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Zhang SP, Tong M, Li SD, Zhang B, Zhang W, Wang R, Dong ZY, Huang YF. The Role of Microvascular Variations in the Process of Intervertebral Disk Degeneration and Its Regulatory Mechanisms: A Literature Review. Orthop Surg 2024. [PMID: 39205477 DOI: 10.1111/os.14209] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/11/2024] [Revised: 08/01/2024] [Accepted: 08/06/2024] [Indexed: 09/04/2024] Open
Abstract
Microvascular changes are considered key factors in the process of intervertebral disk degeneration (IDD). Microvascular invasion and growth into the nucleus pulposus (NP) and cartilaginous endplates are unfavorable factors that trigger IDD. In contrast, the rich distribution of microvessels in the bony endplates and outer layers of the annulus fibrosus is an important safeguard for the nutrient supply and metabolism of the intervertebral disk (IVD). In particular, the adequate supply of microvessels in the bony endplates is the main source of the nutritional supply for the entire IVD. Microvessels can affect the progression of IDD through a variety of pathways. Many studies have explored the effects of microvessel alterations in the NP, annulus fibrosus, cartilaginous endplates, and bony endplates on the local microenvironment through inflammation, apoptosis, and senescence. Studies also elucidated the important roles of microvessel alterations in the process of IDD, as well as conducted in-depth explorations of cytokines and biologics that can inhibit or promote the ingrowth of microvessels. Therefore, the present manuscript reviews the published literature on the effects of microvascular changes on IVD to summarize the roles of microvessels in IVD and elaborate on the mechanisms of action that promote or inhibit de novo microvessel formation in IVD.
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Affiliation(s)
- Si-Ping Zhang
- Department of Spinal Surgery, Traditional Chinese Medicine Hospital affiliated to Xinjiang Medical University, Urumqi, China
- Xinjiang Uygur Autonomous Region Academy of Traditional Chinese Medicine, Urumqi, China
| | - Min Tong
- Department of Spinal Surgery, Traditional Chinese Medicine Hospital affiliated to Xinjiang Medical University, Urumqi, China
- Xinjiang Uygur Autonomous Region Academy of Traditional Chinese Medicine, Urumqi, China
| | - Shi-Da Li
- Department of Spinal Surgery, Traditional Chinese Medicine Hospital affiliated to Xinjiang Medical University, Urumqi, China
- Xinjiang Uygur Autonomous Region Academy of Traditional Chinese Medicine, Urumqi, China
| | - Bin Zhang
- Department of Spinal Surgery, Traditional Chinese Medicine Hospital affiliated to Xinjiang Medical University, Urumqi, China
- Xinjiang Uygur Autonomous Region Academy of Traditional Chinese Medicine, Urumqi, China
| | - Wenhao Zhang
- Department of Spinal Surgery, Traditional Chinese Medicine Hospital affiliated to Xinjiang Medical University, Urumqi, China
- Xinjiang Uygur Autonomous Region Academy of Traditional Chinese Medicine, Urumqi, China
| | - Rong Wang
- Department of Spinal Surgery, Traditional Chinese Medicine Hospital affiliated to Xinjiang Medical University, Urumqi, China
- Xinjiang Uygur Autonomous Region Academy of Traditional Chinese Medicine, Urumqi, China
| | - Zhen-Yu Dong
- Department of Spinal Surgery, Traditional Chinese Medicine Hospital affiliated to Xinjiang Medical University, Urumqi, China
- Xinjiang Uygur Autonomous Region Academy of Traditional Chinese Medicine, Urumqi, China
| | - Yi-Fei Huang
- Department of Spinal Surgery, Traditional Chinese Medicine Hospital affiliated to Xinjiang Medical University, Urumqi, China
- Xinjiang Uygur Autonomous Region Academy of Traditional Chinese Medicine, Urumqi, China
