Skip to main content
Log in

ISSLS PRIZE IN BASIC SCIENCE 2020: Beyond microstructure—circumferential specialization within the lumbar intervertebral disc annulus extends to collagen nanostructure, with counterintuitive relationships to macroscale material properties

  • Original Article
  • Published:
European Spine Journal Aims and scope Submit manuscript

Abstract

Purpose

To determine whether the annulus of lumbar intervertebral discs contains circumferential specialization in collagen nanostructure and assess whether this coincides with functional differences in macroscale material properties.

Methods

Anterior and posterior disc wall samples were prepared from 38 mature ovine lumbar segments. Regional differences in molecular thermal stability and intermolecular network integrity of the annulus’ tension-bearing collagen fibres were examined with hydrothermal isometric tension (HIT) analysis, with and without preceding NaBH4 treatment to stabilize labile crosslinks. Energetics of collagen denaturation were studied by differential scanning calorimetry (DSC). Tensile mechanics of annular lamellae were studied using oblique sagittal bone-disc-bone samples loaded to rupture. Annular failure characteristics of the ruptured test segments were compared via microscopy of serial sections.

Results

HIT showed that tension-bearing collagen fibres of the posterior annulus were composed of collagen molecules with significantly greater thermal stability and intermolecular network integrity than those of the anterior annulus. NaBH4 treatment confirmed that labile intermolecular crosslinks did not significantly contribute to network integrity in either region. Regional differences seen in DSC were smaller than those observed in HIT, indicating structural similarities in annular collagen outside of the main fibre bundles. Mechanical testing showed that the posterior annulus was significantly weaker than the anterior annulus. For both regions, ultimate tensile strengths of annular fibres were significantly greater than those previously reported. Ruptures in both regions were predominantly due to annular failure.

Conclusion

Specializations in collagen nanostructure exist between different circumferential regions of the annulus and coincide with significant differences in material properties.

Graphic abstract

These slides can be retrieved under Electronic Supplementary Material.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8

Similar content being viewed by others

References

  1. Alexander LA, Hancock E, Agouris I et al (2007) The response of the nucleus pulposus of the lumbar intervertebral discs to functionally loaded positions. Spine 32:1508–1512. https://doi.org/10.1097/BRS.0b013e318067dccb

    Article  PubMed  Google Scholar 

  2. Fennell AJ, Jones AP, Hukins DW (1996) Migration of the nucleus pulposus within the intervertebral disc during flexion and extension of the spine. Spine 21:2753–2757. https://doi.org/10.1097/00007632-199612010-00009

    Article  CAS  PubMed  Google Scholar 

  3. Wilke HJ, Neef P, Caimi M et al (1999) New in vivo measurements of pressures in the intervertebral disc in daily life. Spine 24:755–762. https://doi.org/10.1097/00007632-199904150-00005

    Article  CAS  PubMed  Google Scholar 

  4. Kelsey JL, Githens PB, White AA et al (1984) An epidemiologic study of lifting and twisting on the job and risk for acute prolapsed lumbar intervertebral disc. J Orthop Res 2:61–66. https://doi.org/10.1002/jor.1100020110

    Article  CAS  PubMed  Google Scholar 

  5. Veres SP, Robertson PA, Broom ND (2010) The influence of torsion on disc herniation when combined with flexion. Eur Spine J 19:1468–1478. https://doi.org/10.1007/s00586-010-1383-0

    Article  PubMed  PubMed Central  Google Scholar 

  6. Tsuji H, Hirano N, Ohshima H et al (1993) Structural variation of the anterior and posterior anulus fibrosus in the development of human lumbar intervertebral disc. A risk factor for intervertebral disc rupture. Spine 18:204–210

    Article  CAS  Google Scholar 

  7. Marchand F, Ahmed AM (1990) Investigation of the laminate structure of lumbar disc anulus fibrosus. Spine 15:402–410. https://doi.org/10.1097/00007632-199005000-00011

