Dynamic and static overloading induce early degenerative processes in caprine lumbar intervertebral discs.

Mechanical overloading of the spine is associated with low back pain and intervertebral disc (IVD) degeneration. How excessive loading elicits degenerative changes in the IVD is poorly understood. Comprehensive knowledge of the interaction between mechanical loading, cell responses and changes in th...

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Autores principales: Cornelis P L Paul, Tom Schoorl, Hendrik A Zuiderbaan, Behrouz Zandieh Doulabi, Albert J van der Veen, Peter M van de Ven, Theo H Smit, Barend J van Royen, Marco N Helder, Margriet G Mullender
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Publicado: Public Library of Science (PLoS) 2013
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spelling oai:doaj.org-article:d259347c37d04b19aeae82cea76c96e42021-11-18T07:47:30ZDynamic and static overloading induce early degenerative processes in caprine lumbar intervertebral discs.1932-620310.1371/journal.pone.0062411https://doaj.org/article/d259347c37d04b19aeae82cea76c96e42013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23638074/?tool=EBIhttps://doaj.org/toc/1932-6203Mechanical overloading of the spine is associated with low back pain and intervertebral disc (IVD) degeneration. How excessive loading elicits degenerative changes in the IVD is poorly understood. Comprehensive knowledge of the interaction between mechanical loading, cell responses and changes in the extracellular matrix of the disc is needed in order to successfully intervene in this process. The purpose of the current study was to investigate whether dynamic and static overloading affect caprine lumbar discs differently and what mechanisms lead to mechanically induced IVD degeneration. Lumbar caprine IVDs (n = 175) were cultured 7, 14 and 21 days under simulated-physiological loading (control), high dynamic or high static loading. Axial deformation and stiffness were continuously measured. Cell viability, cell density, and gene expression were assessed in the nucleus, inner- and outer annulus. The extracellular matrix (ECM) was analyzed for water, glycosaminoglycan and collagen content. IVD height loss and changes in axial deformation were gradual with dynamic and acute with static overloading. Dynamic overloading caused cell death in all IVD regions, whereas static overloading mostly affected the outer annulus. IVDs expression of catabolic and inflammation-related genes was up-regulated directly, whereas loss of water and glycosaminoglycan were significant only after 21 days. Static and dynamic overloading both induced pathological changes to caprine lumbar IVDs within 21 days. The mechanism by which they inflict biomechanical, cellular, and extracellular changes to the nucleus and annulus differed. The described cascades provide leads for the development of new pharmacological and rehabilitative therapies to halt the progression of DDD.Cornelis P L PaulTom SchoorlHendrik A ZuiderbaanBehrouz Zandieh DoulabiAlbert J van der VeenPeter M van de VenTheo H SmitBarend J van RoyenMarco N HelderMargriet G MullenderPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 4, p e62411 (2013)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Cornelis P L Paul
Tom Schoorl
Hendrik A Zuiderbaan
Behrouz Zandieh Doulabi
Albert J van der Veen
Peter M van de Ven
Theo H Smit
Barend J van Royen
Marco N Helder
Margriet G Mullender
Dynamic and static overloading induce early degenerative processes in caprine lumbar intervertebral discs.
description Mechanical overloading of the spine is associated with low back pain and intervertebral disc (IVD) degeneration. How excessive loading elicits degenerative changes in the IVD is poorly understood. Comprehensive knowledge of the interaction between mechanical loading, cell responses and changes in the extracellular matrix of the disc is needed in order to successfully intervene in this process. The purpose of the current study was to investigate whether dynamic and static overloading affect caprine lumbar discs differently and what mechanisms lead to mechanically induced IVD degeneration. Lumbar caprine IVDs (n = 175) were cultured 7, 14 and 21 days under simulated-physiological loading (control), high dynamic or high static loading. Axial deformation and stiffness were continuously measured. Cell viability, cell density, and gene expression were assessed in the nucleus, inner- and outer annulus. The extracellular matrix (ECM) was analyzed for water, glycosaminoglycan and collagen content. IVD height loss and changes in axial deformation were gradual with dynamic and acute with static overloading. Dynamic overloading caused cell death in all IVD regions, whereas static overloading mostly affected the outer annulus. IVDs expression of catabolic and inflammation-related genes was up-regulated directly, whereas loss of water and glycosaminoglycan were significant only after 21 days. Static and dynamic overloading both induced pathological changes to caprine lumbar IVDs within 21 days. The mechanism by which they inflict biomechanical, cellular, and extracellular changes to the nucleus and annulus differed. The described cascades provide leads for the development of new pharmacological and rehabilitative therapies to halt the progression of DDD.
format article
author Cornelis P L Paul
Tom Schoorl
Hendrik A Zuiderbaan
Behrouz Zandieh Doulabi
Albert J van der Veen
Peter M van de Ven
Theo H Smit
Barend J van Royen
Marco N Helder
Margriet G Mullender
author_facet Cornelis P L Paul
Tom Schoorl
Hendrik A Zuiderbaan
Behrouz Zandieh Doulabi
Albert J van der Veen
Peter M van de Ven
Theo H Smit
Barend J van Royen
Marco N Helder
Margriet G Mullender
author_sort Cornelis P L Paul
title Dynamic and static overloading induce early degenerative processes in caprine lumbar intervertebral discs.
title_short Dynamic and static overloading induce early degenerative processes in caprine lumbar intervertebral discs.
title_full Dynamic and static overloading induce early degenerative processes in caprine lumbar intervertebral discs.
title_fullStr Dynamic and static overloading induce early degenerative processes in caprine lumbar intervertebral discs.
title_full_unstemmed Dynamic and static overloading induce early degenerative processes in caprine lumbar intervertebral discs.
title_sort dynamic and static overloading induce early degenerative processes in caprine lumbar intervertebral discs.
publisher Public Library of Science (PLoS)
publishDate 2013
url https://doaj.org/article/d259347c37d04b19aeae82cea76c96e4
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