Abstract

Lower back pain is a leading cause of disability worldwide. The recovery of nucleus pulposus (NP) progenitor cells (NPPCs) from the intervertebral disc (IVD) holds high promise for future cell therapy. NPPCs are positive for the angiopoietin-1 receptor (Tie2) and possess stemness capacity. However, the limited Tie2+ NPC yield has been a challenge for their use in cell-based therapy for regenerative medicine. In this study, we attempted to expand NPPCs from the whole NP cell population by spheroid-formation assay. Flow cytometry was used to quantify the percentage of NPPCs with Tie2-antibody in human primary NP cells (NPCs). Cell proliferation was assessed using the population doublings level (PDL) measurement. Synthesis and presence of extracellular matrix (ECM) from NPC spheroids were confirmed by quantitative Polymerase Chain Reaction (qPCR), immunostaining, and microscopy. Compared with monolayer, the spheroid-formation assay enriched the percentage of Tie2+ in NPCs’ population from ~10% to ~36%. Moreover, the spheroid-formation assay also inhibited the proliferation of the Tie2- NPCs with nearly no PDL. After one additional passage (P) using the spheroid-formation assay, NPC spheroids presented a Tie2+ percentage even further by ~10% in the NPC population. Our study concludes that the use of a spheroid culture system could be successfully applied to the culture and expansion of tissue-specific progenitors.

Highlights

  • The disability induced by lower back pain (LBP) is a global issue with a substantial social burden [1]

  • Results the implication of NP cells (NPCs) spheroids formed on an ultra-low-attachment surface

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Summary

Introduction

The disability induced by lower back pain (LBP) is a global issue with a substantial social burden [1]. The main reason for LBP, apart from trauma to the intervertebral disc (IVD), is the degeneration of the intervertebral disc (IVDD) caused by aging or genetic predisposition [2]. Disability induced by IVDD means a reduction in the labor force participation rate and a tremendous decrease in life quality for patients. The IVD consists of three central tissues: (i) the nucleus pulposus (NP), (ii) the annulus fibrosus (AF), and (iii) the cartilaginous endplate (CEP) [4]. The health of the IVD depends on the well-being of all three tissue components [5]. If only one of the three tissues partly degenerates, it will affect the health status of the entire IVD

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