AJ, Strassheim ML.To determine the mRNA expression of bone morphogenetic protein (BMP)-6 and -2 and a BMP antagonist (Noggin) in horses with osteochondrosis. Methods: Samples of articular cartilage from affected stifle or shoulder joints of 10 immature horses with naturally acquired osteochondrosis and corresponding joints of 9 clinically normal horses of similar age; additionally, samples of distal femoral growth plate cartilage and distal femoral articular cartilage were obtained from a normal equine fetus. Methods: Cartilage specimens were snap-frozen in liquid nitrogen, and total RNA was isolated. Adjacent ...
Osteochondrosis of the occipital condyles and atlanto-occipital dysplasia in a Belgian horse.
The Canadian veterinary journal = La revue veterinaire canadienne    January 2, 2004   Volume 44, Issue 12 984-986 
Muirhead T, McClure JT, Bourque A, Pack L.A lesion in the cervical region of a 14-month-old Belgian gelding with severe ataxia was suspected. Necropsy revealed symmetric focal cartilage defects compatible with osteochondrosis of the occipital condyles and atlanto-occipital dysplasia. To our knowledge this is the first equine report of symmetrical osteochondrosis of the occipital condyles causing neurologic signs.
Quantification and age-related distribution of articular cartilage degeneration in the equine fetlock joint.
Equine veterinary journal    December 3, 2003   Volume 35, Issue 7 697-701 doi: 10.2746/042516403775696357
Brommer H, van Weeren PR, Brama PA, Barneveld A.The equine fetlock joint has the largest number of traumatic and degenerative lesions of all joints of the appendicular skeleton. Objective: To gain insight into the distribution of cartilage degeneration across the articular surface in relation to age in order better to understand the dynamic nature and progression of osteoarthritis (OA). Objective: That there would be a specific age-related distribution pattern of cartilage degeneration in the equine metacarpophalangeal joint. Methods: The proximal articular cartilage surfaces of the first phalanges (P1) of 73 slaughter horses (age range 0.4...
Ex vivo magnetic resonance imaging of the distal row of equine carpal bones: assessment of bone sclerosis and cartilage damage. Anastasiou A, Skioldebrand E, Ekman S, Hall LD.The distal row of carpal bones (C2, C3, and C4) from eight left intercarpal joints--four from Standardbred Trotters and four from Swedish Warmblood horses--were used to assess the potential of magnetic resonance (MR) imaging to detect cartilage and bone lesions. The joints used in the study were classified by macroscopic and radiographic examinations as having normal, mild, moderate, or severe articular cartilage lesions and bone sclerosis. Those classifications correlated well with the appearance of the MR images. Bone sclerosis in the MR images was observed as regions of decreased signal int...
Significant exercise-related changes in the serum levels of two biomarkers of collagen metabolism in young horses.
Osteoarthritis and cartilage    September 18, 2003   Volume 11, Issue 10 760-769 doi: 10.1016/s1063-4584(03)00152-3
Billinghurst RC, Brama PA, van Weeren PR, Knowlton MS, McIlwraith CW.To identify metabolic biomarkers that can be evaluated in serum for monitoring the effects of exercise on skeletal development in mammals. Methods: Sera of foals from three groups (box-stall rest, pasture and training) were serially collected over the first 5 months of life and assayed for eight biomarkers of cartilage and bone metabolism. Sub-populations from each group were sampled for an additional 6 months of identical exercise. Results: When expressed as a percentage of baseline values, lower serum levels of the carboxy-terminal propeptides of type II collagen (CPII), and higher serum lev...
The effect of link peptide on proteoglycan synthesis in equine articular cartilage.
Biochimica et biophysica acta    August 21, 2003   Volume 1622, Issue 3 161-168 doi: 10.1016/s0304-4165(03)00138-7
Dean MF, Lee YW, Dastjerdi AM, Lees P.The basal rate of in vitro proteoglycan (PG) synthesis in explants of equine articular cartilage was subject to considerable variation in animals of the same age but was greater in younger than older animals. Synthesis of PGs in explant cultures was stimulated by a synthetic link peptide, identical in sequence to the N-terminus of the link protein (LP) of PG aggregates, in a similar manner to that demonstrated previously for human articular cartilage [Biochem. Soc. Trans. 25 (1997) 427; Arthritis Rheum. 41 (1998) 157]. Stimulation occurred in tissue from animals ranging from 1 to 30 years old ...
