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ARTICLE IN PRESS
0021-9290/$ - se
doi:10.1016/j.jb
�CorrespondE-mail addr
Journal of Biomechanics 41 (2008) 903–906
www.elsevier.com/locate/jbiomech
Short communication
Determination of the strain-dependent hydraulic permeability of thecompressed bovine nucleus pulposus
Paul Heneghan, Philip E. Riches�
Bioengineering Unit, University of Strathclyde, 106 Rottenrow, Glasgow G4 0NW, UK
Accepted 15 November 2007
www.JBiomech.com
Abstract
The hydraulic permeability, k, of the nucleus pulposus (NP) is crucial, both in withstanding compressive stress and for convective
transport of nutrients within the disc. Permeability has previously been determined using biphasic mathematical models, but has not been
found by direct permeation experiments, which is the objective of this study. Bovine coccygeal nucleus samples (n ¼ 64), f10mm and
thickness 683749 mm (mean7S.D.) were compressed axially to one of l ¼ 1.0, 0.9, 0.8, 0.7, 0.6, 0.5, 0.4 or 0.3, where l is the stretch
ratio. Ringer’s solution was permeated through the sample, with an o-ring ensuring axial flow. During stress equilibrium, k was
determined and fitted to four permeability-strain equations. Permeability decreased exponentially with compression, and was best
described by
kðlÞ ¼ 1:59� 10�15l� 0:2
0:8
� �1:13
e½�0:02ðl2�1Þ=2�.
Values of k were comparable to those arising from mathematical models, lending confidence to permeability being determined from
such models.
r 2007 Elsevier Ltd. All rights reserved.
Keywords: Intervertebral disc; Hydraulic permeability; Compression; Soft tissue mechanics
1. Introduction
The intervertebral disc (IVD) withstands high compres-sive stress in vivo of more than 2MPa (Nachemson andMorris, 1964; Wilke et al., 1999) with a hydrostaticpressure developing in the nucleus pulposus (NP) due tothe low rate of fluid exudation from the disc (McNally andAdams, 1992; Oloyede et al., 1998). Whilst diffusiondominates the transport of small metabolites (Robertset al., 1996; Urban et al., 1978) convection may play animportant role in the transport of large essential metabo-lites such as enzymes and hormones required for main-taining its health status (Ferguson et al., 2004; Robertset al., 1996). The main route for all these nutrients intothe NP is axially through the cartilage endplate, with
e front matter r 2007 Elsevier Ltd. All rights reserved.
iomech.2007.11.014
ing author. Tel.: +44141 548 5703.
ess: [email protected] (P.E. Riches).
convection augmenting diffusion (Ferguson et al., 2004;Ohshima et al., 1989). Nevertheless, in the healthy disc, it isthe permeability of the NP that is the limiting factor forconvective transport (Riches and McNally, 2005). Thus,the hydraulic permeability plays an important role in boththe mechanical and metabolic behaviour of the disc tissue.Despite being critical for both disc mechanics and
nutrition, the hydraulic permeability of the NP has notbeen directly determined. Direct permeation experimentshave been used to determine the hydraulic permeabilityof the healthy and degenerate human annulus fibrosus(Gu et al., 1999), and bovine articular cartilage hasdemonstrated decreasing permeability with compression(Mansour and Mow, 1976; Reynaud and Quinn, 2006).More commonly, the hydraulic permeability of the NP isestimated by fitting the linear and non-linear biphasicmodels to experimental data from confined compressionstress–relaxation experiments (Johannessen and Elliott,
ARTICLE IN PRESSP. Heneghan, P.E. Riches / Journal of Biomechanics 41 (2008) 903–906904
2005; Perie et al., 2005), results of which suggest a decreasein permeability with compressive strain (Perie et al., 2005).However, in order to test the suitability of such models toNP tissue, the permeability needs to be directly determined.Furthermore, models predict large localised compressivestrains (40.50) in vivo (Holmes and Mow, 1990; Mowet al., 1980; Riches et al., 2002), behaviour which has alsobeen found experimentally, albeit on articular cartilage(Zheng et al., 2005). Thus, it is necessary that materialproperties be characterised to high-compressive strain.
