Mechanical Aspects of Intervertebral Disc Injury and Implications on Biomechanics

Spine ◽  
2020 ◽  
Vol 45 (8) ◽  
pp. E457-E464 ◽  
Author(s):  
Geoffrey Thor Desmoulin ◽  
Vikram Pradhan ◽  
Theodore Edgar Milner
2004 ◽  
Vol 14 (4) ◽  
pp. 356-365 ◽  
Author(s):  
S. Ito ◽  
P. C. Ivancic ◽  
A. M. Pearson ◽  
Y. Tominaga ◽  
S. E. Gimenez ◽  
...  

2018 ◽  
Vol 4 (4) ◽  
pp. eaaq0597 ◽  
Author(s):  
Isma Liza Mohd Isa ◽  
Sunny A. Abbah ◽  
Michelle Kilcoyne ◽  
Daisuke Sakai ◽  
Peter Dockery ◽  
...  

Author(s):  
Nadeen Chahine ◽  
Nate Stetson ◽  
Neena Rajan ◽  
Daniel Grande ◽  
Mitchell Levine

Enzymatic degradation of the intervertebral disc (IVD) with chondroitinase ABC (ChABC) reduces proteoglycan content of the IVD, thus simulating the GAG loss seen clinically in patients suffering from disc degeneration. This approach has been employed in models of disc injury in rats, rabbits and goats when administered over a large range of dosages [1–3]. Moreover, ChABC has also been used to induce repair of herniated discs in rabbits via chemonucleolysis [4, 5]. Despite the effectiveness of ChABC treatment to reduce the GAG content of the IVD, several recent studies including our own, have shown that this GAG loss is reversible at extended time points post enzymatic treatment [2,6,7]. The goal of the current study is to examine the dose dependent response of IVDs to degradation by ChABC in vivo. We hypothesize that administration of ChABC will result in dose dependent GAG loss and reduced mechanical properties. We administered ChABC at 0.1 U/ml, 1.0 U/ml and 10 U/ml and examined the changes in biomechanical properties, biochemical content, and gene expression in order to examine the biophysical and molecular mechanism by which GAG loss occurs in this model.


2020 ◽  
Vol 2020 ◽  
pp. 1-11
Author(s):  
Fangfang Bi ◽  
Wenbo Liu ◽  
Zongtao Wu ◽  
Chen Ji ◽  
Cuicui Chang

Antiaging protein Klotho exhibits impressive properties of anti-inflammation, however is declined early after intervertebral disc injury, making Klotho restoration an attractive strategy of treating intervertebral disc inflammatory disorders. Here, we have found that Klotho is enriched in nucleus pulposus (NP) cells and Klotho overexpression attenuates H2O2-induced acute inflammation essentially via suppressing Toll-like receptor 4 (TLR4). The proinflammatory NF-κB signaling and cytokine expressions paralleled with Klotho repression and TLR4 elevation in both NP cells (H2O2 treatment) and rat intervertebral disc (needle puncture treatment). Overexpression of TLR4 downregulated expression of Klotho, whereas interfering TLR4 expression diminished the inhibitory effects of H2O2 on Klotho in NP cells. Consistently, Klotho knockdown by RNA interferences largely diminished the anti-inflammatory and intervertebral disc protective effects in an Intervertebral Disc Degeneration (IDD) model. Thus, our study indicates that TLR4-NF-κB signaling and Klotho form a negative-feedback loop in NP cells. Also, we demonstrate that the expression of Klotho is regulated by the balance between upregulation and downregulation of TLR4-NF-κB signaling.


2016 ◽  
Vol 6 (1_suppl) ◽  
pp. s-0036-1582625-s-0036-1582625
Author(s):  
Christopher Daly ◽  
Tony Goldschlager ◽  
Peter Ghosh ◽  
Graham Jenkin ◽  
Justin Cooper-White ◽  
...  

Spine ◽  
2013 ◽  
Vol 38 (17) ◽  
pp. 1459-1465 ◽  
Author(s):  
Masayuki Miyagi ◽  
Tetsuhiro Ishikawa ◽  
Hiroto Kamoda ◽  
Miyako Suzuki ◽  
Yoshihiro Sakuma ◽  
...  

2020 ◽  
Vol 70 (2) ◽  
pp. 131-139 ◽  
Author(s):  
Julie M Brent ◽  
Zuozhen Tian ◽  
Frances S Shofer ◽  
John T Martin ◽  
Lutian Yao ◽  
...  

To facilitate rational experimental design and fulfill the NIH requirement of including sex as a biologic variable, we examined the influences of genetic background and sex on responses to intervertebral disc (IVD) injury in the mouse tail. The goal of this study was to compare gene expression and histologic changes in response to a tail IVD injury (needle puncture) in male and female mice on the DBA and C57BL/6 (B6) backgrounds. We hypothesized that extracellular matrix gene expression in response to IVD injury differs between mice of different genetic backgrounds and sex. Consistent changes were detected in gene expression and histologic features after IVD injury in mice on both genetic backgrounds and sexes. In particular, expression of col1a1 and adam8 was higher in the injured IVD of DBA mice than B6 mice. Conversely, col2a1 expression was higher in B6 mice than DBA mice. Sex-associated differences were significant only in B6 mice, in which col2a1 expression was greater in male mice than in female. Histologic differences in response to injury were not apparent between DBA and B6 mice or between males and females. In conclusion, mouse tail IVD showed sex- and strain-related changes in gene expression and histology after needle puncture. The magnitude of change in gene expression differed with regard to genetic background and, to a lesser degree, sex.


2015 ◽  
Vol 6 (2) ◽  
pp. 255-263 ◽  
Author(s):  
A. R. G. Araújo ◽  
N. Peixinho ◽  
A. Pinho ◽  
J. C. P. Claro

Abstract. The intervertebral disc is submitted to complex loading during its normal daily activities which are responsible for variations of the hydrostatic pressure in its structure. Thus, the determination of the magnitude of failure hydrostatic pressure is essential as a potential for the evaluation of the mechanisms that promote the weakening and the disruption of the annular fibers, commonly linked to herniation process on the spine column. However, few studies include the determination of the failure pressure on discs and the results are widely contradictory. Therefore, the objective of the present work is to determine the values of IDP that promotes the disc disruption. To achieve this goal, the tests were performed using a hydraulic cylinder that inflates the intervertebral disc. The results revealed a mean pressure failure of 0.62 ± 0.08 MPa for lumbar porcine samples (n = 6). From this approach it can be concluded that (1) the potential for disc injury may exist at low pressures for lumbar porcine discs when compared several animal and human ones; (2) the rupture of human cervical and porcine lumbar annular fibers could occur for values of intradiscal pressure that are within the physiological range.


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