To assess the contribution of apoptosis to the mechanism of synovial joint cavitation, and to clarify
morphological cellular changes during cavitation, we investigated the development of the rat knee joint by
light and electron microscopy, TUNEL methods, and electrophoresis of DNA fragments. Although
cavitation occurred within the interzone, which consists of 2 outer and a middle layer termed the
intermediate zone, no morphological or biochemical signs of cell death, in particular apoptosis, were seen in
the interzone at any embryonic stage. Microscopic and ultrastructural alterations affecting cell differentiation
were clearly observed in the interzone, i.e. mesenchymal cells gradually showed elongation, cytoplasmic
vacuolation and pyknosis in the intermediate zone where the elongated cells were arranged in parallel in
some strata. Some of these cells were further flattened into spindle cells and the number of strata decreased
to 2. The rest of the cells were incorporated secondarily into the outer layers, becoming chondroblasts.
Collagen fibrils were arranged in a network structure in the outer layers, which obviously differed from the
directional pattern parallel to the long axis of elongated cells in the intermediate zone. In addition, the
density of collagen fibrils was higher in the outer layers than in the intermediate zone. During cavitation, the
initial separation was detected between the elongated cells in the intermediate zone in paraffin sections at
E16.5 and the spindle cells in epoxy sections at E18.5. The spindle cells lining the cavity, namely, the
surfaces of the epiphysis and meniscus, finally became chondrocytes. The diminution of proteoglycans and
collagen fibrils and the synthesis of hyaluronan in the extracellular matrix are now generally believed to be
parts of the mechanism for cavitation based on the concept of ‘loss of cohesion’. The microscopic and
ultrastructural alterations in the interzone seemed to reflect differences in the arrangement and density of
collagen fibrils and the developmental condition of the extracellular matrix between layers. Also it did not
seem likely that these alterations inhibit the synthesis of hyaluronan at the presumptive joint line because
this synthesis takes place at the plasma membrane. Separation between spindle cells should therefore
represent the mechanism for developmentally programmed cavitation. Reorganization of the extracellular
matrix is probably necessary for the cellular metamorphoses in the interzone involved in the process of
cavitation.