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Updated: May 3, 2026

Optical Sectioning and Visualization of the Intervertebral Disc from Embryonic Development to Degeneration
Published on: July 8, 2021
Stromal cell-derived factor-1 and its receptor CXCR4 are upregulated expression in degenerated intervertebral discs
Hua Zhang1, Li Zhang2, Linwei Chen1
11. Department of Orthopaedic Surgery, 2nd Affiliated Hospital, School of Medicine, Zhejiang University, No.88 Jiefang Road, Hangzhou, China.
Background:
Although chemokine stromal cell-derived factor 1 (SDF-1) and its receptor CXCR4 induce degradation of articular cartilage in rheumatoid arthritis (RA) and osteoarthritis (OA), the association between the SDF-1/CXCR4 pathway and degradation of the cartilaginous endplate and nucleus pulposus has not been thoroughly clarified. We investigated the expression of SDF-1 and CXCR4 in intervertebral discs (IVDs).
Methods:
SDF-1 and CXCR4 levels in human IVDs and the rat L5/6 motion segment were quantified by enzyme-linked immunosorbent assay. SDF-1 staining was quantified using a microscope and Image-Pro Plus software. Integrated optical density (IOD) served as the measurement parameter. The number of CXCR4 immunoreactive cells was expressed as a percentage of the total number of cells.
Results:
SDF-1 and CXCR4 were both expressed in IVDs, and the levels of SDF-1 and CXCR4 were both significantly higher in the degeneration group than in the normal group of human (or rat) discs. Both nucleus pulposus cells and cartilaginous endplate cells expressed the CXCR4 protein. Furthermore, a positive correlation was observed between the SDF-1 IOD value and the percentage of CXCR4-positive disc cells in the nucleus pulposus and cartilaginous endplate. The SDF-1 IOD values were significantly higher in the outer annular fibrosus and bone/endplate junction region than in the nucleus pulposus and cartilaginous endplate in the rat specimens.
Conclusions:
Our findings suggest upregulated expression of SDF-1 and its receptor CXCR4 in degenerated IVD.
Insights
Degenerated intervertebral discs (IVDs) show increased levels of stromal cell-derived factor 1 (SDF-1) and its receptor CXCR4. This pathway may contribute to IVD degeneration, impacting spinal health.
Area of Science:
- Biochemistry
- Cell Biology
- Orthopedics
Background:
- Chemokine stromal cell-derived factor 1 (SDF-1) and its receptor CXCR4 are implicated in articular cartilage degradation in rheumatoid arthritis and osteoarthritis.
- The role of the SDF-1/CXCR4 pathway in the degradation of intervertebral disc (IVD) components, specifically the cartilaginous endplate and nucleus pulposus, requires further clarification.
Purpose of the Study:
- To investigate the expression of SDF-1 and CXCR4 in human and rat intervertebral discs (IVDs).
- To determine the association between SDF-1/CXCR4 pathway and IVD degeneration.
Main Methods:
- Quantification of SDF-1 and CXCR4 levels in human and rat IVDs using enzyme-linked immunosorbent assay.
- Microscopic quantification of SDF-1 staining (Integrated Optical Density) and CXCR4-positive cells in IVD tissues.
Main Results:
- SDF-1 and CXCR4 were significantly upregulated in degenerated human and rat IVDs compared to normal discs.
- Both nucleus pulposus and cartilaginous endplate cells expressed CXCR4.
- A positive correlation was found between SDF-1 levels and CXCR4-positive cells in the nucleus pulposus and cartilaginous endplate.
Conclusions:
- Upregulated expression of SDF-1 and CXCR4 is observed in degenerated intervertebral discs.
- The SDF-1/CXCR4 pathway is implicated in the pathophysiology of IVD degeneration.
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