Mesenchymal stem cells (MSCs) are exciting candidates for cellular repopulation and repair in intervertebral disc degeneration (IDD). Our purpose is to investigate the interaction between MSCs and nucleus polposus cells (NPCs) and to determine viability of MSC in the intervertebral disc (IVD).

Human NPCs and hMSCs were co-cultured in pellet system at different ratios. Proteoglycans were measured and normalized with DNA content. Histological analysis were also performed. Rabbit MSCs from bone marrow were trasduced with LacZ reporter gene and were injected into a rabbit IVD. Rabbits were sacrificed postoperatively at 3, 6, 12 and 24 weeks. Histological analysis was performed.

Co-culturing of hNPCs with hMSCs resulted in increases proteoglycans as compared with hNPCs alone. Histological examination of the injected IVDs revealed presence of MSCs without apparent decrease in numbers or diminishment of protein production at 3, 6, 12 and 24 weeks.

The data from this study show that there is a synergistic effect between MSCs and NPCs resulting in upregulated proteoglycan synthesis in-vitro. MSC remain viable and continue to express an ex-vivo transduced protein for up to 24 weeks. These results suggest that MSCs can survive in the harsh environment of the IVD and may favourably modify ECM production.

The aim of this study was to analyse the morphological differences of the intervertebral disc at different levels focusing in the endplate and the anchorage of the disc fibres to the vertebrae and the distribution pattern of collagen I and II.

This study was conducted on 45 intervertebral discs from nine monkeys (Macaca fascicularis). All slices were processed for histological, histomorphometrical and immunohistochemical analysis.

The endplate was formed, at all the levels, by 3 zones: a cartilaginous zone adjacent to the nucleus pulposus, an intermediate mineralised zone of cartilage and a growth cartilaginous zone adjacent to the vertebrae.

The inner annular fibres anchored to the not mineralised cartilaginous endplate zone, whereas the outer annular fibres anchored to the mineralised cartilaginous endplate zone.

The height of the intervertebral disc varied along the length of the spine. The smallest value was measured in T3–T4, with a larger increasing caudally than cranially. The highest value was measured in L2–L3. A cervical intervertebral disc was the 55% of a lumbar one.

The findings of this study provide a detailed structural characterization of the IVD and may be useful for further investigations on the disc degeneration process.

After the embryonic period, notochord remnants persist inside the intervertebral disc (IVD), where they give rise to the nucleus pulposus. Notochordal cells (NTCs) gradually disappear during maturation. This phenomenon is correlated with onset of disc degeneration. The objective of this study was to design a protocol for the isolation of NTCs to study his role in IVD regeneration.

Lumbar IVDs from immature rats were either enzymatically dissociated or mechanically taken out or cells isolation. Cells RNA extraction for PCR analysis was performed to assay Sonic and Indian Hedgehog (Ihh and Shh) and his receptor Patched (Ptc) expression.

NTCs were readily detectable in culture as large vacuolated “physalipherous” cells, with the enzymatic method. The cells isolated mechanically were enable to grow in monolayer while grown 2 weeks in a 3-D pellet culture. Ihh and Ptc was expressed in the cells isolated with both method, while Shh was expressed only in the cells isolated through the mechanical method.

Our findings show that the better way to isolate a pure population of NTCs is a mechanical extraction from a immature IVD. This is a first step in order to study his role for the regeneration of IVD.

Current therapies for intervertebral disc degeneration are aimed at treating the pathologic and disabling conditions arising from discopathy rather than directly treating the underlying problem of disc degeneration. Our group is exploring the potential of cell therapy to repopulate the disc and stop the progressive loss of proteoglycans. Stem cells appear to be excellent candidates for this purpose, based on their ability to differentiate along multiple connective tissue lineages. The purpose of this study is to investigate the interaction between stem cells and nucleus polposus cells to test the feasibility of stem cell therapy for the treatment of disc degeneration.

Human nucleus polposus cells (NPCs) were isolated from patients undergoing disc surgery and were co-cultured for 2 weeks with muscle-derived stem cells (MdSCs) from 3-week-old mdx mice in monolayer culture system at different ratio with or without added TGF-β1. Each well contained an admixture of cells with NPC-to-SC ratios of 0:100, 25:75, 50:50, 75:25, and 100:0. Proteoglycan synthesis and DNA content were measured.

Co-culturing of NPCs with MdSCs in the monolayer culture system resulted in vigorous increases in proteoglycans synthesis as compared with NPCs alone and MdSCs alone both with and without TGF-β1. The increases were on the 200% for an NPC-to-MDSC ratio of 75:25. Addition of TGF-β1 to the NPC and MDSC co-cultures resulted in further increases up to 400%. DNA content also increased with co-culture.

The data from this study show that there is a synergistic effect between stem cells and nNPC resulting in upregulated proteoglycan synthesis in vitro. The observed benefits of co-culture might be due either to stem cell plasticity, the stem cells trans-differentiation towards chondrocyte-like cells, or the stimulation of NPC by agents synthesised by stem cells or other mechanisms. Elucidation of the precise mechanisms of action may permit development of strategies to optimise the synergistic effects in vivo. These results support the feasibility of developing a stem cell therapy approach to treat and prevent intervertebral disc degeneration.