Inflammatory response of intervertebral disc cells is reduced by fibrin sealant scaffold in vitro

被引:26
作者
Buser, Zorica [1 ]
Liu, Jane [1 ]
Thorne, Kevin J. [2 ]
Coughlin, Dezba [1 ]
Lotz, Jeffery C. [1 ]
机构
[1] Univ Calif San Francisco, Dept Orthopaed Surg, San Francisco, CA 94143 USA
[2] Spinal Restorat, Austin, TX USA
关键词
discogenic back pain; inflammation; fibrin scaffold; disc cells; cytokines; 3D cell culture; NUCLEUS PULPOSUS CELLS; NECROSIS-FACTOR-ALPHA; MATRIX METALLOPROTEINASES; IMMUNOHISTOCHEMICAL DEMONSTRATION; PROINFLAMMATORY CYTOKINES; NITRIC-OXIDE; BACK-PAIN; TISSUE; DEGENERATION; EXPRESSION;
D O I
10.1002/term.1503
中图分类号
Q813 [细胞工程];
学科分类号
摘要
Intervertebral disc (IVD) degeneration is a complex process characterized by elevated concentrations of proinflammatory cytokines and proteolytic enzymes. Because of pro-healing constituents, we hypothesized that fibrin sealant (FS) can reduce inflammation and augment soft tissue healing within the damaged or degenerative IVD. To test this, human and porcine nucleus pulposus (NP) and annulus fibrosus (AF) cells were extracted from tissues and encapsulated into alginate beads (NP cells) and type I collagen sponges (AF cells). Half of the alginate and collagen scaffolds were embedded in FS. To provoke inflammatory behaviours, the constructs were cultured with and without continuous IL-1 (10 ng/ml) for 4, 7 and 14 days. ELISA was used to quantify the cellular synthesis (ng/mu g DNA) of clinically relevant cytokines, proteolytic enzymes and growth factors. In NP cell constructs with IL-1, the syntheses of TNF, IL-1, IL-6, IL-8 was elevated at all culture durations. In the presence of FS, secretion of several pro-inflammatory cytokines were significantly reduced [IL-6 and IL-8 (porcine); and TNF, IL-1, IL-6, IL-8 (human)]. Consistent with these reductions, human NP cultures exposed to FS and FS+IL-1 synthesized significantly reduced amounts of MMP-1 and -3 compared to constructs with IL-1. For porcine and human AF cells, there were no significant differences in the synthesis of the inflammatory or proteolytic cytokines relative to controls (without IL-1) at any culture duration. However, the porcine AF cells exposed to FS synthesized elevated amounts of the anti-inflammatory cytokine IL-4. The results suggest that FS may have beneficial effects for patients with degenerated intervertebral discs. Copyright (c) 2012 John Wiley & Sons, Ltd.
引用
收藏
页码:77 / 84
页数:8
相关论文
共 40 条
[1]   Proinflammatory cytokines stimulate the expression of nerve growth factor by human intervertebral disc cells [J].
Abe, Yumiko ;
Akeda, Koji ;
An, Howard S. ;
Aoki, Yasuchika ;
Pichika, Rajeswari ;
Muehleman, Carol ;
Kimura, Tomoatsu ;
Masuda, Koichi .
SPINE, 2007, 32 (06) :635-642
[2]   mRNA expression of cytokines and chemokines in herniated lumbar intervertebral discs [J].
Ahn, SH ;
Cho, YW ;
Ahn, MW ;
Jang, SH ;
Sohn, YK ;
Kim, HS .
SPINE, 2002, 27 (09) :911-917
[3]   The potential and limitations of a cell-seeded collagen/hyaluronan scaffold to engineer an intervertebral disc-like matrix [J].
Alini, M ;
Li, W ;
Markovic, P ;
Aebi, M ;
Spiro, RC ;
Roughley, PJ .
SPINE, 2003, 28 (05) :446-453
[4]   Intervertebral disc degeneration: biological and biomechanical factors [J].
An, Howard S. ;
Masuda, Koichi ;
Inoue, Nozomu .
JOURNAL OF ORTHOPAEDIC SCIENCE, 2006, 11 (05) :541-552
[5]  
Armani DL, 2001, ANN NY ACAD SCI, V936, P566
[6]   IL-6: Insights into novel biological activities [J].
Barton, BE .
CLINICAL IMMUNOLOGY AND IMMUNOPATHOLOGY, 1997, 85 (01) :16-20
[7]   Interleukin-4 promote's airway remodeling in asthma -: Regulation of procollagen I (α1) gene by interleukin-4 [J].
Bergeron, C ;
Pagé, N ;
Barbeau, B ;
Chakir, J .
CHEST, 2003, 123 (03) :424S-424S
[8]   Proinflammatory cytokines in cerebrospinal fluid and serum in patients with disc herniation and sciatica [J].
Brisby, H ;
Olmarker, K ;
Larsson, K ;
Nutu, M ;
Rydevik, B .
EUROPEAN SPINE JOURNAL, 2002, 11 (01) :62-66
[9]   Intervertebral discs which cause low back pain secrete high levels of proinflammatory mediators [J].
Burke, JG ;
Watson, RWG ;
McCormack, D ;
Dowling, FE ;
Walsh, MG ;
Fitzpatrick, JM .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2002, 84B (02) :196-201
[10]   Biological and Biomechanical Effects of Fibrin Injection Into Porcine Intervertebral Discs [J].
Buser, Zorica ;
Kuelling, Fabrice ;
Liu, Jane ;
Liebenberg, Ellen ;
Thorne, Kevin J. ;
Coughlin, Dezba ;
Lotz, Jeffrey C. .
SPINE, 2011, 36 (18) :E1201-E1209