Department of Spinal Surgery, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, P.R. China.
Department of Positron Emission Tomography/Computed Tomography Center, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, P.R. China.
Int J Mol Med. 2019 Jan;43(1):583-592. doi: 10.3892/ijmm.2018.3972. Epub 2018 Nov 2.
The present study aimed to explore the underlying mechanisms of bone morphogenetic protein 2 (BMP2) in alleviating intervertebral disc degeneration (IDD). A rat puncture IDD model was constructed, and the rats were randomly divided into six groups: Control; IDD (model); IDD+PBS [containing 1010 adeno‑associated virus serotype 2 (AAV)]; and IDD + AAV2‑BMP2 (106, 108 and 1010). IL‑1β was used to treat primary nucleus pulposus (NP) cells to mimic IDD in vitro. The effects of BMP2 in IDD were determined by magnetic resonance imaging (MRI), hematoxylin and eosin staining and Alcian Blue staining in vivo. The levels of collagen II, aggrecan, transcription factor SOX9 (SOX9) and matrix metalloproteinase 13 (MMP‑13) were examined using western blot analysis and reverse transcription quantitative polymerase chain reaction (RT‑qPCR) in NP tissues and cells. The expression of C‑telopeptide of type II collagen (CTX‑II) in the sera or cell supernatants was determined by ELISA. In addition, the levels of phosphorylation of phosphoinositide 3‑kinase (PI3K) and protein kinase B (Akt), and the levels of apoptosis‑associated proteins and apoptosis ratio of NP cells were also determined by western blot analysis and flow cytometry, respectively. LY29400, an inhibitor of PI3K, was used to additionally confirm the signal pathway mechanism of BMP2 treatment in IDD. BMP2 significantly extended the interval between discs and alleviated the fibrous ring rupture and the decrease in the levels of glycoproteins in IDD rats, as determined by MRI and histological staining. Additionally, BMP2 treatment significantly upregulated the levels of collagen II, aggrecan and SOX9, but downregulated the levels of MMP‑13 and CTX‑II in IDD rats and NP cells in a dose‑dependent manner. Concurrently, recombinant human (rh)BMP2 pretreatment also significantly decreased the apoptosis ratio of interleukin (IL)‑1β‑treated NP cells via downregulating the level of cleaved caspase‑3 and upregulating the level of uncleaved poly (adenosine 5'‑diphosphate‑ribose) polymerase. It was demonstrated that rhBMP2 also significantly decreased the inflammatory response in NP tissues and cells, based on levels of IL‑6, TNF‑α and IL‑10. In addition, rhBMP2 inhibited cell apoptosis via upregulating the phosphorylation levels of the PI3K/Akt signaling pathway, and LY29400 pretreatment inhibited the effects of BMP2 in IL‑1β treated NP cells. BMP2 alleviated IDD via the PI3K/Akt signaling pathway by inhibiting NP cell apoptosis and decreasing the levels of matrix proteins.
本研究旨在探讨骨形态发生蛋白 2(BMP2)在缓解椎间盘退行性变(IDD)中的作用机制。构建大鼠穿刺型 IDD 模型,将大鼠随机分为六组:对照组;IDD(模型)组;IDD+PBS[含 1010 腺相关病毒血清型 2(AAV)]组;和 IDD+AAV2-BMP2(106、108 和 1010)组。使用白细胞介素-1β(IL-1β)处理原代髓核(NP)细胞以模拟体外 IDD。通过磁共振成像(MRI)、苏木精和伊红染色以及阿尔辛蓝染色在体内确定 BMP2 在 IDD 中的作用。通过 Western blot 分析和逆转录定量聚合酶链反应(RT-qPCR)检测 NP 组织和细胞中胶原 II、聚集蛋白聚糖、转录因子 SOX9(SOX9)和基质金属蛋白酶 13(MMP-13)的水平。通过 ELISA 测定血清或细胞上清液中 II 型胶原 C-端肽(CTX-II)的表达。此外,通过 Western blot 分析和流式细胞术分别测定 NP 细胞中磷酸肌醇 3-激酶(PI3K)和蛋白激酶 B(Akt)的磷酸化水平以及凋亡相关蛋白的水平和凋亡率。使用 PI3K 抑制剂 LY29400 进一步证实了 BMP2 治疗 IDD 的信号通路机制。BMP2 显著延长了椎间盘之间的间隔,减轻了 IDD 大鼠纤维环破裂和糖蛋白水平下降,通过 MRI 和组织学染色确定。此外,BMP2 处理以剂量依赖性方式显著上调 IDD 大鼠和 NP 细胞中胶原 II、聚集蛋白聚糖和 SOX9 的水平,下调 MMP-13 和 CTX-II 的水平。同时,rhBMP2 预处理通过下调 cleaved caspase-3 的水平和上调未切割的多聚(腺苷 5' -二磷酸-核糖)聚合酶的水平,也显著降低了白细胞介素(IL)-1β处理的 NP 细胞的凋亡比例。结果表明,rhBMP2 还通过下调 IL-6、TNF-α 和 IL-10 水平,显著抑制 NP 组织和细胞中的炎症反应。此外,rhBMP2 通过上调 PI3K/Akt 信号通路的磷酸化水平抑制细胞凋亡,LY29400 预处理抑制了 BMP2 在 IL-1β 处理的 NP 细胞中的作用。BMP2 通过抑制 NP 细胞凋亡和降低基质蛋白水平,通过 PI3K/Akt 信号通路缓解 IDD。
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