The age-related changes in glycosaminoglycan composition of human inte
rvertebral discs were studied. A large number of tissue samples taken
from 301 individuals at autopsy or at operation of prolapsed discs wer
e investigated. It was found that the aging process is accompanied by
a progressive decrease in GAGs content, both in annulus fibrosus and i
n nucleus pulposus. The GAG: collagen ratio significantly decreases. T
he KS and Ch-6-S were found to be the most abundant GAGs in both parts
of the disc and their amounts decrease during the aging. A distinct,
age-related increase of KS/Ch-S and Ch-6-S/Ch-4-S ratios was observed.
Significant quantitative differences between the GAGs contents in nor
mal and prolapsed discs were found. The nuclei pulposi of prolapsed di
scs contained less GAGs, especially KS and Ch-6-S, in comparison to no
rmal tissue of the same age. Also, the age-related decline of GAGs: co
llagen ratio is more distinct in prolapsed discs. It seems that these
differences in GAGs composition may be important in the mechanism of p
redisposition to disc prolapse.