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Related Experiment Video

Updated: Dec 6, 2025

Optical Sectioning and Visualization of the Intervertebral Disc from Embryonic Development to Degeneration
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Decellularized Intervertebral Discs: A Potential Replacement for Degenerate Human Discs.

Halina T Norbertczak1, Eileen Ingham1, Hazel L Fermor1

  • 1Institute of Medical and Biological Engineering, School of Biomedical Sciences, Faculty of Biological Sciences, The University of Leeds, Leeds, United Kingdom.

Tissue Engineering. Part C, Methods
|October 14, 2020
PubMed
Summary

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Cost-effectiveness of decellularised bone allograft compared with fresh-frozen bone allograft for acetabular impaction bone grafting during a revision hip arthroplasty in the UK.

BMJ open·2023

This study developed a decellularization method to create cell-free intervertebral disc (IVD) scaffolds from bovine and human tissues. This technique shows promise for creating regenerative IVD implants that may reduce immune response and preserve spinal mobility.

Area of Science:

  • Biomaterials Science
  • Regenerative Medicine
  • Spine Surgery

Background:

  • Intervertebral disc (IVD) degeneration is a primary cause of back pain, with current surgical treatments offering limited success.
  • Developing a non-immunogenic, biological scaffold for IVD replacement could preserve spinal mobility and promote regeneration.

Purpose of the Study:

  • To develop and assess a decellularization protocol for bovine intervertebral discs (IVDs) with endplates (EPs).
  • To evaluate the protocol's performance on human IVDs with attached EP and vertebral bone (VB) for feasibility.
  • To demonstrate the creation of a cell-free human IVD biological scaffold with attached bone.

Main Methods:

  • A decellularization protocol using hypotonic sodium dodecyl sulfate (0.1%), proteinase inhibitors, freeze/thaw cycles, nucleases, and sonication was applied.
Keywords:
acellular biological matricesextracellular matrixintervertebral disc

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  • Histological, biochemical (DNA, GAG content), and biomechanical (cyclic compression) analyses compared cellular and decellularized tissues.
  • Protocol efficacy was assessed on both bovine and human IVD samples, including those with attached vertebral bone.
  • Main Results:

    • Successful cell removal from bovine IVDs was confirmed, with significantly reduced DNA levels in decellularized tissues (iAF, oAF, EP).
    • Glycosaminoglycans (GAGs) were largely retained in nucleus pulposus (NP), inner annulus fibrosus (iAF), and outer annulus fibrosus (oAF).
    • Decellularized human IVD tissues (NP, iAF, oAF, EP, VB) showed DNA levels below 50 ng/mg dry weight and retained high GAG content.

    Conclusions:

    • The study demonstrates technical feasibility for creating cell-free human IVD biological scaffolds with attached bone using decellularization.
    • The retained GAGs and attached bone suggest potential for integration into the recipient spine.
    • Further in vitro and in vivo studies are required to assess biocompatibility and regenerative potential for IVD replacement.