Early removal of the infrapatellar fat pad pad beneficially alters the pathogenesis of moderate stage idiopathic knee osteoarthritis in the Dunkin Hartley guinea pig

Background: The infrapatellar fat pad (IFP) is the largest adipose deposit in the knee; however, its contributions to the homeostasis of this organ remain unknown. To determine the influence of this depot on joint health, this study determined the progression of osteoarthritis (OA) following excision of the IFP in a rodent model of naturally-occurring disease. Methods: Male Dunkin-Hartley guinea pigs (n=10) received surgical removal of the IFP in one knee at 3 months of age; contralateral knees received sham surgery as matched internal controls. Treadmill-based gait analysis was performed prior to IFP removal and monthly thereafter. Animals were harvested at 7 months of age. Both knees were processed for microcomputed tomography (microCT), histopathology, transcript expression analyses, and immunohistochemistry (IHC). Results: Fibrous connective tissue (FCT) developed in place of the native fat pad. Gait demonstrated no significant differences between IFP removal and contralateral limbs. MicroCT OA scores were improved in knees with the FCT. Histopathology confirmed maintenance of articular cartilage structure, proteoglycan content, and chondrocyte cellularity in FCT-containing knees. Transcript analyses revealed decreased expression of adipose-related molecules and inflammatory mediators in FCTs compared to IFPs. This was corroborated via IHC for select inflammatory mediators. Discussion/Conclusion: Formation of the FCT resulted in reduced OA-associated changes in both bone and cartilage. A decrease in inflammatory mediators at transcript and protein levels may be associated with these improvements. The IFP may therefore play a role in the pathogenesis of knee OA in this strain, with removal prior to disease onset appearing to have short-term benefits. ### Competing Interest Statement The authors have declared no competing interest.