Skip to main content
Log in

Expansion and characterization of cells from surgically removed intervertebral disc fragments in xenogen-free medium

  • Published:
Journal of Biosciences Aims and scope Submit manuscript

Abstract

Low back pain due to degeneration of intervertebral disc (IVD) is a major health problem resulting in significant disability as well as adding to the economic burden. Discectomy is a very common procedure done worldwide to relieve this pain. At present all the surgically removed disc tissue is mostly discarded. However, there are reports that state that progenitor cells in the IVD can be grown ex vivo and have the potential to be used for IVD repair and regeneration. We report here that viable cells can be harvested from surgically removed, herniated disc tissue and can be potentially used in cell based therapy. Further, we have successfully replaced xenogenic supplements such as foetal bovine serum with either autologous serum or human platelet lysate for culturing IVD cells from patient’s surgically removed disc tissue, without loss of any cell characteristics, including cell surface markers, growth factor secretion in the conditioned medium and osteogenic and chondrogenic differentiation potential in vitro. The present work will not only contribute to overcoming some of the major barriers in carrying out human clinical trials, but also provide a cheap, alternate source of proteins and growth factors for growing IVD cells ex vivo for therapy.

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.

Institutional subscriptions

Figure 1
Figure 2
Figure 3

Similar content being viewed by others

References

  • Altaie A, Owston H and Jones E 2016 Use of platelet lysate for bone regeneration are we ready for clinical translation? World J. Stem Cells 8 47–55

    Article  Google Scholar 

  • Atashi F, Jaconi ME, Pittet-Cuénod B and Modarressi A 2015 Autologous platelet-rich plasma: a biological supplement to enhance adipose-derived mesenchymal stem cell expansion. Tissue Eng. Methods 21 253–262

    Article  CAS  Google Scholar 

  • Bari E, Perteghella S, Marrubini G, et al. 2018 In vitro efficacy of silk sericin microparticles and platelet lysate for intervertebral disk regeneration. Int. J. Biol. Macromol. 118 792–799

    Article  CAS  Google Scholar 

  • Becherucci V, Piccini L, Casamassima S, et al. 2018 Human platelet lysate in mesenchymal stromal cell expansion according to a GMP grade protocol: a cell factory experience. Stem Cell Res. Ther. 9 124

    Article  CAS  Google Scholar 

  • Bertolo A, Häfner S, Taddei AR, Baur M, Pötzel T, Steffen F and Stoyanov J 2015 Injectable microcarriers as human mesenchymal stem cell support and their application for cartilage and degenerated intervertebral disc repair. Eur. Cells Mate. 29 70–81

    Article  CAS  Google Scholar 

  • Bieback K, Fernandez-Munoz B, Pati S and Scahefer R 2019 Gaps in the knowledge of human platelet lysate as a cell culture supplement for cell therapy: a joint publication from the AABB and the International Society for Cell & Gene Therapy. Transfusion 59 3448–3460

    Article  Google Scholar 

  • Blanco JF, Graciani IF, Sanchez-Guijo FM, et al. 2010 Isolation and characterization of mesenchymal stromal cells from human degenerated nucleus pulposus comparison with bone marrow mesenchymal stromal cells from the same subjects. Spine 35 2259–2265

    Article  Google Scholar 

  • Centeno C, Markle J, Dodson E, Stemper I, Williams CJ, Hyzy M, Ichim T and Freeman M 2017 Treatment of lumbar degenerative disc disease-associated radicular pain with culture-expanded autologous mesenchymal stem cells: a pilot study on safety and efficacy. J. Transl. Med. 15 197

    Article  Google Scholar 

  • Choi J, Chung J-H, Kwon G-Y, Kim K-W, Kim S and Chang K 2013 Effectiveness of autologous serum as an alternative to fetal bovine serum in adipose-derived stem cell engineering. Cell Tissue Bank 14 413–422

    Article  CAS  Google Scholar 

  • Dominici M, Le Blanc K, Mueller I, Slaper-Cortenbach I, Marini Fc, Krause Ds, Deans Rj, Keating A, Prockop DJ and Horwitz EM 2006 Minimal criteria for defining multipotent mesenchymal stromal cells. The International Society for Cellular Therapy position statement. Cytotherapy 8 315–317

    Article  CAS  Google Scholar 

  • Ganey T, Libera J, Moos V, Alasevic O, Fritsch KG, Meisel HJ and Hutton WC 2003 Disc chondrocyte transplantation in a canine model: a treatment for degenerated or damaged intervertebral disc. Spine 28 2609

    Article  Google Scholar 

  • Gruber HE, Johnson TL, Leslie K, et al. 2002 Autologous intervertebral disc cell implantation: a model using Psammomys obesus, the sand rat. Spine 27 1626

