Wang Zili, Hutton William C, Yoon S Tim
Emory Spine Center, Emory University School of Medicine and VA Medical Center, VA Research Building, Room # 4A-189, 1670 Clairmont Rd, Decatur, GA 30033, USA.
Emory Spine Center, Emory University School of Medicine and VA Medical Center, VA Research Building, Room # 4A-189, 1670 Clairmont Rd, Decatur, GA 30033, USA.
Spine J. 2014 Mar 1;14(3):505-12. doi: 10.1016/j.spinee.2013.08.016. Epub 2013 Oct 29.
Tumor necrosis factor-α (TNF-α) is a regulatory cytokine that can increase the activity of enzymes such as ADAMTS (a disintegrin and metalloproteinase with thrombospondin motifs), which degrade disc matrix. ADAMTS are enzymes that break down disc matrix and thereby mediate disc degeneration. Bone morphogenetic protein-7 (BMP-7), on the other hand, stimulates synthesis of the disc extracellular matrix and is a potential therapeutic molecule for the treatment of disc degeneration. However, the effects of BMP-7 on TNF-α and ADAMTS are unknown.
We investigated the effects of BMP-7 on the catabolic regulators such as TNF-α and ADAMTS and evaluated the molecular mechanism by which BMP-7 affects the catabolic regulators.
This was an in vitro study in which we used human intervertebral disc cells cultured in alginate beads.
Human intervertebral disc cells were cultured in alginate beads, and treated with TNF-α, or TNF- α plus BMP-7, pharmacological inhibitor of ERK1/2 (U0126), p38 (SB203580), or NFκB (BAY 11-7082). The mRNA levels of target genes were measured by real-time polymerase chain reaction, and the protein levels were determined by the Western blots. The nuclear factor (NF)κB activity was analyzed by measured phosphorylation and nuclear translocation of the NFκB protein p65.
TNF-α activated NFκB signaling and induced up-regulation of the catabolic regulators ADAMTS-4 and ADAMTS-5, contributing to degradation of the disc matrix macromolecules aggrecan and collagen II. BMP-7 antagonized the TNF-α-induced activation of NFκB protein p65 and blocked TNF-α-induced up-regulation of ADAMTS-4 and ADAMTS-5, leading to reversing TNF-α-mediated degradation of aggrecan and collagen II. Moreover, BMP-7 antagonized the TNF-α-induced activation of NFκB signaling by suppressing phosphorylation and nucleus translocation of NFκB protein p65.
BMP-7 antagonizes TNF-α-induced activation of NFκB and up-regulation of ADAMTS, leading to decreased degradation of disc matrix macromolecules. These data indicate that BMP-7 has a dual mechanism of action on disc metabolism: (1) the previously well-described positive effect on disc matrix synthesis and (2) an anticatabolic effect that is described here. This understanding is important as BMP-7 is being considered for treatment of disc degeneration.
肿瘤坏死因子-α(TNF-α)是一种调节性细胞因子,可增加诸如ADAMTS(一种含血小板反应蛋白基序的解聚素和金属蛋白酶)等酶的活性,这些酶会降解椎间盘基质。ADAMTS是分解椎间盘基质并由此介导椎间盘退变的酶。另一方面,骨形态发生蛋白-7(BMP-7)可刺激椎间盘细胞外基质的合成,是治疗椎间盘退变的一种潜在治疗分子。然而,BMP-7对TNF-α和ADAMTS的影响尚不清楚。
我们研究了BMP-7对TNF-α和ADAMTS等分解代谢调节因子的影响,并评估了BMP-7影响这些分解代谢调节因子的分子机制。
这是一项体外研究,我们使用了培养在藻酸盐珠中的人椎间盘细胞。
将人椎间盘细胞培养在藻酸盐珠中,并用TNF-α或TNF-α加BMP-7、ERK1/2的药理抑制剂(U0126)、p38的药理抑制剂(SB203580)或NFκB的药理抑制剂(BAY 11-7082)进行处理。通过实时聚合酶链反应测量靶基因的mRNA水平,通过蛋白质印迹法测定蛋白质水平。通过测量NFκB蛋白p65的磷酸化和核转位来分析核因子(NF)κB活性。
TNF-α激活NFκB信号通路并诱导分解代谢调节因子ADAMTS-4和ADAMTS-5的上调,导致椎间盘基质大分子聚集蛋白聚糖和胶原蛋白II的降解。BMP-7拮抗TNF-α诱导的NFκB蛋白p65的激活,并阻断TNF-α诱导的ADAMTS-4和ADAMTS-5的上调,从而逆转TNF-α介导的聚集蛋白聚糖和胶原蛋白II的降解。此外,BMP-7通过抑制NFκB蛋白p65的磷酸化和核转位来拮抗TNF-α诱导的NFκB信号通路的激活。
BMP-7拮抗TNF-α诱导的NFκB激活和ADAMTS的上调,导致椎间盘基质大分子降解减少。这些数据表明BMP-7对椎间盘代谢有双重作用机制:(1)先前已充分描述的对椎间盘基质合成的积极作用,以及(2)本文所述的抗分解代谢作用。鉴于BMP-7正被考虑用于治疗椎间盘退变,这种认识很重要。