ORIGINAL ARTICLE
Age- and degeneration-related variations in cell density and glycosaminoglycan content in the human cervical intervertebral disc and its endplates
 
More details
Hide details
 
Submission date: 2014-10-10
 
 
Acceptance date: 2014-10-10
 
 
Publication date: 2015-10-23
 
 
Pol J Pathol 2015;66(3):296-300
 
KEYWORDS
TOPICS
ABSTRACT
The first aim of this study was to quantify cell density in cervical intervertebral discs (IVDs) and endplates of varying age and degeneration grade. The second aim was to analyze glycosaminoglycan (GAG) content in cervical IVDs and their endplates.
Sixty cervical IVDs were excised from 30 human cadavers, not later than 24 hours post-mortem. Each sample underwent sectioning. Half of each sample underwent GAG content analysis using the dimethylmethylene blue binding assay. The other half underwent histological processing, histological degeneration grading, and cell density assessment using the Abercrombie method.
The nucleus pulposus (NP) (4218 ±417 cells/mm3) had significantly higher cell density than the anterior annulus fibrosus (AF) (3283 ±438 cells/mm3; p < 0.0001), and similar cell density (4464 ±551 cells/mm3; p = 0.36) to the posterior AF. Cell density was similar throughout the different regions of the endplate. The NP (619 ±178 µg/mg dry weight) had a significantly higher GAG content than both the anterior (428 ±199 µg/mg dry weight; p < 0.0001) and posterior AF (524 ±218 µg/mg dry weight; p < 0.0001).
In conclusion, this study introduces detailed 3D maps of cervical IVD and endplate cell density and GAG content. Furthermore, it shows that cervical IVDs and their endplates only slightly differ, in terms of cell density and GAG content, from lumbar IVDs.
REFERENCES (34)
1.
Roberts S, Evans H, Trivedi J, et al. Histology and pathology of the human intervertebral disc. J Bone Joint Surg Am 2006; 88: 10-14.
 
2.
Niosi CA, Oxland TR. Degenerative mechanics of the lumbar spine. Spine J 2004; 4 (6 Suppl): 202S-208S.
 
3.
Taylor JR, Twomey LT. Growth of human intervertebral discs and vertebral bodies. J Anat 1988; 120: 49-68.
 
4.
Gruber HE, Hanley EN Jr. Ultrastructure of the human intervertebral disc during aging and degeneration: comparison of surgical and control specimens. Spine (Phila Pa 1976) 2002; 27: 798-805.
 
5.
Nerlich AG, Schleicher ED, Boos N. 1997 Volvo award winner in basic science studies. Immunohistologic markers for age-related changes of human lumbar intervertebral discs. Spine (Phila Pa 1976) 1997; 22: 2781-2795.
 
6.
Tomaszewski KA, Saganiak K, Gładysz T, Walocha JA. The biology behind the human intervertebral disc and its endplates. Folia Morphol (Warsz) 2015; 74: 157-168.
 
7.
Boos N, Weissbach S, Rohrbach H, et al. Classification of age-related changes in lumbar intervertebral discs: 2002 Volvo Award in basic science. Spine (Phila Pa 1976) 2002; 27: 2631-2644.
 
8.
Liebscher T, Haefeli M, Wuertz K, et al. Age-related variation in cell density of human lumbar intervertebral disc. Spine (Phila Pa 1976) 2011; 36: 153-159.
 
9.
Hastreiter D, Ozuna RM, Spector M. Regional variations in certain cellular characteristics in human lumbar intervertebral discs, including the presence of alpha-smooth muscle actin. J Orthop Res 2001; 19: 597-604.
 
10.
Meisel HJ, Siodla V, Ganey T, et al. Clinical experience in cell based therapeutics: disc chondrocyte transplantation a treatment for degenerated or damaged intervertebral disc. Biomol Eng 2007; 24: 5-21.
 
11.
Gruber HE, Johnson TL, Leslie K, et al. Autologous intervertebral disc cell implantation: a model using Psammomys obesus, the sand rat. Spine 2002; 27: 1626-1633.
 
12.
Revell PA, Damien E, Di Silvio L, et al. Tissue engineered intervertebral disc repair in the pig using injectable polymers. J Mater Sci Mater Med 2007; 18: 303-308.
 
13.
Perie DS, Maclean JJ, Owen JP, et al. Correlating material properties with tissue composition in enzymatically digested bovine annulus fibrosus and nucleus pulposus tissue. Ann Biomed Eng 2006; 34: 769-777.
 
