Urine Concentration of Cartilage Degradation Marker CTX-II is Sensitive to Microgravity

Mechanical and gravitation load are both important regulators of articular cartilage metabolism. Immobilization and the absence of gravity likely change tissue characteristics that can result in atrophy and softening of cartilage. Type II collagen is the most abundant cartilage matrix protein. Assessing urinary excretion of crosslinked C-telopeptide (uCTX-II) provides an index of total type II collagen degradation. We hypothesized that reduced mechanical and gravitational loading during a 4 – 6 months International Space Station (ISS) mission will result in increased uCTX-II levels.