Proteomic signature of human annulus fibrosus and cartilage endplate: divergent matrisomal architectures reveal complementary roles in intervertebral disc homeostasis.

Tangavel, Chitraa; Arunachalam, Divya; Ramachandran, Karthik; Venkateswaran, Ashok Sundar; Rathinapaul, Jeba Sherlin; Sonika, L; Miracle Nayagam, Sharon; Rajasekaran, Shanmuganathan · Eur Spine J · 2026

basic_science · Level V

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Abstract

The baseline proteomic architecture of healthy human annulus fibrosus (AF) and cartilage endplate (CEP) is poorly defined. A rigorous healthy-tissue reference is essential for identifying the early molecular deviations that drive degenerative disc disease (DDD). AF (n = 20) and CEP (n = 21) tissues were harvested from healthy brain-dead organ donors (Pfirrmann Grade I). After 8 M urea/TEAB extraction, proteins were reduced, alkylated, and digested with sequencing-grade trypsin. Tryptic peptides were analysed in triplicate by nano-LC-MS/MS (Q-Exactive Plus Orbitrap) and processed with Proteome Discoverer 2.5 against UniProt Homo sapiens (FDR < 1%). Matrisome annotation used Human MatrisomeDB. GO and KEGG enrichment were used with DAVID and ShinyGO v0.82. Proteome overlap was quantified by Jaccard similarity; intra-tissue variability by Kruskal-Wallis analysis of log₂-normalised NSAF values. 470 proteins were identified in AF and 1,899 in CEP. The AF proteome was enriched in ECM glycoproteins (57% of matrisome), ECM regulators-notably serine protease inhibitors and matrix metalloproteinases (48%)-and glycolytic enzymes reflecting adaptation to hypoxia and tensile load. The CEP proteome featured higher collagen density (30%), ECM-affiliated proteins (48%), and extensive mitochondrial pathway enrichment (TCA cycle, oxidative phosphorylation), establishing it as a metabolically active interface for nutrient transport and proteostasis. AF-CEP proteome overlap was the lowest pairwise compartment comparison (≈ 20%), and CEP exhibited significantly greater intra-tissue variability than AF or NP (p = 2 × 10⁻³²). This study delivers the first comprehensive paired proteomic atlas of healthy human AF and CEP. The AF emerges as a mechanically adaptive, ECM-remodelling tissue; the CEP as a metabolically specialised cartilage-bone interface. Integrated with the published healthy NP proteome, these data constitute a three-compartment human IVD molecular reference baseline for degeneration research and therapeutic target discovery.