Osteoarthritis (OA) is a degenerative, progressive, and irreversible disease of articular cartilage characterized by inflammation, pain, and the gradual loss of joint function. Although it has traditionally been associated with aging, it is now recognized as a multifactorial condition involving genetic, nutritional, metabolic, and mechanical factors.

It is estimated that approximately 20% of dogs and more than 60% of cats over six years of age have some degree of osteoarthritis. Among geriatric animals, prevalence may exceed 80–90%, making it one of the leading causes of reduced quality of life.
 
 

Figure 1. Healthy articular cartilage (left) versus cartilage affected by osteoarthritis (right).


The disease primarily affects synovial (diarthrodial) joints, where hyaline cartilage absorbs mechanical loads and enables smooth, efficient movement.


Collagen: The Primary Structural Component of Cartilage


Collagen (Col) is the most abundant protein in the body, accounting for approximately 25% of total body protein. Although more than 28 types of collagens have been identified, types I, II, and III represent 80–90% of the collagen found in the body.

In articular cartilage, Col type II accounts for 90–95% of the total collagen. Its primary role is to provide mechanical strength, elasticity, and structural support while anchoring proteoglycans within the extracellular matrix.

Healthy cartilage is composed mainly of water, collagen, proteoglycans, and glycosaminoglycans, all produced by chondrocytes—specialized cells responsible for maintaining this tissue. Joint health depends on a delicate balance between the synthesis and degradation of these components. When this balance is disrupted, the degenerative process characteristic of osteoarthritis begins.

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How Osteoarthritis Develops


Osteoarthritis does not develop suddenly; rather, it results from a chronic process involving multiple contributing factors.

Mechanical overload, excess body weight, conformational abnormalities, trauma, and certain genetic predispositions trigger a persistent inflammatory response. This inflammation stimulates the production of cytokines such as IL-1, IL-6, and TNF-α, along with degradative enzymes known as matrix metalloproteinases (MMPs). These molecules progressively break down collagen and proteoglycans within the cartilage, leading to chondrocyte apoptosis and a loss of the tissue's regenerative capacity. As a result, pain, stiffness, reduced mobility, and osteophyte formation develop, creating a self-perpetuating cycle of inflammation, pain, and functional deterioration.
 

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Figure 2. Dog with impaired joint mobility.


Excess body weight significantly worsens this process because adipose tissue produces biologically active substances such as leptin, which help maintain a chronic low-grade inflammatory state.

 

 Figure 3. Diagram illustrating the negative impact of overweight, obesity (adipose tissue), and inflammatory cytokines on the joint. Activation of enzymes (nitric oxide synthase and matrix metalloproteinases) and their effects on joints and bones.


The Gut Also Plays a Role in Joint Health


In recent years, a new concept has emerged that is reshaping our understanding of many chronic diseases: the gut-joint axis.

The gut microbiota is a complex ecosystem composed of bacteria, viruses, and fungi that coexist in close association with the host. When balanced (eubiosis), it contributes to immune and metabolic homeostasis. However, factors such as stress, abrupt dietary changes, obesity, or the inappropriate use of oral and systemic antibiotics can disrupt this balance, leading to dysbiosis—a change in the normal composition of the gut microbiota.

Dysbiosis increases intestinal permeability and promotes the systemic release of inflammatory mediators (pro-inflammatory cytokines). These inflammatory signals can reach distant tissues, including joints, accelerating degenerative processes.
 

Figure 4. Mechanism of action of native type II collagen (oral tolerance) in the intestine.


Growing scientific evidence now indicates that gut health should be considered a key component of any modern osteoarthritis prevention strategy.


Collagen


Scientific interest in collagen has grown considerably with the development of new supplementation strategies that work through different and complementary mechanisms.

Hydrolyzed collagen provides amino acids and bioactive peptides that chondrocytes use to synthesize new collagen and other components of the extracellular matrix. In other words, it supplies the building blocks needed to support tissue repair.

Undenatured native Col type II, however, works through a completely different mechanism.


Native Type II Collagen: An Innovative Immunological Strategy
Native collagen retains its three-dimensional structure and preserves specific regions known as epitopes. Once ingested, these epitopes are recognized by specialized cells within the intestinal mucosa and gut-associated lymphoid tissue, particularly in the Peyer's patches. This interaction triggers a process known as oral immune tolerance.

Through this mechanism, regulatory T cells are generated, promoting the production of interleukin-10 (IL-10), a cytokine with potent anti-inflammatory properties. As a result, the immune response directed against the collagen present in articular cartilage is reduced, decreasing the activity of collagenases and matrix metalloproteinases responsible for cartilage degradation.
 

Figure 4. Mechanism of action of native Type II collagen (oral tolerance) in the intestine.


This mechanism makes native collagen particularly valuable as a preventive strategy because it acts before structural damage becomes irreversible.

Osteoarthritis remains an incurable disease in both veterinary and human medicine. However, current knowledge allows for increasingly effective preventive approaches.

The combination of undenatured native type II collagen and hydrolyzed collagen represents a particularly promising nutritional strategy. While Col type II helps modulate the immune response, the hydrolyzed collagen provides the essential compounds required for the synthesis and repair of the cartilage matrix. When combined with proper weight management, appropriate exercise, and the maintenance of a healthy gut microbiota, this nutritional approach can significantly delay the onset of clinical signs of osteoarthritis and improve the quality of life of dogs and cats throughout their lives.


By Prof. Alejandro L. Soraci, DVM, PhD, Dr. Vet. Sci. – Principal Researcher at CONICET
Source: All Pet Food Magazine


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