“…Osmotic loading and mechanical loading have been shown to affect the synthesis of GAG in vitro in both explant and cell culture experiments [e.g., (Bush and Hall, 2001; Gray et al, 1988; Gray et al, 1989; Guilak et al, 1994; Johnson et al, 2014; Maroudas and Evans, 1974; O'Conor et al, 2014; Sampat et al, 2013; Schneiderman et al, 1986; Urban et al, 1993)]. For example, the extracellular osmolarity has been found to have a dose-dependent effect on GAG synthesis rate by isolated cells (Ishihara et al, 1997; Negoro et al, 2008); the cells in the NP explant exhibit a higher synthesis rate of GAG at the osmolarity level close to the in situ value (van Dijk et al, 2011; van Dijk et al, 2013); the GAG synthesis rate has been observed to decrease in osmotic loaded articular cartilages (Bayliss et al, 1986; Schneiderman et al, 1986); a static compression has been shown to suppress GAG synthesis in articular cartilage (Kim et al, 1994; Schneiderman et al, 1986), whereas the GAG synthesis rate in bovine tail disc was found to be elevated if the static loading is less than 5 kg (Ohshima et al, 1995).…”