Researchers tested more than 561,000 human-derived DNA changes in cartilage cells to identify changes that alter gene activity. They found 15,077 sites with human-specific regulatory activity and combined these results with experiments using human–ape hybrid cells developed into early bone-and-cartilage cells.

The resulting maps showed broad changes in the regulation of the skeletal extracellular matrix—the material surrounding cells—including a marked reduction in the production of GAGs. The researchers report that human joints contain about three to four times less GAG than joints of non-human apes, and that the shift bears signs of natural selection.