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Spatial and Diurnal Variations in Sodium Content Within Intervertebral Disc Tissue
Jordin T Marshall1, Anthony D Lutton2, Mark W Grinstaff3
1Department of Biomedical Engineering The Ohio State University Columbus Ohio USA.
JOR Spine
|August 6, 2025
Summary
Daily cycles in intervertebral disc (IVD) osmolarity are influenced by sodium content. This study shows sodium levels fluctuate more in the nucleus pulposus (NP) and pericellular matrix (PCM) than the annulus fibrosus (AF).
Area of Science:
- Biophysics
- Biochemistry
- Biomaterials Science
Background:
- Daily cycles in intervertebral disc (IVD) osmolarity are biophysical signals regulating cellular metabolism.
- These osmotic cycles arise from the deformation of the charged, hydrated extracellular matrix (ECM).
- Spatial variations in ECM composition and fixed charge density (FCD) obscure the magnitude of these osmotic cycles.
Purpose of the Study:
- Validate laser ablation-inductively coupled plasma-mass spectrometry (LA-ICP-MS) for assessing intra-tissue sodium content.
- Quantify temporal and spatial changes in intra-tissue sodium content during diurnal loading cycles within the IVD.
Main Methods:
- Modified nucleus pulposus (NP) tissue FCD via equilibrium dialysis.
- Assessed intra-tissue sodium using inductively coupled plasma-optical emission spectroscopy (ICP-OES) and LA-ICP-MS.
- Measured diurnal sodium changes in bovine IVD segments under simulated physiologic loading.
Main Results:
- LA-ICP-MS sodium measurements strongly correlated with ICP-OES, theoretical FCD, and iodine content.
- The NP region exhibited higher sodium content and greater diurnal fluctuations than the annulus fibrosus (AF).
- Pericellular matrix (PCM) sodium, normalized to ECM, was higher at end-of-day than end-of-night, suggesting elevated osmotic fluctuations for cells.
Conclusions:
- LA-ICP-MS is a validated method for assessing intra-tissue sodium content in the IVD.
- Significant diurnal sodium variations occur within the IVD, particularly in the NP and PCM.
- These findings highlight the dynamic osmotic environment experienced by IVD cells during daily loading.