Equine articular cartilage chondrocytes: opening the black box.
Equine veterinary journal    July 24, 2003   Volume 35, Issue 5 425-428 doi: 10.2746/042516403775600442
Hall AC, Bush PG, Davidson ME, Kempson SA.No abstract available
Effects of dosage titration of methylprednisolone acetate and triamcinolone acetonide on interleukin-1-conditioned equine articular cartilage explants in vitro.
Equine veterinary journal    July 24, 2003   Volume 35, Issue 5 444-450 doi: 10.2746/042516403775600479
Dechant JE, Baxter GM, Frisbie DD, Trotter GW, McIlwraith CW.Osteoarthritis is a frequent sequela of joint disease, especially with severe injuries or if attempts at therapy are unsuccessful. Negative and positive effects of corticosteroid treatment of articular cartilage have been demonstrated by in vitro and in vivo studies. Objective: To assess the metabolic effects of varying dosages of methylprednisolone acetate (MPA) and triamcinolone acetonide (TA) on interleukin-1alpha (IL-1) conditioned equine cartilage explants. Our hypothesis was that lower dosages of corticosteroids would be less detrimental to cartilage metabolism than higher dosages. TA wo...
Homeostasis of intracellular Ca2+ in equine chondrocytes: response to hypotonic shock.
Equine veterinary journal    July 24, 2003   Volume 35, Issue 5 439-443 doi: 10.2746/042516403775600541
Wilkins RJ, Fairfax TP, Davies ME, Muzyamba MC, Gibson JS.Ca2+ homeostasis in articular chondrocytes affects synthesis and degradation of the cartilage matrix, as well as other cellular functions, thereby contributing to joint integrity. Although it will be affected by mechanical loading, the sensitivity of intracellular Ca2+ concentration ([Ca2+]i) in equine articular chondrocytes to many stimuli remains unknown. Objective: An improved understanding of Ca2+ homeostasis in equine articular chondrocytes, and how it is altered during joint loading and pathology, will be important in understanding how joints respond to mechanical loads. Methods: [Ca2+]i...
Dynamic compressive strain inhibits nitric oxide synthesis by equine chondrocytes isolated from different areas of the cartilage surface.
Equine veterinary journal    July 24, 2003   Volume 35, Issue 5 451-456 doi: 10.2746/042516403775600532
Wiseman M, Henson F, Lee DA, Bader DL.Chondrocytes within articular cartilage respond to the mechanical stresses associated with normal joint loading via a series of signalling pathways. Specific biomolecules, such as nitric oxide (NO), have been implicated in these mechanotransduction processes. It has been shown that the synthesis of NO can be inhibited by dynamic compressive strain of chondrocytes in vitro which, in turn, leads to an up-regulation of specific metabolic parameters. Objective: Chondrocytes isolated from different joint locations and seeded in agarose constructs respond in a distinct manner to the application of d...
Influence of glucosamine on matrix metalloproteinase expression and activity in lipopolysaccharide-stimulated equine chondrocytes.
American journal of veterinary research    June 28, 2003   Volume 64, Issue 6 666-671 doi: 10.2460/ajvr.2003.64.666
Byron CR, Orth MW, Venta PJ, Lloyd JW, Caron JP.To characterize potential mechanisms of action of glucosamine inhibition of matrix metalloproteinase (MMP) expression and activity in lipopolysaccharide (LPS)-stimulated equine chondrocytes. Methods: Chondrocytes cultured from samples of metacarpophalangeal articular cartilage collected from cadaveric limbs of horses. Methods: The effect of glucosamine on MMP activity in conditioned medium from LPS-stimulated cartilage explants was determined by a colorimetric assay with azocoll substrate. Treatments consisted of negative and positive controls, glucose (50 mM), and glucosamine (50, 25, 6.25, 3...
Acceleration of cartilage repair by genetically modified chondrocytes over expressing bone morphogenetic protein-7.
Journal of orthopaedic research : official publication of the Orthopaedic Research Society    June 12, 2003   Volume 21, Issue 4 573-583 doi: 10.1016/S0736-0266(02)00264-4
Hidaka C, Goodrich LR, Chen CT, Warren RF, Crystal RG, Nixon AJ.Cartilage has a limited capacity to heal. Although chondrocyte transplantation is a useful therapeutic strategy, the repair process can be lengthy. Previously we have shown that over expression of bone morphogenetic protein-7 (BMP-7) in chondrocytes by adenovirus-mediated gene transfer leads to increased matrix synthesis and cartilage-like tissue formation in vitro. In this context we hypothesized that implantation of genetically modified chondrocytes expressing BMP-7 would accelerate the formation of hyaline-like repair tissue in an equine model of cartilage defect repair. Methods: Chondrocyt...
