Intervertebral Disc Cells Produce Tumor Necrosis Factor α, Interleukin-1β, and Monocyte Chemoattractant Protein-1 Immediately After Herniation: An Experimental Study Using a New Hernia Model

Abstract

In Brief Study Design. A new hernia model that simulates human disc herniations was developed in rabbits. The herniated discs were examined by gross appearance and histology and production of tumor necrosis factor α, interleukin-1β, and monocyte chemoattractant protein-1 was investigated. Objectives. To clarify the early mechanism of spontaneous herniated disc resorption. Summary of Background Data. Macrophage infiltration in herniated discs is essential for disc resorption. However, surgically removed human herniated disc tissues and existing animal hernia models are not suitable for analyzing the mechanism of macrophage infiltration. Recently, we have demonstrated that intervertebral disc cells are capable of producing monocyte chemoattractant protein-1, a potent macrophage chemoattractant, after stimulation with tumor necrosis factor α and interleukin-1β. Methods. Intervertebral disc herniations were surgically developed in rabbits using a new technique. The herniated discs were excised at appropriate time intervals after the surgery, and the size and histologic findings were examined. Expressions of tumor necrosis factor α, interleukin-1β, and monocyte chemoattractant protein-1 in herniated discs were investigated immunohistochemically. Results. A new rabbit model of disc herniation was established. The herniated discs spontaneously reduced in size by 12 weeks postsurgery. Infiltrating cells, mainly composed of macrophages, were observed from day 3. Immunohistochemically, intervertebral disc cells in the herniated discs produced tumor necrosis factor α and interleukin-1β on day 1, followed by monocyte chemoattractant protein-1 on day 3. Conclusions. The new hernia model appears to be very useful for studying herniated disc resorption. Intervertebral disc cells may produce inflammatory cytokines/chemokine immediately after the onset of disc herniation, possibly triggering subsequent macrophage infiltration that leads to disc resorption. A new hernia model simulating human disc herniations was developed. Intervertebral disc cells produced tumor necrosis factor α, interleukin-1a and subsequently monocyte chemoattractant protein-1, which preceded macrophage infiltration in the discs, followed by disc resorption. Thus, intervertebral disc cells appear to trigger herniated disc resorption via the production of inflammatory cytokines/chemokine.