14.
Cs-Szabo G, Ragasa-Sanjuan D, Turumella V. Changes in mRNA and protein levels of proteoglycans of the anulus fibrosus and nucleus pulposus during intervertebral disc degeneration. Spine (Phila Pa 1976) 2002; 27: 2212-2219.
 
15.
Singh K, Masuda K, Thonar EJ, et al. Age-related changes in the extracellular matrix of nucleus pulposus and anulus fibrosus of human intervertebral disc. Spine (Phila Pa 1976) 2009; 34: 10-16.
 
16.
Antoniou J, Steffen T, Nelson F, et al. The human lumbar intervertebral disc: evidence for changes in the biosynthesis and denaturation of the extracellular matrix with growth, maturation, ageing, and degeneration. J Clin Invest 1996; 98: 996-1003.
 
17.
Urban JPG, Maroudas A. The measurement of fixed charge density in the intervertebral disc. Biochim Biophys Acta 1979; 586: 166-178.
 
18.
Iatridis JC, MacLean JJ, O’Brien M, et al. Measurements of proteoglycan and water content distribution in human lumbar intervertebral discs. Spine (Phila Pa 1976) 2007; 32: 1493-1497.
 
19.
Le Maitre CL, Freemont AJ, Hoyland JA. The role of interleukin-1 in the pathogenesis of human intervertebral disc degeneration. Arthritis Res Ther 2005; 7: R732-745.
 
20.
Thompson JP, Pearce RH, Schechter MT, et al. Preliminary evaluation of a scheme for grading the gross morphology of the human intervertebral disc. Spine 1990; 15: 411-415.
 
21.
Tomaszewski KA, Adamek D, Pasternak A, et al. Degeneration and calcification of the cervical endplate is connected with a decreased expression of ANK, ENPP-1, OPN and TGF-1 in the intervertebral disc. Pol J Pathol 2014; 65: 204-211.
 
22.
Abercrombie M. Estimation of nuclear population from microtome sections. Anat Rec 1946; 94: 239-247.
 
23.
Mizia E, Tomaszewski KA, Lis GJ, et al. The use of computer-assisted image analysis in measuring the histological structure of the human median nerve. Folia Morphol (Warsz) 2012; 71: 82-85.
 
24.
Crock HV, Yoshizawa H. The blood supply of the lumbar vertebral column. Clin Orthop Relat Res 1976; 115: 6-21.
 
25.
Nerlich AG, Schaaf R, Walchli B, et al. Temporo-spatial distribution of blood vessels in human lumbar intervertebral discs. Eur Spine J 2007; 16: 547-555.
 
26.
Raj PP. Intervertebral disc: anatomy-physiology-pathophysiology-treatment. Pain Pract 2008; 8: 18-44.
 
27.
Rajasekaran S, Babu JN, Arun R, et al. ISSLS prize winner: a study of diffusion in human lumbar discs: a serial magnetic resonance imaging study documenting the influence of the endplate on diffusion in normal and degenerate discs. Spine (Phila Pa 1976) 2004; 29: 2654-2667.
 
28.
Bibby SR, Urban JP. Effect of nutrient deprivation on the viability of intervertebral disc cells. Eur Spine J 2004; 13: 695-701.
 
29.
Antoniou J, Goudsouzian NM, Heathfi eld TF, et al. The human lumbar endplate. Evidence of changes in biosynthesis and denaturation of the extracellular matrix with growth, maturation, aging, and degeneration. Spine (Phila Pa 1976) 1996; 21: 1153-1161.
 
30.
Rodriguez AG, Slichter CK, Acosta FL, et al. Human disc nucleus properties and vertebral endplate permeability. Spine (Phila Pa 1976) 2011; 36: 512-520.
 
31.
Tomaszewski KA, Adamek D, Konopka T, et al. Endplate calcification and cervical intervertebral disc degeneration: the role of endplate marrow contact channel occlusion. Folia Morphol (Warsz) 2015; 74: 84-92.
 
32.
Roberts S, Urban JP, Evans H, et al. Transport properties of the human cartilage endplate in relation to its composition and calcification. Spine (Phila Pa 1976) 1996; 21: 415-420.
 
33.
Pearce RH, Grimmer BJ, Adams ME. Degeneration and the chemical composition of the human intervertebral disc. J Orthop Res 1987; 5: 198-205.
 
34.
Urban JP, McMullin JF. Swelling pressure of the lumbar intervertebral discs: influence of age, spinal level, composition, and degeneration. Spine (Phila Pa 1976) 1988; 13: 179-187.
 
eISSN:2084-9869
ISSN:1233-9687
Journals System - logo
Scroll to top