Cylindrical press-fit osteochondral allografts for resurfacing the equine metatarsophalangeal joint.
Veterinary surgery : VS    June 5, 2003   Volume 32, Issue 3 220-230 doi: 10.1053/jvet.2003.50032
Pearce SG, Hurtig MB, Boure LP, Radcliffe RM, Richardson DW.To investigate the feasibility of resurfacing the equine fetlock joint using cylindrical, orthotopic, press-fit, osteochondral allografts. Methods: Experimental study. Methods: Ten mature, mixed-breed horses. Methods: Cylindrical, osteochondral grafts (6.5-mm diameter) were harvested aseptically from cadaveric equine metatarsophalangeal joints. Allografts were transplanted into 6 horses; 4 horses were sham operated. The surgical approach involved creation of a bone block at the origin of the medial collateral ligament and luxation of the metatarsophalangeal joint. Grafts were placed into the m...
Recombinant equine growth hormone administration: effects on synovial fluid biomarkers and cartilage metabolism in horses.
Equine veterinary journal    May 21, 2003   Volume 35, Issue 3 302-307 doi: 10.2746/042516403776148165
Dart AJ, Little CB, Hughes CE, Chu O, Dowling BA, Hodgson DR, Rose RJ, Johnson KA.Recombinant equine growth hormone (reGH) has recently been evaluated for effects on body condition and wound healing. It has the potential to influence articular cartilage via stimulation of IGF-1. Objective: To investigate effects of administration on synovial joint metabolism. Methods: Six mature horses were given 20 microg/kg bwt reGH daily for 8 weeks by i.m. injection. Three control horses were injected with sterile water. Serum and synovial fluid samples were collected at 6, 8, 11 and 16 weeks for GH and IGF-1 assays. Articular cartilage harvested at week 16 was evaluated by Western anal...
[Tissue engineering: new treatment of cartilage alterations in degenerative joint diseases in horses–preliminary results of a long term study].
Berliner und Munchener tierarztliche Wochenschrift    April 12, 2003   Volume 116, Issue 3-4 157-161 
Barnewitz D, Evers A, Zimmermann J, Wilke I, Kaps C, Sittinger M.Degenerative alterations in fetlock joints of the forelimb are common diagnoses for horses. The hyaline cartilage has a low capacity to regenerate and the treatment by veterinarians is often insufficient. As a final result, horses with articular cartilage defects are often not able to take part in competitions anymore. To establish an autologous cartilage repair method, we set artificial lesions (8 mm in diameter) into the fetlock joints of the forelimb of three horses. These defects were closed with autologous chondrocyte implants, which were fixed with titan-suture-anchors. After 3, 12 and 2...
Dose-dependent effects of corticosteroids on the expression of matrix-related genes in normal and cytokine-treated articular chondrocytes.
Inflammation research : official journal of the European Histamine Research Society ... [et al.]    March 1, 2003   Volume 52, Issue 1 39-49 doi: 10.1007/s000110300012
Richardson DW, Dodge GR.To assess the effects of glucocorticoids on the expression of multiple matrix-related genes in normal and cytokine-treated cultured equine articular chondrocytes in a phenotypically correct suspension culture. Methods: Articular cartilage harvested from the joints of 15 foals, 7 yearling horses, and 16 adult horses. Methods: Glucocorticoids (dexamethasone, prednisolone, triamcinolone) at 10(-10) to 10(-4) M. Methods: Equine articular chondrocytes maintained in suspension cultures were treated with glucocorticoids with and without human recombinant interleukin 1-beta (IL1-beta) and tumor necros...
Early events in cartilage repair after subchondral bone microfracture.
Clinical orthopaedics and related research    February 5, 2003   Issue 407 215-227 doi: 10.1097/00003086-200302000-00031
Frisbie DD, Oxford JT, Southwood L, Trotter GW, Rodkey WG, Steadman JR, Goodnight JL, McIlwraith CW.The current study investigated healing of large full-thickness articular cartilage defects during the first 8 weeks with and without penetration of the subchondral bone using microfracture in an established equine model of cartilage healing. Chondral defects in the weightbearing portion of the medial femoral condyle were made bilaterally; one defect in each horse was microfractured whereas the contralateral leg served as the control. The expression of cartilage extracellular matrix components (Types I and II collagen and aggrecan) was evaluated using histologic techniques, reverse transcriptio...
