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Washington University in St. Louis

2021

Intervertebral Disc

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Full-Text Articles in Engineering

Laminin-Mimetic Peptide-Functionalized Hydrogel Systems For The Phenotypic Modulation Of Cells Of The Nucleus Pulposus, Marcos Nicolas Barcellona May 2021

Laminin-Mimetic Peptide-Functionalized Hydrogel Systems For The Phenotypic Modulation Of Cells Of The Nucleus Pulposus, Marcos Nicolas Barcellona

McKelvey School of Engineering Theses & Dissertations

The intervertebral disc (IVD) has been widely observed to undergo significant structural and biochemical changes with age and maturation. As degeneration progresses, changes in extracellular matrix composition and deposition, tissue cellularity, and metabolic activity have been characterized. Although the epidemiology of disc degeneration remains unclear, it is believed that the nucleus pulposus (NP) region of the IVD may be implicated in early degeneration. Specifically, cells of the nucleus pulposus have been observed to undergo a shift from their notochordal-like juvenile phenotype to a more fibroblast-like state in a manner concomitant to degenerative events. Because the disc has inherently little capacity …


Engineering Nucleus Pulposus Cell-Matrix Interactions With Laminin Ligands For Tissue Regeneration, Julie Elizabeth Speer May 2021

Engineering Nucleus Pulposus Cell-Matrix Interactions With Laminin Ligands For Tissue Regeneration, Julie Elizabeth Speer

McKelvey School of Engineering Theses & Dissertations

Low back pain and degenerative conditions of the intervertebral disc (IVD) represent major global socioeconomic and medical burdens. The structures that comprise the IVD including the anulus fibrosis and the nucleus pulposus (NP) work together to stabilize the axial skeleton and distribute mechanical forces. However, the degenerative cascade, which is thought to begin with changes to the NP, results in alterations to the disc that can be seen across length scales including elongated cell shapes, tissue dehydration, and loss of disc height. Patients who present clinically with these changes may also experience altered biomechanics, pain upon motion, impairments to their …