    Article  Google Scholar 

  • Kandoi S, Kumar PL, Patra B, Vidyasekar P, Sivanesan D, Vijayalakshmi S, Rajagopal K and Verma RS 2018 Evaluation of platelet lysate as a substitute for FBS in explant and enzymatic isolation methods of human umbilical cord MSCs. Sci. Rep. 8 12439

    Article  Google Scholar 

  • Leung VYL, Chan D and Cheung KMC 2006 Regeneration of intervertebral disc by mesenchymal stem cells: potentials, limitations, and future direction. Eur. Spine J. 15 S406–S413

    Article  Google Scholar 

  • Mochida J, Sakai D, Nakamura Y, Watanabe T, Yamamoto Y and Kato S 2015 Intervertebral Disc repair with activated nucleus pulposus cell transplantation: A three-year prospective clinical study of its safety. Eur. Cells Mater. 29 202–212

    Article  CAS  Google Scholar 

  • Risbud MV, Guttapalli A, Tsai T-T, et al. 2007 Evidence for skeletal progenitor cells in the degenerate human intervertebral disc. Spine 32 2537–2544

    Article  Google Scholar 

  • Sakai D and Andersson GB 2015 Stem cell therapy for intervertebral disc regeneration: obstacles and solutions. Nat. Rev. Rheumatol. 11 243–256

    Article  Google Scholar 

  • Sakai D, Mochida J and Iwahina T 2003 Transplantation of mesenchymal stem cells embedded in Atelocollagen gel to the intervertebral disc: a potential therapeutic model for disc degeneration. Biomaterials 24 3531–3541

    Article  CAS  Google Scholar 

  • Sakai D, Mochida J, Iwashina T, Watanabe T, Nakai T, Ando K and Hotta T 2005 Differentiation of mesenchymal stem cells transplanted to a rabbit degenerative disc model: potential and limitations for stem cell therapy in disc regeneration. Spine 30 2379–2387

    Article  Google Scholar 

  • Sakai D and Schol J 2017 Cell therapy for intervertebral disc repair: Clinical perspective. J. Orthopaedic Transl. 9 8–18

    Article  Google Scholar 

  • Shu CC, Dart A, Bell R, Dart C, Clarke E, Smith MM, Little CB and Melrose J 2018 Efficacy of administered mesenchymal stem cells in the initiation and co-ordination of repair processes by resident disc cells in an ovine (Ovis aries) large destabilizing lesion model of experimental disc degeneration. JOR Spine 1 e1037

    Article  Google Scholar 

  • Strandberg G, Sellberg F, Sommar P, Ronaghi M, Lubenow N, Knutson F and Berglund D 2017 Standardizing the freeze-thaw preparation of growth factors from platelet lysate. Transfusion 57 1058–1065

    Article  CAS  Google Scholar 

  • Trombi L, Danti S, Savelli S, Moscato S, D’Alessandro D, Ricci C, Giannotti S and Petrini M 2016 Mesenchymal stromal cell culture and delivery in autologous conditions: a smart approach for orthopedic applications. J. Vis. Exp. 118 e54845

    Google Scholar 

  • Tschugg A, Michnacs F, Strowitzki M, Meisel HJ and Thomé C 2016 A prospective multicenter phase I/II clinical trial to evaluate safety and efficacy of NOVOCART disc plus autologous disc chondrocyte transplantation in the treatment of nucleotomized and degenerative lumbar disc to avoid secondary disease: study protocol for a randomized controlled trial. Trials 17 108

    Article  Google Scholar 

  • van der Valk J, Bieback K, Buta C, et al. 2018 Fetal bovine serum (FBS): past – present – future. Altex 35 99–118

    Article  Google Scholar 

  • Vos T, Flaxman AD, Naghavi M, et al. 2012 Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 380 2163–2196

    Article  Google Scholar 

Download references

Acknowledgements

Biotechnology Industry Research Assistance Council, Delhi, is acknowledged for funding SN under the Biotechnology Ignition Grant (BIRAC/Venture0261/BIG-11/17). Help received from staff of BKL Walawalkar Rural Hospital, Sawarde, India, as well as from Ms. Sonali Mhatre and Ms. Seema Rajwade, in setting up the tissue culture lab and doing the initial experiments, is acknowledged. Assistance received from Dr. N. Vyas, Institute of Applied Biological Research and Development, Pune, and Dr. M. Wani, NCCS, Pune, in carrying out flow cytometry and differentiation assays is acknowledged.

Author information

Authors and Affiliations

Authors

Corresponding authors

Correspondence to Sunil Nadkarni or Rita Mulherkar.

Additional information

Corresponding editor: BJ Rao

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Mujawar, S., Iyengar, K., Nadkarni, S. et al. Expansion and characterization of cells from surgically removed intervertebral disc fragments in xenogen-free medium. J Biosci 45, 108 (2020). https://doi.org/10.1007/s12038-020-00091-w

Download citation

  • Received:

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s12038-020-00091-w

Keywords

Navigation