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  4. Repetitive strikes loading organ culture model to investigate the biological and biomechanical responses of the intervertebral disc

Repetitive strikes loading organ culture model to investigate the biological and biomechanical responses of the intervertebral disc

JOR Spine, 2024 · DOI: 10.1002/jsp2.1314 · Published: January 1, 2024

Spinal DisordersResearch Methodology & DesignBiomechanics

Simple Explanation

This study investigates how repeated forceful impacts affect the intervertebral discs (IVDs) in the spine, using a lab-grown model. The researchers applied repetitive strikes to IVDs and observed changes in their structure, cell health, and function, mimicking early disc degeneration. The findings suggest that repetitive violent injuries can lead to disc degeneration by causing cell death and breakdown of the disc's matrix.

Study Duration
32 Days
Participants
Bovine tail intervertebral discs
Evidence Level
In vitro organ culture model

Key Findings

  • 1
    Repetitive one strike loading led to early disc degeneration, indicated by decreased dynamic compression stiffness.
  • 2
    The repetitive one strike group showed significantly higher levels of cell death and glycosaminoglycan (GAG) release.
  • 3
    Upregulation of MMP1, MMP13, and ADAMTS5 was observed in both nucleus pulposus (NP) and annulus fibrosus (AF) tissues.

Research Summary

This study examines the impact of repetitive violent injuries on intervertebral disc degeneration (IVDD) using an organ culture model. The results indicate that repetitive high-force loading leads to compromised cell viability, elevated catabolic enzyme expression, and increased proteoglycan loss. The bovine IVD model with repetitive strikes provides valuable insights into early IVDD mechanisms induced by forceful injuries.

Practical Implications

Understanding Injury Mechanisms

Provides insights into how repetitive violent injuries contribute to early-stage disc degeneration.

Developing Targeted Therapies

Identifies potential therapeutic targets, such as MMPs and TNF-α, for preventing or slowing disc degeneration.

Improving Prevention Strategies

Highlights the importance of preventing repetitive high-force loading to reduce the risk of disc degeneration.

Study Limitations

  • 1
    The bioreactor emulates axial compression forces, neglecting other forces.
  • 2
    The cartilage endplate model lacks integration with surrounding tissues.
  • 3
    Only short-term culture was conducted in the ten strikes group.

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