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Aggrecan

Aggrecan is the large water-holding molecule packed into cartilage's collagen network, which lets cartilage resist being squashed. Its loss is described as early and reversible.

Also called cartilage proteoglycan, ACAN (its gene).

Aggrecan is a proteoglycan, a protein core carrying many sugar chains called glycosaminoglycans. It is a major component of cartilage matrix and gives the tissue its compressive resistance (Glasson 2005).

The main enzyme that cuts it is ADAMTS5. Mice lacking a working ADAMTS5 had significantly less cartilage destruction after a joint injury (Glasson 2005). MMP13 cuts aggrecan too, at two sites (Fosang 1996).

Researchers draw a line between aggrecan and collagen. Aggrecan loss is thought to be early and reversible, while type II collagen loss is considered irreversible (Li 2011). In mice without MMP13, aggrecan was still lost after injury but cartilage eroded less (Little 2009).

In cell studies, glucosamine sulphate raised aggrecan production by cartilage cells from patients' knees (Dodge 2003), and high leptin lowered the aggrecan gene (Primrose 2023).

Sources

  1. Glasson SS, Askew R, Sheppard B et al. Deletion of active ADAMTS5 prevents cartilage degradation in a murine model of osteoarthritis. Nature 2005.
  2. Fosang AJ, Last K, Knäuper V et al. Degradation of cartilage aggrecan by collagenase-3 (MMP-13). FEBS Lett 1996.
  3. Li NG, Shi ZH, Tang YP et al. New hope for the treatment of osteoarthritis through selective inhibition of MMP-13. Curr Med Chem 2011.
  4. Little CB, Barai A, Burkhardt D et al. Matrix metalloproteinase 13-deficient mice are resistant to osteoarthritic cartilage erosion but not chondrocyte hypertrophy or osteophyte development. Arthritis Rheum 2009.
  5. Dodge GR, Jimenez SA. Glucosamine sulfate modulates the levels of aggrecan and matrix metalloproteinase-3 synthesized by cultured human osteoarthritis articular chondrocytes. Osteoarthritis Cartilage 2003.
  6. Primrose JG, Jain L, Bolam SM et al. Concentration-dependent effects of leptin on osteoarthritis-associated changes in phenotype of human chondrocytes. Connect Tissue Res 2023.

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Last reviewed 3 November 2026Every study cited here is indexed on PubMed. How we read the evidence