The aim of this study is to determine the strain-dependent hydraulic permeability of NP tissue by directlypermeating fluid through the compressed tissue, with thehypothesis that hydraulic permeability will decrease withincreasing compressive strain. These data are then com-pared with four different strain–permeability relations, andwith indirect measures to assess the suitability of themathematical models. The empirical data will be veryuseful for future models of the IVD to incorporate strain-dependent permeability of the NP to better modelconvective transport and mechanics under compression.
2. Methods
All procedures were approved by the University Ethics Committee.
Spinal motion segments from bovine tails (aged 14–30 months) were
excised using a scalpel. The three largest tail discs, from the tail base
adjacent to the lumbar section, were isolated and frozen at �20 1C within
12 h of slaughter. Cylindrical plugs of NP tissue, 10mm in diameter and
oriented in the axial direction, were obtained using a cork-borer. Plugs
were kept frozen while microtoming at �14 1C. Sixty-four NP samples,
thickness 683749mm (mean7S.D.), were obtained from 20 discs.
The apparatus used to determine the permeability is shown in
Fig. 1. It consisted of an upper cylindrical permeation chamber, a dual
INLET 1
O-RING
ATMOSPHERIC
PRESSURE
SAMPLE
PRESSURE 1
POROUS
PLATEN
FLUID INFUSED FROM
SYRINGE PUMP
Fig. 1. Apparatus. The upper chamber was lowered to compress the tissue
and fluid infused through the tissue and highly porous platens. The o-ring
ensured flow through the tissue.
syringe infusion/withdrawal pump (model 200 series, Cole–Parmer,
London, UK) using a 250ml Hamilton gastight syringe, a Honeywell
15 psi (103 kPa) compensated gauge pressure transducer (model
26PCCFA1G, RS Components, Glasgow, UK), and an o-ring. The
upper chamber was attached to the adjustable crosshead of a materials
testing system (model Z005, Zwick Roell, Ulm, Germany), and the
lower chamber attached to its fixed base. Cellulose ester 1000Da
MWCO dialysis tubing (Fisher Scientific, Loughborough, UK) was
used on each side of the sample to prevent possible proteoglycan
loss, with samples confined between two porous stainless steel
platens (average pore size, 100mm; f5mm); the permeability of the
dialysis tubing in series with the porous platens was four orders of
magnitude greater than tissue permeability, causing negligible additional
resistance to flow.
After determining the sample height with a load of 0.1N, the chamber
was filled with Ringer’s solution and vented to remove all the air. Each
sample was compressed to one of l ¼ 1.0, 0.9, 0.8, 0.7, 0.6, 0.5, 0.4 or 0.3
at 2mm/s and the displacement maintained for 2 h to obtain the stress
equilibrium, where l ¼ h/h0, i.e. the stretch ratio (the ratio of compressed
sample height to original height). Fluid was then injected from the syringe
pump at a high rate (�400ml/h) until a pressure difference across the
sample of 30.070.5 kPa was reached; the flow rate was manually adjusted
until the equilibrium was achieved. The pressure in the upper chamber was
continuously monitored at 1Hz. During stress equilibrium, the hydraulic
permeability, k, was calculated from
k ¼vh
DP, (1)
where v is the fluid velocity after 2 h, h is the compressed sample height and
DP is the pressure difference across the sample. The mechanical behaviour
of the dialysis tubing was found in a pilot study and was deducted from
the combined behaviour.