    Article  CAS  PubMed  Google Scholar 

  8. Schmidt H, Kettler A, Heuer F et al (2007) Intradiscal pressure, shear strain, and fiber strain in the intervertebral disc under combined loading. Spine 32:748–755. https://doi.org/10.1097/01.brs.0000259059.90430.c2

    Article  PubMed  Google Scholar 

  9. Moore RJ, Vernon-Roberts B, Fraser RD et al (1996) The origin and fate of herniated lumbar intervertebral disc tissue. Spine 21:2149–2155

    Article  CAS  Google Scholar 

  10. Osti OL, Vernon-Roberts B, Moore R, Fraser RD (1992) Annular tears and disc degeneration in the lumbar spine. A post-mortem study of 135 discs. J Bone Joint Surg Br 74:678–682

    Article  CAS  Google Scholar 

  11. Vernon-Roberts B, Moore RJ, Fraser RD (2007) The natural history of age-related disc degeneration: the pathology and sequelae of tears. Spine 32:2797–2804. https://doi.org/10.1097/BRS.0b013e31815b64d2

    Article  PubMed  Google Scholar 

  12. Aldous IG, Veres SP, Jahangir A, Lee JM (2009) Differences in collagen cross-linking between the four valves of the bovine heart: a possible role in adaptation to mechanical fatigue. Am J Physiol Heart Circ Physiol 296:H1898–H1906. https://doi.org/10.1152/ajpheart.01173.2008

    Article  CAS  PubMed  Google Scholar 

  13. Herod TW, Chambers NC, Veres SP (2016) Collagen fibrils in functionally distinct tendons have differing structural responses to tendon rupture and fatigue loading. Acta Biomater 42:296–307. https://doi.org/10.1016/j.actbio.2016.06.017

    Article  CAS  PubMed  Google Scholar 

  14. Birch HL, Thorpe CT, Rumian AP (2013) Specialisation of extracellular matrix for function in tendons and ligaments. Muscles Ligaments Tendons J 3:12–22. https://doi.org/10.11138/mltj/2013.3.1.012

    Article  PubMed  PubMed Central  Google Scholar 

  15. Chambers NC, Herod TW, Veres SP (2018) Ultrastructure of tendon rupture depends on strain rate and tendon type. J Orthop Res 36:2842–2850. https://doi.org/10.1002/jor.24067

    Article  PubMed  Google Scholar 

  16. Quigley AS, Bancelin S, Deska-Gauthier D et al (2018) In tendons, differing physiological requirements lead to functionally distinct nanostructures. Sci Rep 8:4409. https://doi.org/10.1038/s41598-018-22741-8

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Svensson RB, Mulder H, Kovanen V, Magnusson SP (2013) Fracture mechanics of collagen fibrils: influence of natural cross-links. Biophys J 104:2476–2484. https://doi.org/10.1016/j.bpj.2013.04.033

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  18. Shepherd JH, Legerlotz K, Demirci T et al (2014) Functionally distinct tendon fascicles exhibit different creep and stress relaxation behaviour. Proc Inst Mech Eng H 228:49–59. https://doi.org/10.1177/0954411913509977

    Article  PubMed  Google Scholar 

  19. Reid JE, Meakin JR, Robins SP et al (2002) Sheep lumbar intervertebral discs as models for human discs. Clin Biomech (Bristol Avon) 17:312–314

    Article  CAS  Google Scholar 

  20. Lee JM, Pereira CA, Abdulla D et al (1995) A multi-sample denaturation temperature tester for collagenous biomaterials. Med Eng Phys 17:115–121

    Article  CAS  Google Scholar 

  21. Wells SM, Adamson SL, Langille BL, Lee JM (1998) Thermomechanical analysis of collagen crosslinking in the developing ovine thoracic aorta. Biorheology 35:399–414

