Introduction
Several studies have identified multiple cell populations
in the intervertebral disc (IVD) [5, 6, 11, 16, 18, 22, 28,
29]. Similarities between cells of the nucleus pulposus
(NP) and articular chondrocytes (ACs), and cells of the
annulus fibrosus (AF) and fibroblasts of fibrous connec-
tive tissues have previously been assumed, largely on the
basis of their rounded (chondrocytic) or more elongated
(fibroblastic) spindle-shaped morphologies. As NP cells
synthesise type II collagen and aggrecan, both of which
are markers of a chondrocytic phenotype, these morpho-
logical criteria may have some validity. However, while
the aggrecan synthesised by NP cells is similar to that
synthesised by ACs, it is not identical. Aggrecan from the
NP differs not only in terms of its keratan sulphate (KS)
and chondroitin sulphate (CS) substitution patterns, but
also in how effectively it can form macromolecular com-
plexes with hyaluronan, which are important for the vis-
coelastic and hydrodynamic properties of this tissue [14,
15]. Aggrecan from the NP contains significantly more
KS and is more heterogeneous than its counterpart in ar-
ticular cartilage [14, 15, 17]. As shown in the present in-
vestigation, NP cells can also synthesise type I in addition
to type II collagen, thus it is an oversimplification to as-
sume that NP cells are a chondrocytic cell type. Similarly,
unlike fibroblasts AF cells synthesise type I and II colla-
Abstract The objective of this study
was to compare and contrast the cel-
lular heterogeneity of ovine interver-
tebral disc (IVD) annulus fibrosus
(AF) and nucleus pulposus (NP)
cells, synovial fibroblasts (SFs) and
articular chondrocytes (ACs) grown
in monolayer and alginate bead cul-
ture. Phase contrast microscopy of
the monolayers indicated that the SF
and AF cells, and the AC and NP
cells had similar morphologies. Im-
munolocalisation of type I, II and VI
collagen epitopes in the monolayers,
however, demonstrated distinct quan-
titative and relative differences be-
tween the SF and AF, and the AC
and NP cells. Immunolocalisation of
bead-incorporated proteoglycans
(PGs) also demonstrated quantitative
and qualitative differences between
the SF and AF cells. Quantitation of
35
S-bead PGs indicated that the AF
cells synthesised significantly higher
PG levels than the SFs, and AC cells
synthesised significantly higher PG
levels than the NP cells. These data
were also consistent with the relative
metabolic activities and cellular via-
bilities displayed by each cell type in
bead culture. AF cells shared mor-
phological traits with SFs in mono-
layer, but displayed distinctly differ-
ent characteristics in bead culture.
Similarly, NP cells shared similari-
ties with ACs in monolayer and bead
culture, but overall were less meta-
bolically active. Data presented here
support the proposal that the AF and
NP cells of the ovine IVD should be
considered as specialised fibrochon-
drocytic cells.
Keywords Disc cell heterogeneity ·
Annulus fibrosus · Nucleus pulposus ·
Mesenchymal cells · Fibrocartilage
ORIGINAL ARTICLE
Eur Spine J (2003) 12 : 57–65
DOI 10.1007/s00586-002-0434-6
James Melrose
Susan Smith
Peter Ghosh
Assessment of the cellular heterogeneity
of the ovine intervertebral disc:
comparison with synovial fibroblasts
and articular chondrocytes
Received: 1 November 2001
Revised: 25 February 2002
Accepted: 30 April 2002
Published online: 6 July 2002
© Springer-Verlag 2002
J. Melrose (✉) · S. Smith · P. Ghosh
Raymond Purves Bone
and Joint Research Laboratories,
The Institute of Bone and Joint Research,
The University Clinic,
Level 5, Building B26,
The Royal North Shore Hospital
of Sydney, Reserve Road,
St. Leonards, NSW 2065, Australia
e-mail: jmelrose@mail.usyd.edu.au,
Tel.: +61-2-99267395/6535,
Fax: +61-2-99266539