Liu Huiyong, Kang Honglei, Song Chao, Lei Zuowei, Li Li, Guo Jianfeng, Xu Yong, Guan Hanfeng, Fang Zhong, Li Feng
Department of Orthopaedic Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Front Pharmacol. 2018 Sep 18;9:1043. doi: 10.3389/fphar.2018.01043. eCollection 2018.
Low back pain (LBP) is a common worldwide disease that causes an enormous social economic burden. Intervertebral disc degeneration (IDD) is considered as a major cause of LBP. The process of IDD is complicated and involves both inflammation and senescence. The production of pro-inflammatory cytokines, including tumor necrosis factor (TNF)α and interleukin (IL)-1β, is increased in the degenerating intervertebral disc, inducing extracellular matrix degradation. Urolithin A (UA) is a metabolite compound resulting from the degradation of ellagitannins by gut bacteria. UA has been reported to be useful for the treatment of diseases associated with inflammation, senescence, and oxidative damage. Therefore, we hypothesized that UA may be an effective treatment for IDD. This study examined the effects of UA on IDD and and explored their underlying mechanisms. Our findings indicated that UA could attenuate cellular senescence induced by hydrogen peroxide in nucleus pulposus cells. UA treatment decreased TNFα-induced matrix metalloproteinase production and the loss of collagen II. At the molecular level, UA considerably blocked the phosphorylation of the extracellular signal-regulated kinase, c-JUN N-terminal kinase, and Akt pathways. study illustrated that UA treatment could ameliorate IDD in a needle-punctured rat tail model, which was evaluated by X-ray imaging, magnetic resonance imaging, and histological analysis. Thus, the results of our study revealed that UA may be a useful therapeutic agent for the treatment of IDD.
下腰痛(LBP)是一种全球常见疾病,会造成巨大的社会经济负担。椎间盘退变(IDD)被认为是LBP的主要病因。IDD的过程复杂,涉及炎症和衰老。在退变的椎间盘中,包括肿瘤坏死因子(TNF)α和白细胞介素(IL)-1β在内的促炎细胞因子的产生增加,导致细胞外基质降解。尿石素A(UA)是一种由肠道细菌对鞣花单宁进行降解产生的代谢产物。据报道,UA可用于治疗与炎症、衰老和氧化损伤相关的疾病。因此,我们推测UA可能是IDD的有效治疗方法。本研究考察了UA对IDD的影响,并探讨了其潜在机制。我们的研究结果表明,UA可减轻过氧化氢诱导的髓核细胞衰老。UA处理可降低TNFα诱导的基质金属蛋白酶产生以及Ⅱ型胶原蛋白的丢失。在分子水平上,UA显著阻断细胞外信号调节激酶、c-JUN氨基末端激酶和Akt通路的磷酸化。本研究表明,在针刺大鼠尾部模型中,UA处理可改善IDD,通过X线成像、磁共振成像和组织学分析进行评估。因此,我们的研究结果显示,UA可能是治疗IDD的一种有效治疗剂。