    Article  CAS  Google Scholar 

  22. Weiderhorn NM, Reardon GV (1952) Studies concerned with the structure of collagen. II. Stress-strain behavior of thermally contracted collagen. J Polym Sci 9:315–325

    Article  Google Scholar 

  23. Naimark WA, Waldman SD, Anderson RJ et al (1998) Thermomechanical analysis of collagen crosslinking in the developing lamb pericardium. Biorheology 35:1–16. https://doi.org/10.1016/S0006-355X(98)00016-X

    Article  CAS  PubMed  Google Scholar 

  24. Le Lous M, Cohen-Solal L, Allain JC et al (1985) Age related evolution of stable collagen reticulation in human skin. Connect Tissue Res 13:145–155

    Article  Google Scholar 

  25. Bailey AJ, Lister D (1968) Thermally labile cross-links in native collagen. Nature 220:280–281

    Article  CAS  Google Scholar 

  26. Avery NC, Bailey AJ (2008) Restraining cross-links responsible for the mechanical properties of collagen fibers: natural and artificial. In: Fratzl P (ed) Collagen structure and mechanics. Springer, Boston, pp 81–110

    Google Scholar 

  27. Holzapfel GA, Schulze-Bauer CAJ, Feigl G, Regitnig P (2005) Single lamellar mechanics of the human lumbar anulus fibrosus. Biomech Model Mechanobiol 3:125–140. https://doi.org/10.1007/s10237-004-0053-8

    Article  CAS  PubMed  Google Scholar 

  28. Leikina E, Mertts MV, Kuznetsova N, Leikin S (2002) Type I collagen is thermally unstable at body temperature. Proc Natl Acad Sci USA 99:1314–1318. https://doi.org/10.1073/pnas.032307099

    Article  PubMed  Google Scholar 

  29. Miles CA, Ghelashvili M (1999) Polymer-in-a-box mechanism for the thermal stabilization of collagen molecules in fibers. Biophys J 76:3243–3252. https://doi.org/10.1016/S0006-3495(99)77476-X

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  30. Wallace DG, Condell RA, Donovan JW et al (1986) Multiple denaturational transitions in fibrillar collagen. Biopolymers 25:1875–1895. https://doi.org/10.1002/bip.360251006

    Article  CAS  PubMed  Google Scholar 

  31. Miles CA, Avery NC, Rodin VV, Bailey AJ (2005) The increase in denaturation temperature following cross-linking of collagen is caused by dehydration of the fibres. J Mol Biol 346:551–556. https://doi.org/10.1016/j.jmb.2004.12.001

    Article  CAS  PubMed  Google Scholar 

  32. Miles CA, Burjanadze TV, Bailey AJ (1995) The kinetics of the thermal denaturation of collagen in unrestrained rat tail tendon determined by differential scanning calorimetry. J Mol Biol 245:437–446. https://doi.org/10.1006/jmbi.1994.0035

    Article  CAS  PubMed  Google Scholar 

  33. Allain JC, Le Lous M, Cohen-Solal L et al (1980) Isometric tensions developed during the hydrothermal swelling of rat skin. Connect Tissue Res 7:127–133. https://doi.org/10.3109/03008208009152104

    Article  CAS  PubMed  Google Scholar 

  34. Eyre DR, Koob TJ, Van Ness KP (1984) Quantitation of hydroxypyridinium crosslinks in collagen by high-performance liquid chromatography. Anal Biochem 137:380–388

    Article  CAS  Google Scholar 

  35. Skaggs DL, Weidenbaum M, Iatridis JC et al (1994) Regional variation in tensile properties and biochemical composition of the human lumbar anulus fibrosus. Spine 19:1310–1319

    Article  CAS  Google Scholar 

  36. Pokharna HK, Phillips FM (1998) Collagen crosslinks in human lumbar intervertebral disc aging. Spine 23:1645–1648. https://doi.org/10.1097/00007632-199808010-00005

