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CARTILAGE AND CHONDROITIN SULPHATE III. Chondroitin Sulphate and Inflammatory Lesions of Cartilage
Bengt Sylvén
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Department of Radiopathology, Radiumhemmet, Stockholm
1948 by The American Orthopaedic Association, Inc.
The Journal of Bone & Joint Surgery.  1948; 30:158-162 
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Abstract

By means of a correct metachromatic staining technique, the distribution of chondroitin sulphate in cartilage during inflammatory conditions has been described. The results support the following conclusions:

Preceding the actual inflammatory changes, a decrease in the content of chondroitin sulphate was ascertained. Most of the ester sulphate is lost when the inflammatory changes become established. The observed depletion of chondroit. in sulphate is probably effected by an alkaline depolymerization and disintegration of the molecule in question. Among different contributing factors, the alkaline hydrogen-ion concentration in inflammation seems to be of prime importance for the interpretation of the observations. The disintegration of the ester sulphate seems to be a prerequisite for the propagation of the inflammatory process in cartilage, and this in part explains the "resistance" of cartilage.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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