At each strain level, the mean and the 95% confidence interval were
calculated. The mean permeability and the 795% confidence interval
limits were fitted to l using four equations previously used for disc tissue
and cartilage permeability (Eqs. (2)–(5)), utilising non-linear OLS
regression (Holmes and Mow, 1990; Lai and Mow, 1980; Riches et al.,
2002; Argoubi and Shirazi-Adl, 1996):
kðlÞ ¼ k0l� 1þ f0
f0
� �k
e½Mðl2�1Þ=2�, (2)
kðlÞ ¼ k0eMðl�1Þ, (3)
k ¼ k0ff0
� �n
, (4)
k ¼ k0ff0
� �2
eMðl�1Þ, (5)
where k0 is the zero strain permeability, M, n and k are non-dimensional
parameters relating k to l, and f is the tissue porosity; the subscript 0
indicates zero strain values, and the zero strain porosity was assumed to be
0.8 (Roberts et al., 1989). The relationship between porosity and stretch is
given by
f ¼ 1�1� f0
l. (6)
Eqs. (3)–(5) are included even though they are not based on the finite
deformation theory, since we are interested in comparing appropriateness
of the different approaches.
3. Results
All samples achieved force equilibrium within 2 h, and avolume of fluid at least three times that of the samplewas infused by the syringe pump prior to measurement.All compressed samples (lp0.9) experienced an increase
ARTICLE IN PRESSP. Heneghan, P.E. Riches / Journal of Biomechanics 41 (2008) 903–906 905
in fluid pressure and compressive stress during thecompression phase, and all samples experienced an increasein pressure when fluid infusion began. Fig. 2 plots k againstl for lp1.0, with k found to decrease with decreasing l.Table 1 shows the equation parameters and R2 valuesfound.
0.5
k (m
4/N.s)
Argoubi and Shirazi-Adl (1996)Holmes and Mow (1990)Lai and Mow (1980)Riches et al. (2002)
1.E-14
1.E-15
1.E-16
0.3 0.4 0.6 0.7 0.8 0.9 1.0 1.1
�
Fig. 2. Plot of k against l, compared with all four permeability equations.
Data points and error bars indicate mean795% confidence intervals.
Table 1
The mean and 95% confidence interval values for the zero strain
permeability, k0, the non-dimensional parameters M, n and k, and R2
values from Eqs. (2)–(5)
Model Mean 95% C.I. range
Argoubi and Shirazi-
Adl (1996)
k0 ¼ 1.60� 10�15 k0 ¼ 1.22�1.97� 10�15
M ¼ 1.04 M ¼ 0.84�1.17
R2¼ 0.946 –
Holmes and Mow
(1990)
k0 ¼ 1.59� 10�15 k0 ¼ 1.22�1.96� 10�15
M ¼ �0.02 M ¼ �0.14�0.04
k ¼ 1U13 k ¼ 1U13
R2¼ 0.946 –
Lai and Mow (1980) k0 ¼ 1.65� 10�15 k0 ¼ 1.27�2.03� 10�15
M ¼ 2.17 M ¼ 2.00�2.29
R2¼ 0.931 –
Riches et al. (2002) k0 ¼ 1.53� 10�15 k0 ¼ 1.17�1.89� 10�15
M ¼ 3.85 M ¼ 3.41�4.17
R2¼ 0.933 –
Units for k0 are m4/N s; all other parameters are dimensionless.
