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Updated: Oct 18, 2026

A Proinflammatory, Degenerative Organ Culture Model to Simulate Early-Stage Intervertebral Disc Disease.
Published on: February 14, 2021
Matrix metalloproteinase-7-dependent release of tumor necrosis factor-alpha in a model of herniated disc resorption
H Haro1, H C Crawford, B Fingleton
1Department of Orthopaedics and Rehabilitation, Vanderbilt University Medical Center, Nashville, Tennessee 37232, USA.
Abstract:
Herniated disc (HD), one of the major causes of low back pain, is often resolved spontaneously without surgical intervention. Resorption is associated with a marked increase in infiltrating macrophages, and the matrix metalloproteinases (MMP) MMP-3 and MMP-7 have been implicated in this phenomenon. We developed a murine organ culture model in which intact intervertebral discs were cocultured with peritoneal macrophages to investigate the role of MMPs in HD resorption. Using macrophages isolated from MMP-null mice, we report that macrophage-produced MMP-7 was required for proteoglycan degradation, loss of wet weight, and macrophage infiltration of cocultured discs. The inability of MMP-7-deficient macrophages to infiltrate discs could not be attributed to a defect in macrophage migration. MMP-7 was required for the release of the cytokine TNF-alpha from peritoneal macrophages. The generation of soluble TNF-alpha was essential for the induction of MMP-3 in disc cocultures, which in turn is required for the generation of a macrophage chemoattractant and subsequent macrophage infiltration. TNF-alpha release from macrophages was necessary but insufficient for disc resorption, which required macrophage infiltration. We conclude that there is extensive communication between macrophages and chondrocytes in HD resorption and that an essential component of this communication is the requirement for MMPs to release soluble bioactive factors.
Insights
Matrix metalloproteinase-7 (MMP-7) is crucial for herniated disc (HD) resorption by macrophages. MMP-7 facilitates proteoglycan degradation and the release of TNF-alpha, essential for macrophage infiltration and disc healing.
Area of Science:
- Biochemistry
- Immunology
- Orthopedics
Background:
- Herniated disc (HD) is a common cause of low back pain, often resolving spontaneously.
- Macrophage infiltration and matrix metalloproteinases (MMPs) are implicated in HD resorption.
Purpose of the Study:
- To investigate the role of MMPs, specifically MMP-7, in the resorption of herniated discs using a murine organ culture model.
Main Methods:
- Coculturing intact intervertebral discs with peritoneal macrophages from wild-type and MMP-null mice.
- Assessing proteoglycan degradation, wet weight loss, macrophage infiltration, and cytokine release (TNF-alpha).
Main Results:
- Macrophage-produced MMP-7 is essential for proteoglycan degradation, wet weight loss, and macrophage infiltration of discs.
- MMP-7 is required for TNF-alpha release from macrophages, which induces MMP-3 in disc cells.
- TNF-alpha and subsequent MMP-3 are necessary for generating macrophage chemoattractants and infiltration.
Conclusions:
- Macrophage-derived MMP-7 plays a critical role in herniated disc resorption.
- Effective disc resorption requires communication between macrophages and chondrocytes, mediated by MMPs releasing soluble factors like TNF-alpha.
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