Immunohistochemical localization of mesenchymal stem cells in ossified human spinal ligaments

Shunfu Chin1, Ken-Ichi Furukawa, Atsushi Ono

  • 1Department of Pharmacology, Hirosaki University Graduate School of Medicine, 5 Zaifu-cho, Hirosaki, Aomori 036-8562, Japan.

Insights

Mesenchymal stem cells (MSCs) were found in human spinal ligaments, particularly around blood vessels in ossified ligaments. These MSCs may drive ectopic ossification via endochondral ossification.

Area of Science:

  • Orthopedics and Regenerative Medicine
  • Stem Cell Biology
  • Spinal Pathophysiology

Background:

  • Mesenchymal stem cells (MSCs) are crucial for tissue repair and disease pathogenesis.
  • Previous in vitro studies identified MSCs in human spinal ligaments.
  • A hypothesis proposed MSCs contribute to spinal ligament ossification.

Purpose of the Study:

  • To investigate the in situ localization of MSCs within ossified human spinal ligaments.
  • To determine the relationship between MSCs and neovascularization in ossification of the ligamentum flavum (OLF).

Main Methods:

  • Immunohistochemistry and double immunofluorescence staining on thoracic spinal ligament samples (ossified OLF and non-OLF).
  • Antibodies used: MSC markers (CD73, CD90, CD105), endothelial cells (CD31), pericytes (α-smooth muscle actin), and chondrocytes (S100).

Main Results:

  • MSCs were localized in perivascular areas and the collagenous matrix of spinal ligaments.
  • Co-expression of MSC and pericyte markers was observed in the perivascular region.
  • Ossified OLF showed increased neovascularization and higher MSC accumulation around blood vessels compared to non-OLF.
  • MSCs were significantly more prevalent in the collagenous matrix of OLF.
  • Chondrocytes at the ossification front in OLF expressed MSC markers.

Conclusions:

  • MSCs are present in human spinal ligaments, particularly in perivascular regions.
  • Increased MSCs and neovascularization correlate with ossification of the ligamentum flavum.
  • MSCs likely contribute to ectopic ossification of OLF through an endochondral ossification pathway.