Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 7-5-1 Kusunoki-cho, Chuo-ku, Kobe, 650-0017, Japan.
J Orthop Res. 2014 Mar;32(3):455-63. doi: 10.1002/jor.22533. Epub 2013 Nov 28.
The intervertebral disc nucleus pulposus (NP) has two phenotypically distinct cell types-notochordal cells (NCs) and non-notochordal chondrocyte-like cells. In human discs, NCs are lost during adolescence, which is also when discs begin to show degenerative signs. However, little evidence exists regarding the link between NC disappearance and the pathogenesis of disc degeneration. To clarify this, a rat tail disc degeneration model induced by static compression at 1.3 MPa for 0, 1, or 7 days was designed and assessed for up to 56 postoperative days. Radiography, MRI, and histomorphology showed degenerative disc findings in response to the compression period. Immunofluorescence displayed that the number of DAPI-positive NP cells decreased with compression; particularly, the decrease was notable in larger, vacuolated, cytokeratin-8- and galectin-3-co-positive cells, identified as NCs. The proportion of TUNEL-positive cells, which predominantly comprised non-NCs, increased with compression. Quantitative PCR demonstrated isolated mRNA up-regulation of ADAMTS-5 in the 1-day loaded group and MMP-3 in the 7-day loaded group. Aggrecan-1 and collagen type 2α-1 mRNA levels were down-regulated in both groups. This rat tail temporary static compression model, which exhibits decreased NC phenotype, increased apoptotic cell death, and imbalanced catabolic and anabolic gene expression, reproduces different stages of intervertebral disc degeneration.
椎间盘核髓核(NP)有两种表型截然不同的细胞类型——脊索细胞(NCs)和非脊索样软骨细胞。在人类椎间盘,NCs 在青春期丢失,此时椎间盘也开始出现退行性变化的迹象。然而,关于 NC 消失与椎间盘退行性变发病机制之间的联系,几乎没有证据。为了阐明这一点,设计了一种通过 1.3 MPa 的静态压缩诱导的大鼠尾椎间盘退变模型,并在术后 56 天内进行评估。放射学、MRI 和组织形态学显示出对压缩期的退行性椎间盘发现。免疫荧光显示,DAPI 阳性 NP 细胞数量随压缩而减少;特别是在较大的、有空泡的、细胞角蛋白 8 和半乳糖凝集素 3 共阳性的细胞中,NC 减少更为明显。随着压缩,TUNEL 阳性细胞(主要是非 NCs)的比例增加。定量 PCR 显示,在 1 天加载组中 ADAMTS-5 的 mRNA 单独上调,在 7 天加载组中 MMP-3 的 mRNA 上调。两组的聚集蛋白聚糖 1 和 2α-1 胶原 mRNA 水平均下调。这种大鼠尾临时静态压缩模型表现出 NC 表型减少、凋亡细胞死亡增加以及分解代谢和合成代谢基因表达失衡,再现了不同阶段的椎间盘退行性变。