    Article  CAS  PubMed  Google Scholar 

  37. Brickley-Parsons D, Glimcher MJ (1984) Is the chemistry of collagen in intervertebral discs an expression of Wolff's Law? A study of the human lumbar spine. Spine 9:148–163. https://doi.org/10.1097/00007632-198403000-00005

    Article  CAS  PubMed  Google Scholar 

  38. Robins SP, Bailey AJ (1977) The chemistry of the collagen cross-links. Characterization of the products of reduction of skin, tendon and bone with sodium cyanoborohydride. Biochem J 163:339–346. https://doi.org/10.1080/00223980.2014.996512

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  39. Robins SP, Bailey AJ (1973) The chemistry of the collagen cross-links. The characterization of fraction C, a possible artifact produced during the reduction of collagen fibres with borohydride. Biochem J 135:657–665

    Article  CAS  Google Scholar 

  40. Bernstein PH, Mechanic GL (1980) A natural histidine-based imminium cross-link in collagen and its location. J Biol Chem 255:10414–10422

    CAS  PubMed  Google Scholar 

  41. Avery NC, Bailey AJ (2005) Enzymic and non-enzymic cross-linking mechanisms in relation to turnover of collagen: relevance to aging and exercise. Scand J Med Sci Sports 15:231–240. https://doi.org/10.1111/j.1600-0838.2005.00464.x

    Article  CAS  PubMed  Google Scholar 

  42. Yamauchi M, Taga Y, Terajima M (2019) Analyses of lysine aldehyde cross-linking in collagen reveal that the mature cross-link histidinohydroxylysinonorleucine is an artifact. J Biol Chem 294:14163–14163. https://doi.org/10.1074/jbc.RA118.007202

    Article  CAS  PubMed  Google Scholar 

  43. Eyre DR, Weis M, Rai J (2019) Analyses of lysine aldehyde cross-linking in collagen reveal that the mature cross-link histidinohydroxylysinonorleucine is an artifact. J Biol Chem. https://doi.org/10.1074/jbc.RA118.007202

    Article  PubMed  Google Scholar 

  44. Haut RC (1985) The effect of a lathyritic diet on the sensitivity of tendon to strain rate. J Biomech Eng 107:166–174

    Article  CAS  Google Scholar 

  45. Marturano JE, Arena JD, Schiller ZA et al (2013) Characterization of mechanical and biochemical properties of developing embryonic tendon. Proc Natl Acad Sci USA 110:6370–6375. https://doi.org/10.1073/pnas.1300135110

    Article  PubMed  Google Scholar 

  46. Paschalis EP, Tatakis DN, Robins S et al (2011) Lathyrism-induced alterations in collagen cross-links influence the mechanical properties of bone material without affecting the mineral. Bone 49:1232–1241. https://doi.org/10.1016/j.bone.2011.08.027

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  47. Hansen P, Haraldsson BT, Aagaard P et al (2010) Lower strength of the human posterior patellar tendon seems unrelated to mature collagen cross-linking and fibril morphology. J Appl Physiol 108:47–52. https://doi.org/10.1152/japplphysiol.00944.2009

    Article  PubMed  Google Scholar 

  48. Le Lous M, Allain JC, Cohen-Solal L, Maroteaux P (1982) The rate of collagen maturation in rat and human skin. Connect Tissue Res 9:253–262

    Article  Google Scholar 

  49. Bailey AJ (1968) Intermediate labile intermolecular crosslinks in collagen fibres. Biochim Biophys Acta 160:447–453

    Article  CAS  Google Scholar 

  50. Torp S, Arridge RGC, Armeniades CD, Baer E (1975) Structure–property relationships in tendon as a function of age. Struct Fibrous Biopolym 26:197–221

    Google Scholar 

  51. Couppé C, Hansen P, Kongsgaard M et al (2009) Mechanical properties and collagen cross-linking of the patellar tendon in old and young men. J Appl Physiol 107:880–886. https://doi.org/10.1152/japplphysiol.00291.2009

