Cartilage Cells: Types, Function, and Repair

Cartilage cells, known as chondrocytes, are specialized components of cartilage tissue. This connective tissue provides structure and support. Chondrocytes are dispersed within a gel-like matrix, which provides them with nourishment.

The Building Blocks of Cartilage

Cartilage tissue is formed and maintained by two cell types: chondroblasts and chondrocytes. Chondroblasts are precursor cells located near the outer surface of cartilage within a fibrous sheath called the perichondrium. These cells produce and secrete the extracellular matrix, a complex mixture of collagen and proteoglycans, which gives cartilage its unique properties. As chondroblasts become encased by the matrix they produce, they mature into chondrocytes, the main cells responsible for maintaining the cartilage structure.

There are three types of cartilage. Hyaline cartilage, the most common type, appears glassy and is found in the nose, larynx, ribs, and lining joint surfaces, acting as articular cartilage. Elastic cartilage, characterized by its flexibility and yellowish appearance, is present in structures like the outer ear and epiglottis, providing strength and elasticity. Fibrocartilage, the strongest type, contains dense layers of collagen fibers and is located in structures such as the menisci in the knee and the intervertebral discs, offering high resistance to compressive forces.

Essential Roles of Cartilage Cells

Cartilage cells contribute to several bodily functions by maintaining cartilage. The tissue provides structural support, forming a framework for body parts like the nose and trachea, preventing them from collapsing. This structural integrity helps maintain the shape of organs.

In joints, cartilage cells contribute to smooth movement by creating a low-friction surface between bones. The smooth, elastic nature of articular cartilage reduces wear and tear, allowing bones to glide past each other easily. This cushioning effect also enables cartilage to function as a shock absorber, distributing forces across joints during activities like walking or jumping. The extracellular matrix, maintained by chondrocytes, contains components like aggrecan, which attracts water, allowing cartilage to resist compressive forces effectively.

Understanding Cartilage Damage and Repair

Cartilage exhibits limited self-repair capabilities due to its unique biological properties. Unlike many other tissues, cartilage is avascular, lacking a direct blood supply, and aneural. This absence of blood vessels limits the delivery of nutrients, oxygen, and immune cells necessary for efficient repair.

When cartilage is damaged, chondrocytes, fixed within small spaces called lacunae, are unable to migrate to the injury site to initiate repair. Common causes include acute injuries, such as sports-related incidents. Over time, repetitive stress and wear and tear can also degrade cartilage, particularly in weight-bearing joints.

Degenerative conditions, like osteoarthritis, involve the progressive breakdown of cartilage, leading to pain, stiffness, and reduced joint function. The consequences of cartilage damage include localized pain, inflammation, and reduced mobility. As the protective cartilage layer diminishes, bone-on-bone friction can increase, accelerating joint degeneration and impacting overall quality of life.