Abstract:Objective: The purpose of this study was to investigate the parabiosis model effect on mouse intervertebral disc aging. Methods: With the means of surgical pairing on wildtype C57B6 female mice; Young (Y, age 3 month) and Old (O, age 18 month) using the Heterochronic Parabiosis and Isochronic Prarbiosis model. Mice were sacrificed eight weeks after surgical pairing. After separation three groups, Young Isochronic (Y-Y), Young Heterochronic (Y-O), Old Isochronic (O-O). After the treatment, matrix gene expression, western blot and immunofluorescence analysis were measured to determine the effects of Heterochronic parabiosis model. Results: From the histological analysis, we found decreased nucleus pulposus (NP) cells and increased exhibit clefts in annulus fibrosus (AF)compartment, after exposure young disc in old blood circulation environment. Disc aggrecan immunofluorescence decreased in young mice paired with old mice(Y-O) compared to young mice paired with young mice(Y-Y), there was a statistical difference between groups (P < 0.05).We found P16 increased 77.1±20.5% in Y-O group than Y-Y group by Western blot analysis (P < 0.05). We also found P16 increased in Y-O group than Y-Y group by RT-qPCR analysis, but there was no statistical difference between groups (P > 0.05). Q-PCR analyzed p21 gene increased 40.5%±6.7% in Y-O group compared to Y-Y group and increased 95.5%±24.2% in O-O group compared to Y-Y group (P < 0.05). Western blot analyzed p21 protein analyzed increased in Y-O group compared to Y-Y group, but there was no statistical difference between groups (P > 0.05). We also found that MMP13、ADAMTS4 protein and gene expression increased in young mice paired with old mice compared to young mice paired with young mice. The difference had statistically significance (P < 0.05). Conclusion: The results of this study suggest the existence of the global blood circulating factors controlling the disc aging process.