    Article  PubMed  Google Scholar 

  52. Ker RF, Alexander R, Bennett MB (1988) Why are mammalian tendons so thick? J Zool 216:309–324

    Article  Google Scholar 

  53. Thorpe CT, Udeze CP, Birch HL et al (2012) Specialization of tendon mechanical properties results from interfascicular differences. J R Soc Interface 9:3108–3117. https://doi.org/10.1098/rsif.2012.0362

    Article  PubMed  PubMed Central  Google Scholar 

  54. Choi RK, Smith MM, Smith S et al (2019) Functionally distinct tendons have different biomechanical, biochemical and histological responses to in vitro unloading. J Biomech. https://doi.org/10.1016/j.jbiomech.2019.109321

    Article  PubMed  Google Scholar 

  55. Lee JM, Veres SP (2019) Advanced glycation end-product cross-linking inhibits biomechanical plasticity and characteristic failure morphology of native tendon. J Appl Physiol 126:832–841. https://doi.org/10.1152/japplphysiol.00430.2018

    Article  CAS  PubMed  Google Scholar 

  56. Green TP, Adams MA, Dolan P (1993) Tensile properties of the annulus fibrosus II. Ultimate tensile strength and fatigue life. Eur Spine J 2:209–214

    Article  CAS  Google Scholar 

  57. Zak M, Pezowicz C (2013) Spinal sections and regional variations in the mechanical properties of the annulus fibrosus subjected to tensile loading. Acta Bioeng Biomech 15:51–59. https://doi.org/10.5277/abb130107

    Article  PubMed  Google Scholar 

  58. Michalek AJ, Gardner-Morse MG, Iatridis JC (2012) Large residual strains are present in the intervertebral disc annulus fibrosus in the unloaded state. J Biomech 45:1227–1231. https://doi.org/10.1016/j.jbiomech.2012.01.042

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  59. Duclos SE, Michalek AJ (2017) Residual strains in the intervertebral disc annulus fibrosus suggest complex tissue remodeling in response to in-vivo loading. J Mech Behav Biomed Mater 68:232–238. https://doi.org/10.1016/j.jmbbm.2017.02.010

    Article  CAS  PubMed  Google Scholar 

  60. Shan Z, Li S, Liu J et al (2015) Correlation between biomechanical properties of the annulus fibrosus and magnetic resonance imaging (MRI) findings. Eur Spine J 24:1909–1916. https://doi.org/10.1007/s00586-015-4061-4

    Article  PubMed  Google Scholar 

  61. Ninomiya M, Muro T (1992) Pathoanatomy of lumbar disc herniation as demonstrated by computed tomography/discography. Spine 17:1316–1322. https://doi.org/10.1097/00007632-199211000-00010

    Article  CAS  PubMed  Google Scholar 

  62. Aprill C, Bogduk N (1992) High-intensity zone: a diagnostic sign of painful lumbar disc on magnetic resonance imaging. Br J Radiol 65:361–369. https://doi.org/10.1259/0007-1285-65-773-361

    Article  CAS  PubMed  Google Scholar 

  63. Ohnmeiss DD, Vanharanta H, Ekholm J (1999) Relation between pain location and disc pathology: a study of pain drawings and CT/discography. Clin J Pain 15:210–217

    Article  CAS  Google Scholar 

  64. Rajasekaran S, Bajaj N, Tubaki V et al (2013) ISSLS Prize winner: The anatomy of failure in lumbar disc herniation: an in vivo, multimodal, prospective study of 181 subjects. Spine 38:1491–1500. https://doi.org/10.1097/BRS.0b013e31829a6fa6

    Article  CAS  PubMed  Google Scholar 

  65. Gregory DE, Bae WC, Sah RL, Masuda K (2012) Anular delamination strength of human lumbar intervertebral disc. Eur Spine J 21:1716–1723. https://doi.org/10.1007/s00586-012-2308-x