Table 2
Comparison of previous literature values on NP and AF tissue
Study Tissue
Current study Bovine tail NP
Perie et al. (2005) Bovine tail NP
Perie et al. (2005) Bovine tail NP
Johannessen et al. (2005) Human lumbar NP
Perie et al. (2005) Bovine tail AF (axial)
Perie et al. (2005) Bovine tail AF (axial)
Gu et al. (1999) Human lumbar AF (axial)
Riches et al. (2002) Human lumbar disc
4. Discussion
This is the first study to determine the hydraulicpermeability of the NP using a direct permeation experi-ment, and tissue compression clearly resulted in asubstantial decrease in hydraulic permeability: permeabil-ity was decreased by 61% when l ¼ 0.5 compared tol ¼ 0.9.Previous studies have determined the hydraulic perme-
ability of the NP using mathematical models of the tissue,and comparison of previous results is shown in Table 2.Our results compare favourably with those of Johannessenand Elliott (2005), who used a linear biphasic mathematicalmodel to predict k of the human NP in confinedcompression. Our values are also of the same order ofmagnitude as Perie et al. (2005), who used both linear andnon-linear biphasic models; the non-linear biphasic modelutilises the expression originally found by Holmes andMow (1990) for strain-dependent permeability, whichwe have found to be suitable for NP tissue. Thus, ourfindings on the NP tissue show good agreement withbiphasic models, whereas direct permeation experimentson the AF found much higher k than biphasic models(Gu et al., 1999).A pressure difference of 30 kPa across the tissue was used
to induce fluid flow through the tissue in this study.However, the external fluid pressure will exert a stress onthe solid phase of the tissue at the boundary and,internally, fluid flow will stress the tissue via viscous drag.These stresses will deform the tissue and, based on theaggregate modulus, HA, of the bovine NP (HA�300 kPa)(Perie et al., 2005), it is estimated that a pressure differenceof 30 kPa may cause compressive strain of approximately0.10, or l ¼ 0.90. This may explain why k did not differbetween l ¼ 1.0 and 0.9 (independent samples Studentt-test, p ¼ 0.92), and subsequently decreased with compres-sion. When the equation of Holmes and Mow was fit to thedata for lp0.9 only, a better fit was obtained (R2
¼ 0.983)than when fit to all data (R2
¼ 0.952), with meanparameter values of k0 ¼ 2.02� 10�15m4/N s, M ¼ 2.41and k ¼ 0.48 found. However, in the absence of clearevidence of flow induced compression, it is suggested thatthe relationship between k and l is best described by the
Method k (m4/N s)� 1015
Direct permeation 0.32�2.08
Non-linear biphasic model 0.4�0.6
Linear biphasic model 0.3�1.2
Linear biphasic model 0.90
Non-linear biphasic model 0.15�0.3
Linear biphasic model 0.1�0.9
Direct permeation 1.53
Poroelastic model 0.2�0.91
ARTICLE IN PRESSP. Heneghan, P.E. Riches / Journal of Biomechanics 41 (2008) 903–906906
equation of Holmes and Mow (1990) based on all of theavailable data, as in Table 1.
It should be noted that by definition in Eq. (1),decreasing the tissue height will decrease k, even withoutincreased resistance to flow. By calculating k from Eq. (1),but with h0 in place of h, k still decreased with decreasing l,suggesting increased resistance to flow with compression.
A potential source of error of this study is the unknownstrain state of IVDs when excised from the spine, due topossible tissue swelling. However, all samples were treatedin the same way, so comparison between the different levelsof compression remains suitable. The application of a30 kPa fluid pressure may also be considered a limitation ofthis study, and may have led to fluid-induced tissuecompression, as discussed. This was the lowest fluidpressure for which a consistent flow could be monitored,and was considered a suitable compromise.
Therefore, the hydraulic permeability of the NPdecreases with compression and the relationship is bestdescribed by the equation of Holmes and Mow (1990),which is based on finite deformation theory and is given by
kðlÞ ¼ 1:59� 10�15l� 0:2
0:8
� �1:13
e½�0:02ðl2�1Þ=2�
ðR2 ¼ 0:952Þ:
Values are comparable to those obtained from thebiphasic mathematical models, lending confidence to thesemodels at predicting the mechanical behaviour of the NPtissue.
Conflict of interest
None
Acknowledgement
The authors thank the EPSRC for its support of thiswork (Grant no. GR/S64219/01).
References
Argoubi, M., Shirazi-Adl, A., 1996. Poroelastic creep response analysis of
a lumbar motion segment in compression. Journal of Biomechanics 29,
1331–1339.
Ferguson, S.J., Ito, K., Nolte, L.P., 2004. Fluid flow and convective
transport of solutes within the intervertebral disc. Journal of
Biomechanics 37, 213–221.