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Jiang Y, Wang J, Sun D, Liu Z, Qi L, Du M, Wang J, Li Y, Zhu C, Huang Y, Song Y, Liu L, Feng G, Zhang L. A hydrogel reservoir as a self-contained nucleus pulposus cell delivery vehicle for immunoregulation and repair of degenerated intervertebral disc. Acta Biomater 2023; 170:303-317. [PMID: 37597680 DOI: 10.1016/j.actbio.2023.08.023] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2023] [Revised: 08/10/2023] [Accepted: 08/11/2023] [Indexed: 08/21/2023]
Abstract
The strategies for modulating the local inflammatory microenvironment to inhibit intervertebral disc degeneration (IVDD) have garnered significant interest in recent years. In this study, we developed a "self-contained" injectable hydrogel capable of storing Mg2+ while carrying nucleus pulposus (NP) cells, with the aim of inhibiting IVDD through immunoregulation. The hydrogel consists of sodium alginate (SA), poly(N-isopropylacrylamide) (PNIPAAm), silicate ceramics (SC), and NP cells. When injected into the NP site, PNIPAAm gelates instantly under body temperature, forming an interpenetrating network (IPN) hydrogel with SA. Ca2+ released from the SC can crosslink the SA in situ, forming a SA/PNIPAAm hydrogel with an interpenetrating network (IPN) encapsulating the NP cells. Moreover, inside the hydrogel, Mg2+ released from SC are effectively encapsulated and maintained at a desirable concentration. These Mg2+ facilitates the local cell matrix synthesis and promotes immunomodulation (upregulating M2 / downregulating M1 macrophage polarization), thus inhibiting the IVDD progression. The proposed hydrogel has biocompatibility and is shown to enhance the expression of collagen II (COL II) and aggrecan. The potential of the injectable hydrogel in IVD repair has also been successfully demonstrated by in vivo studies. STATEMENT OF SIGNIFICANCE.
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Affiliation(s)
- Yulin Jiang
- Analytical & Testing Center, Department of Orthopedic Surgery, Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu 610065, China
| | - Juehan Wang
- Analytical & Testing Center, Department of Orthopedic Surgery, Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu 610065, China
| | - Dan Sun
- Advanced Composite Research Group (ACRG), School of Mechanical and Aerospace Engineering, Queen's University Belfast, BT9 5AH, UK
| | - Zheng Liu
- Analytical & Testing Center, Department of Orthopedic Surgery, Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu 610065, China
| | - Lin Qi
- Analytical & Testing Center, Department of Orthopedic Surgery, Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu 610065, China
| | - Meixuan Du
- Analytical & Testing Center, Department of Orthopedic Surgery, Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu 610065, China
| | - Jing Wang
- Analytical & Testing Center, Department of Orthopedic Surgery, Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu 610065, China
| | - Yubao Li
- Analytical & Testing Center, Department of Orthopedic Surgery, Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu 610065, China
| | - Ce Zhu
- Analytical & Testing Center, Department of Orthopedic Surgery, Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu 610065, China
| | - Yong Huang
- Analytical & Testing Center, Department of Orthopedic Surgery, Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu 610065, China
| | - Yueming Song
- Analytical & Testing Center, Department of Orthopedic Surgery, Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu 610065, China
| | - Limin Liu
- Analytical & Testing Center, Department of Orthopedic Surgery, Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu 610065, China
| | - Ganjun Feng
- Analytical & Testing Center, Department of Orthopedic Surgery, Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu 610065, China
| | - Li Zhang
- Analytical & Testing Center, Department of Orthopedic Surgery, Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu 610065, China.