    Article  PubMed  PubMed Central  Google Scholar 

  66. Kakitsubata Y, Theodorou DJ, Theodorou S et al (2003) Magnetic resonance discography in cadavers: tears of the annulus fibrosus. Clin Orthop Relat Res 407:228–240. https://doi.org/10.1097/01.blo.0000030506.43495.d4

    Article  Google Scholar 

  67. Easley NE, Wang M, McGrady LM, Toth JM (2008) Biomechanical and radiographic evaluation of an ovine model for the human lumbar spine. Proc Inst Mech Eng H 222:915–922. https://doi.org/10.1243/09544119JEIM345

    Article  CAS  PubMed  Google Scholar 

  68. Beckstein JC, Sen S, Schaer TP et al (2008) Comparison of animal discs used in disc research to human lumbar disc: axial compression mechanics and glycosaminoglycan content. Spine 33:E166–E173. https://doi.org/10.1097/BRS.0b013e318166e001

    Article  PubMed  Google Scholar 

  69. Showalter BL, Beckstein JC, Martin JT et al (2012) Comparison of animal discs used in disc research to human lumbar disc: torsion mechanics and collagen content. Spine 37:E900–E907. https://doi.org/10.1097/BRS.0b013e31824d911c

    Article  PubMed  PubMed Central  Google Scholar 

  70. Schollum ML, Schollum ML, Robertson PA et al (2009) A microstructural investigation of intervertebral disc lamellar connectivity: detailed analysis of the translamellar bridges. J Anat. https://doi.org/10.1111/j.1469-7580.2009.01076.x

    Article  PubMed  PubMed Central  Google Scholar 

  71. Smith LJ, Elliott DM (2011) Formation of lamellar cross bridges in the annulus fibrosus of the intervertebral disc is a consequence of vascular regression. Matrix Biol 30:267–274. https://doi.org/10.1016/j.matbio.2011.03.009

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  72. Brown S, Rodrigues S, Sharp C et al (2017) Staying connected: structural integration at the intervertebral disc-vertebra interface of human lumbar spines. Eur Spine J 26:248–258. https://doi.org/10.1007/s00586-016-4560-y

    Article  PubMed  Google Scholar 

  73. Rodrigues SA, Thambyah A, Broom ND (2017) How maturity influences annulus-endplate integration in the ovine intervertebral disc: a micro- and ultra-structural study. J Anat 230:152–164. https://doi.org/10.1111/joa.12536

    Article  PubMed  Google Scholar 

  74. Rodrigues SA, Thambyah A, Broom ND (2015) A multiscale structural investigation of the annulus-endplate anchorage system and its mechanisms of failure. Spine J 15:405–416. https://doi.org/10.1016/j.spinee.2014.12.144

    Article  PubMed  Google Scholar 

  75. Gautieri A, Passini FS, Silván U et al (2017) Advanced glycation end-products: Mechanics of aged collagen from molecule to tissue. Matrix Biol 59:95–108. https://doi.org/10.1016/j.matbio.2016.09.001

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgements

This work was supported by a grant to SPV from the Nova Scotia Health Research Foundation. TWH acknowledges stipend funding support from the Natural Sciences and Engineering Research Council of Canada (NSERC). We acknowledge the support of the Canada Foundation for Innovation, the Atlantic Innovation Fund, and other partners which fund the Facilities for Materials Characterization, managed by the Clean Technologies Research Institute, Dalhousie University.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Samuel P. Veres.

Ethics declarations

Conflict of interest

All authors declare that they have no conflict of interest.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Electronic supplementary material

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Herod, T.W., Veres, S.P. ISSLS PRIZE IN BASIC SCIENCE 2020: Beyond microstructure—circumferential specialization within the lumbar intervertebral disc annulus extends to collagen nanostructure, with counterintuitive relationships to macroscale material properties. Eur Spine J 29, 670–685 (2020). https://doi.org/10.1007/s00586-019-06223-7

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00586-019-06223-7

Keywords

Navigation