Department of Orthopedic Surgery, The First Affiliated Hospital of Xiamen University, Xiamen, P. R. China.
Spine (Phila Pa 1976). 2020 Oct 1;45(19):E1216-E1224. doi: 10.1097/BRS.0000000000003549.
STUDY DESIGN: mRNA analysis. OBJECTIVE: The aim of this study was to identify differentially expressed genes (DEGs) in disc degeneration, analyze the potential biological functions of DEGs, and screen for a new target to prevent the degeneration. SUMMARY OF BACKGROUND DATA: Intervertebral disc degeneration (IDD) is an irreversible process and causes long-term heavy socioeconomic burdens. Existing and therapies under development are unable to prevent disc degeneration in a safe and effective manner. Therefore, elucidating the potential mechanism underlying degeneration and the development of new targets for IDD therapy are urgently required. METHODS: Nucleus pulposus (NP) cells from mild and severe IDD (Ctrl and IDD groups) were separated, and DEGs of the two groups were identified with mRNA microarray analysis, followed by bioinformatics analysis.Quantitative reverse transcriptase polymerase chain reaction (qRT-PCR) was performed to verify the microarray results. Gene over-expression and silencing technologies were used to study the role of plant homeodomain finger protein 6 (PHF6). qRT-PCR and western blot analyses were used to detect the expressions of collagen II (COL2), matrix metalloproteinases 13 (MMP13), and ADAM metallopeptidase with thrombospondin type 1 motif 4 (ADAMTS4). RESULTS: The study identified 377 up- and 116 downregulated DEGs in NP cells from two groups. These DEGs were mainly involved in cellular and metabolic processes and enriched in immune system and nucleotide metabolism pathways. Upregulated PHF6, with the highest verified fold change, was significantly increased in the IDD group. Over-expressing PHF6 in Ctrl NP cells significantly inhibited the expression of COL2 and enhanced the expressions of MMP13 and ADAMTS4, whereas silencing PHF6 in IDD NP cells reversed such expression alterations. CONCLUSION: Upregulated PHF6 caused IDD by promoting extracellular matrix degradation; therefore, PHF6 could be developed as a potential novel target to prevent the degeneration. Our DEG profiling of NP cells from IDD patients provided a database to identify the key genes involved in IDD. LEVEL OF EVIDENCE: N/A.
研究设计:mRNA 分析。
目的:本研究旨在鉴定椎间盘退变中的差异表达基因(DEGs),分析 DEGs 的潜在生物学功能,并筛选新的靶点以预防退变。
背景资料概要:椎间盘退变(IDD)是一种不可逆的过程,会导致长期的沉重的社会经济负担。现有的治疗方法和正在开发的治疗方法都不能以安全有效的方式预防椎间盘退变。因此,阐明退变的潜在机制和开发新的 IDD 治疗靶点迫在眉睫。
方法:分离轻度和重度 IDD(对照和 IDD 组)的髓核细胞,采用 mRNA 微阵列分析鉴定两组的 DEGs,然后进行生物信息学分析。采用定量逆转录聚合酶链反应(qRT-PCR)验证微阵列结果。采用基因过表达和沉默技术研究同源盒蛋白 6(PHF6)的作用。采用 qRT-PCR 和 Western blot 分析检测胶原 II(COL2)、基质金属蛋白酶 13(MMP13)和含有血小板反应蛋白 1 型基序 4(ADAMTS4)的 ADAM 金属肽酶的表达。
结果:研究鉴定出两组髓核细胞中 377 个上调和 116 个下调的 DEGs。这些 DEGs 主要参与细胞和代谢过程,并富集在免疫系统和核苷酸代谢途径中。验证的折叠变化最高的上调 PHF6 在 IDD 组中显著增加。在对照 NP 细胞中过表达 PHF6 显著抑制 COL2 的表达,并增强 MMP13 和 ADAMTS4 的表达,而在 IDD NP 细胞中沉默 PHF6 则逆转了这种表达改变。
结论:上调的 PHF6 通过促进细胞外基质降解引起 IDD;因此,PHF6 可以作为预防退变的潜在新靶点。我们对 IDD 患者 NP 细胞的 DEG 分析为鉴定参与 IDD 的关键基因提供了数据库。
证据水平:N/A。
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