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Pan J, Liu Z, Shen B, Xu J, Dai G, Xu W, Wang J, Li L, Cheng L. tsRNA-04002 alleviates intervertebral disk degeneration by targeting PRKCA to inhibit apoptosis of nucleus pulposus cells. J Orthop Surg Res 2023; 18:413. [PMID: 37287061 PMCID: PMC10249188 DOI: 10.1186/s13018-023-03878-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/17/2023] [Accepted: 05/24/2023] [Indexed: 06/09/2023] Open
Abstract
BACKGROUND Intervertebral disk degeneration (IDD) is a degenerative disease that underlies various musculoskeletal and spinal disorders and is positively correlated with age. tRNA-derived small RNAs (tsRNA), as a new small noncoding RNAs, its function in IDD is unclear. Herein, our goal was to find the key tsRNA that affects IDD independently of age and explore the underlying mechanisms. METHODS Small RNA sequencing was performed in nucleus pulposus (NP) tissues of traumatic lumbar fracture individuals, young IDD (IDDY) patients, and old IDD (IDDO) patients. The biological functions of tsRNA-04002 in NP cells (NPCs) were investigated by qRT-PCR, western blot, and flow cytometry analysis. The molecular mechanism of tsRNA-04002 was demonstrated by luciferase assays and rescue experiments. Furthermore, the therapeutic effects of tsRNA-04002 on IDD rat model were used and evaluated in vivo. RESULTS Compared with fresh traumatic lumbar fracture patients, a total of 695 disordered tsRNAs is obtained (398 down-regulated tsRNAs and 297 up-regulated tsRNAs). These disordered tsRNAs were mainly involved in Wnt signaling pathway and MAPK signaling pathway. tsRNA-04002 was an age-independent key target in IDD, which was both lower expressed in IDDY and IDDO groups than control group. Overexpression of tsRNA-04002 restrained inflammatory cytokines IL-1β and TNF-α expression, increased the COL2A1, and inhibited the NPCs apoptosis. Furthermore, we determined that PRKCA was the target gene of tsRNA-04002 and was negatively regulated by tsRNA-04002. The rescue experiment results suggested that the high expression of PRKCA reversed the inhibitory effect of tsRNA-04002 mimics on NPCs inflammation and apoptosis, and promotive effect of COL2A1. Moreover, tsRNA-04002 treatment dramatically ameliorated the IDD process in the puncture-induced rat model, together with the blockade of PRKCA in vivo. CONCLUSION Collectively, our results substantiated that tsRNA-04002 could alleviate IDD by targeting PRKCA to inhibit apoptosis of NPCs. tsRNA-04002 may be a novel therapeutic target of IDD progression.
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Affiliation(s)
- Jie Pan
- Department of Spinal Surgery, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, 200092, China
| | - Zhonghan Liu
- Department of Spinal Surgery, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, 200092, China
| | - Bin Shen
- Department of Spinal Surgery, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, 200092, China
| | - Jin Xu
- Department of Anesthesiology, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, 200092, China
| | - Gonghua Dai
- Department of Medical Imaging, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, 200092, China
| | - Wen Xu
- Department of Medical Imaging, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, 200092, China
| | - Jianjie Wang
- Department of Orthopedics, Tongji Hospital, School of Medicine, Tongji University, No.389 Xincun Road, Putuo Distrcit, Shanghai, 200092, China
| | - Lijun Li
- Department of Spinal Surgery, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, 200092, China.
| | - Liming Cheng
- Department of Orthopedics, Tongji Hospital, School of Medicine, Tongji University, No.389 Xincun Road, Putuo Distrcit, Shanghai, 200092, China.
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Chen Q, Wang J, Xia Q, Wu L, Chen F, Li L, Zhu C, He M, Jiang Y, Huang Y, Ding H, Wu R, Zhang L, Song Y, Liu L. Treatment outcomes of injectable thermosensitive hydrogel containing bevacizumab in intervertebral disc degeneration. Front Bioeng Biotechnol 2022; 10:976706. [PMID: 36213074 PMCID: PMC9533143 DOI: 10.3389/fbioe.2022.976706] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2022] [Accepted: 09/05/2022] [Indexed: 01/08/2023] Open
Abstract
Intervertebral disc (IVD) degeneration (IDD) is a common musculoskeletal disease and its treatment remains a clinical challenge. It is characterised by reduced cell numbers and degeneration of the extracellular matrix (ECM). Nucleus pulposus (NP) cells play a crucial role in this process. The purpose of this study is to explore the role of bevacizumab, a vascular endothelial growth factor (VEGF) inhibitor, in the treatment of IDD through local drug delivery. High expression of VEGF was observed in degenerating human and rat IVDs. We demonstrated that MMP3 expression was decreased and COL II synthesis was promoted, when VEGF expression was inhibited by bevacizumab, thereby improving the degree of disc degeneration. Thus, these findings provide strong evidence that inhibition of VEGF expression by local delivery of bevacizumab is safe and effective in ameliorating disc degeneration in rats. The injectable thermosensitive PLGA-PEG-PLGA hydrogels loaded with bevacizumab is a potential therapeutic option for disc degeneration.