Differential distribution of cathepsins B and L in articular cartilage during skeletal development in the horse.
Equine veterinary journal    January 30, 2003   Volume 35, Issue 1 42-47 doi: 10.2746/042516403775467504
Gläser KE, Davies ME, Jeffcott LB.This study was designed to examine a new role for cysteine proteinases in the process of endochondral ossification. Objective: The aim of the present study was to investigate the presence and distribution of cathepsin B and cathepsin L in equine articular cartilage during development. Methods: Full-depth cartilage samples from a total of 40 horses (age range: 4 month fetuses to 2 years) were examined and enzymes detected by immunocytochemical localisation. Results: Observations on the presence of cathepsins B and L revealed significant age-related differences, resulting in clear division of th...
New approach for quantitative assessment of articular cartilage degeneration in horses with osteoarthritis.
American journal of veterinary research    January 10, 2003   Volume 64, Issue 1 83-87 doi: 10.2460/ajvr.2003.64.83
Brommer H, van Weeren PR, Brama PA.To evaluate a modified digital imaging technique for quantitative assessment of the grade of osteoarthritis across the proximal articular surface of the first phalanx in horses. Methods: 6 metacarpophalangeal (fet-lock) joint specimens from 6 horses with various stages of osteoarthritis. Methods: First phalanx specimens, together with 4 gray scale reference calibration targets, were positioned in a bath with the proximal articular cartilage surface submerged in saline (0.9% NaCl) solution. Digital images were obtained from the articular surface before and after staining with Indian ink. Comput...
The influence of ageing and exercise on tendon growth and degeneration–hypotheses for the initiation and prevention of strain-induced tendinopathies.
Comparative biochemistry and physiology. Part A, Molecular & integrative physiology    December 18, 2002   Volume 133, Issue 4 1039-1050 doi: 10.1016/s1095-6433(02)00148-4
Smith RK, Birch HL, Goodman S, Heinegård D, Goodship AE.Strain-induced tendinopathy is a common injury in both human and equine athletes, with increasing incidence associated with greater involvement in sport and an increasingly aged population. This paper reviews our studies on the abundant non-collagenous protein, cartilage oligomeric matrix protein (COMP), in equine tendons. Its variation between tendon type and site, age and exercise has provided an insight into how age and exercise influence tendon growth and maturation. Tendons can be broadly divided into two types, reflecting their different matrix composition and function: the energy-storin...
Microscopic localization of active gelatinases in equine osteochondritis dissecans (OCD) cartilage.
Osteoarthritis and cartilage    December 14, 2002   Volume 10, Issue 8 653-661 doi: 10.1053/joca.2002.0811
Al-Hizab F, Clegg PD, Thompson CC, Carter SD.To investigate the relationship between matrix metalloproteinase (MMP) activity and osteochondritis dissecans (OCD) in the equine joint. Methods: Equine articular cartilage was obtained from normal (N = 8) and osteochondrotic (OCD) (N = 6) femoropatellar joints from horses at necropsy. The activity of gelatinase MMPs was determined in sections of cartilage by in situ gelatin zymography. Results: Gelatinase activity was markedly increased in articular cartilage obtained from OCD samples and was particularly prominent in the deep cartilage zone. Activity was only seen in the pericellular area of...
Parathyroid hormone-related peptide and indian hedgehog expression patterns in naturally acquired equine osteochondrosis.
Journal of orthopaedic research : official publication of the Orthopaedic Research Society    December 11, 2002   Volume 20, Issue 6 1290-1297 doi: 10.1016/S0736-0266(02)00055-4
Semevolos SA, Brower-Toland BD, Bent SJ, Nixon AJ.Early changes in parathyroid hormone-related peptide (PTH-rP) and Indian hedgehog (Ihh) expression were examined in equine articular osteochondrosis (OC) as a model of a naturally acquired dyschondroplasia. Cartilage was harvested from OC-affected femoropatellar or scapulohumeral joints from immature horses and normal control horses of similar age. PTH-rP expression levels were assessed by semi-quantitative PCR, in situ hybridization, and immunohistochemistry. Ihh protein expression levels were assessed by immunohistochemistry. Elevated PTH-rP protein and mRNA expression were identified in the...
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