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Updated: Feb 11, 2026

An In Vitro Organ Culture Model of the Murine Intervertebral Disc
Published on: April 11, 2017
Mechanical loading of intervertebral disc modulates microglia proliferation, activation, and chemotaxis
S E Navone1, M Peroglio2, L Guarnaccia1
1Laboratory of Experimental Neurosurgery and Cell Therapy, Neurosurgery Unit, Fondazione IRCCS Ca'Granda Ospedale Maggiore Policlinico, University of Milan, Milan, Italy.
Objective:
The aim of the study is to assess the effects of the neuroinflammatory microenvironment of a mechanically-induced degenerating intervertebral disc (IVD) on neuroinflammatory like cells such as microglia, in order to comprehend the role of microglial cells in degenerative disc disease.
Methods:
Bovine caudal IVDs were kept in culture in an ex vivo bioreactor under high frequency loading and limited nutrition or in free swelling conditions as control samples. Conditioned media (CM) were collected, analysed for cytokine and neurotrophin content and applied to microglial cells for neuroinflammatory activation assessment.
Results:
Degenerative conditioned medium (D-CM) induced a higher production of interleukin (IL)-8, nerve growth factor (NGF), interferon (IFN)-γ, IL-17 from IVD cells than unloaded control conditioned medium (U-CM). Upon 48 h of co-incubation with microglia, D-CM stimulated microglia proliferation, activation, with increased expression of ionized calcium binding adaptor molecule 1 (IBA1) and CD68, and chemotaxis. Moreover, an increment of nitrite production was observed. Interestingly, D-CM caused an upregulation of IL-1β, IL-6, tumour necrosis factor α (TNFα), inducible NO synthase (iNOS), IBA1, and vascular endothelial growth factor (VEGF) genes in microglia. Similar results were obtained when microglia were treated with the combination of the measured cytokines.
Conclusions:
Our findings show that in IVD degenerative microenvironment, IL-8, NGF, IFN-γ, IL-17 drive activation of microglia in the spinal cord and increase upregulation of neuroinflammatory markers. This, in turn, enhances the inflammatory milieu within IVD tissues and in the peridiscal space, aggravating the cascade of degenerative events. This study provides evidence for an important role of microglia in maintaining IVD neuroinflammatory microenvironment and probably inducing low back pain.
Insights
Degenerating intervertebral discs (IVDs) create a neuroinflammatory environment that activates microglia. This activation exacerbates disc degeneration and may contribute to low back pain.
Area of Science:
- Neuroscience
- Immunology
- Biomedical Engineering
Background:
- Degenerative disc disease (DDD) is a significant cause of low back pain.
- The role of neuroinflammation in DDD pathogenesis is increasingly recognized.
- Microglia, the resident immune cells of the central nervous system, are implicated in inflammatory processes.
Purpose of the Study:
- To investigate the impact of a mechanically induced degenerating intervertebral disc (IVD) microenvironment on microglia.
- To elucidate the role of microglial cells in the progression of degenerative disc disease.
Main Methods:
- Bovine caudal IVDs were cultured ex vivo under mechanical loading simulating degeneration or in free-swelling control conditions.
- Conditioned media (CM) from IVDs were analyzed for cytokine and neurotrophin content.
- Microglial cells were exposed to CM to assess neuroinflammatory activation, proliferation, and gene expression.
Main Results:
- Degenerative CM (D-CM) significantly increased the production of IL-8, NGF, IFN-γ, and IL-17 by IVD cells compared to control.
- D-CM stimulated microglia proliferation, activation (increased IBA1, CD68 expression), and chemotaxis.
- Microglia exposed to D-CM showed upregulation of genes including IL-1β, IL-6, TNFα, iNOS, IBA1, and VEGF.
Conclusions:
- The neuroinflammatory microenvironment of degenerating IVDs activates microglia.
- Activated microglia contribute to the inflammatory milieu within IVD tissues and surrounding areas.
- Microglia play a crucial role in maintaining the neuroinflammatory state of IVDs and may contribute to low back pain.
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