Gu, W.Y., Mao, X.G., Foster, R.J., Weidenbaum, M., Mow, V.C.,
Rawlins, B.A., 1999. The anisotropic hydraulic permeability of human
lumbar anulus fibrosus. Influence of age, degeneration, direction, and
water content. Spine 24, 2449–2455.
Holmes, M.H., Mow, V.C., 1990. The nonlinear characteristics of soft gels
and hydrated connective tissues in ultrafiltration. Journal of Biome-
chanics 23, 1145–1156.
Johannessen, W., Elliott, D.M., 2005. Effects of degeneration on the
biphasic material properties of human nucleus pulposus in confined
compression. Spine 30, 724–729.
Lai, W.M., Mow, V.C., 1980. Drag-induced compression of articular
cartilage during a permeation experiment. Biorheology 17, 111–123.
Mansour, J.M., Mow, V.C., 1976. The permeability of articular cartilage
under compressive strain and at high pressures. Journal of Bone and
Joint Surgery—America 58, 509–516.
McNally, D.S., Adams, M.A., 1992. Internal intervertebral disc mechanics
as revealed by stress profilometry. Spine 17, 66–73.
Mow, V.C., Kuei, S.C., Lai, W.M., Armstrong, C.G., 1980. Biphasic creep
and stress relaxation of articular cartilage in compression: theory and
experiments. Journal of Biomechanical Engineering 102, 73–84.
Nachemson, A., Morris, J.M., 1964. In vivo measurements of intradiscal
pressure. Discometry, a method for the determination of pressure in
the lower lumbar discs. Journal of Bone and Joint Surgery—America
46, 1077–1092.
Ohshima, H., Tsuji, H., Hirano, N., Ishihara, H., Katoh, Y., Yamada, H.,
1989. Water diffusion pathway, swelling pressure, and biomechanical
properties of the intervertebral disc during compression load. Spine 14,
1234–1244.
Oloyede, A., Broom, N.D., Martinez, J.B., 1998. Experimental factors
governing the internal stress state of the intervertebral disc. Medical
Engineering & Physics 20, 631–637.
Perie, D., Korda, D., Iatridis, J.C., 2005. Confined compression
experiments on bovine nucleus pulposus and annulus fibrosus:
sensitivity of the experiment in the determination of compressive
modulus and hydraulic permeability. Journal of Biomechanics 38,
2164–2171.
Reynaud, B., Quinn, T.M., 2006. Anisotropic hydraulic permeability
in compressed articular cartilage. Journal of Biomechanics 39,
131–137.
Riches, P.E., Dhillon, N., Lotz, J., Woods, A.W., McNally, D.S., 2002.
The internal mechanics of the intervertebral disc under cyclic loading.
Journal of Biomechanics 35, 1263–1271.
Riches, P.E., McNally, D.S., 2005. A one-dimensional theoretical
prediction of the effect of reduced end-plate permeability on the
mechanics of the intervertebral disc. Proceedings of the Institution of
Mechanical Engineers [H] 219, 329–335.
Roberts, S., Menage, J., Urban, J.P.G., 1989. Biochemical and structural
properties of the cartilage end-plate and its relation to the inter-
vertebral disc. Spine 14, 166–174.
Roberts, S., Urban, J.P.G., Evans, H., Eisenstein, S.M., 1996. Transport
properties of the human cartilage endplate in relation to its
composition and calcification. Spine 21, 415–420.
Urban, J.P.G., Holm, S., Maroudas, A., 1978. Diffusion of small solutes
into the intervertebral disc: as in vivo study. Biorheology 15, 203–221.
Wilke, H.J., Neef, P., Caimi, M., Hoogland, T., Claes, L.E., 1999. New in
vivo measurements of pressures in the intervertebral disc in daily life.
Spine 24, 755–762.
Zheng, Y.P., Niu, H.J., Arthur Mak, F.T., Huang, Y.P., 2005. Ultrasonic
measurement of depth-dependent transient behaviors of articular
cartilage under compression. Journal of Biomechanics 38, 1830–1837.