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Affiliation(s)
- Qian Chen
- Department of Orthopedic Surgery and Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu, Sichuan, China
- Department of Orthopaedics, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan, China
| | - Juehan Wang
- Department of Orthopedic Surgery and Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Qinghong Xia
- Operating Room of Anesthesia Surgery Center, West China Hospital, Sichuan University, West China School of Nursing, Sichuan University, Chengdu, Sichuan, China
| | - Lei Wu
- Histology and Imaging Platform, Core Facilities of West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Fei Chen
- The Institute of Clinic Pathology, Sichuan University, Chengdu, China
| | - Li Li
- The Institute of Clinic Pathology, Sichuan University, Chengdu, China
| | - Ce Zhu
- Department of Orthopedic Surgery and Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Miaomiao He
- Analytical and Testing Center, Sichuan University, Chengdu, Sichuan, China
| | - Yulin Jiang
- Analytical and Testing Center, Sichuan University, Chengdu, Sichuan, China
| | - Yong Huang
- Department of Orthopedic Surgery and Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Hong Ding
- Department of Orthopedic Surgery and Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Ruibang Wu
- Department of Orthopedic Surgery and Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Li Zhang
- Analytical and Testing Center, Sichuan University, Chengdu, Sichuan, China
| | - Yueming Song
- Department of Orthopedic Surgery and Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Liming Liu
- Department of Orthopedic Surgery and Orthopedic Research Institute, West China Hospital, Sichuan University, Chengdu, Sichuan, China
- *Correspondence: Liming Liu,
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Cui X, Li Y, Bao J, Wang K, Wu X. Downregulation of miR-760 Causes Human Intervertebral Disc Degeneration by Targeting the MyD88/Nuclear Factor-Kappa B Signaling Pathway. Front Bioeng Biotechnol 2022; 10:813070. [PMID: 35480984 PMCID: PMC9035519 DOI: 10.3389/fbioe.2022.813070] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2021] [Accepted: 03/15/2022] [Indexed: 11/13/2022] Open
Abstract
Dysregulation of microRNAs (miRNAs) plays a critical role in the development of intervertebral disc degeneration (IDD). In this study, we present evidence from in vitro and in vivo research to elucidate the mechanism underlying the role of miR-760 in IDD. miRNA microarray and quantitative reverse transcription-polymerase chain reaction were used to determine the miRNA profiles in patients with IDD. Functional analysis was performed to evaluate the role of miR-760 in the pathogenesis of IDD. Luciferase reporter and western blotting assays were used to confirm the miRNA targets. The expression of miR-760 was significantly decreased in degenerative nucleus pulposus (NP) cells and negatively correlated with disc degeneration grade. Functional assays demonstrated that miR-760 delivery significantly increased NP cell proliferation and promoted the expression of collagen II and aggrecan. Moreover, MyD88 was identified as a target gene of miR-760. miR-760 effectively suppressed MyD88 expression by interacting with the 3'-untranslated region, which was abolished by miR-760 binding site mutations. An in vivo experiment using an IDD mouse model showed that the upregulation of miR-760 could effectively suspend IDD. Therefore, miR-760 was found to play an important role in IDD and can be used as a promising therapeutic target for the treatment of patients with IDD.
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Affiliation(s)
- Xueliang Cui
- Medical School of Southeast University, Nanjing, China
- Department of Orthopaedics, Zhongda Hospital, Southeast University, Nanjing, China
| | - Yanan Li
- Department of Orthopaedics, Qingdao Women and Children's Hospital, Qingdao, China
| | - Junping Bao
- Department of Orthopaedics, Zhongda Hospital, Southeast University, Nanjing, China
| | - Kun Wang
- Department of Orthopaedics, Zhongda Hospital, Southeast University, Nanjing, China
| | - Xiaotao Wu
- Department of Orthopaedics, Zhongda Hospital, Southeast University, Nanjing, China
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