Department of Orthopaedics, The First Affiliated Hospital of Anhui Medical University, Hefei, 230022, China.
Department of Spine Surgery, Yijishan Hospital, The First Affiliated Hospital of Wannan Medical College, Wuhu, 241001, China.
J Orthop Surg Res. 2023 Jan 6;18(1):17. doi: 10.1186/s13018-023-03501-5.
Cervical and lumbar pain is usually caused by degeneration of the nucleus pulposus (NP). As a powerful therapeutic strategy, tissue engineering can effectively restore the normal biological properties of the spinal unit. Previous studies suggested that poly(lactic-co-glycolic acid) (PLGA) microspheres are effective carriers of cells and biomolecules in NP tissue engineering. This study aims to explore the therapeutic effect of PLGA microspheres coloaded with transforming growth factor-β1 (TGF-β1) and anti-miR-141 on intervertebral disc degeneration (IDD).
PLGA microspheres were characterized by scanning electron microscopy, a laser particle size analyzer, and laser confocal microscopy. The in vitro release rate of biomolecules from the microspheres was analyzed by reversed-phase high-performance liquid chromatography and agarose gel electrophoresis. The rat NP cells (NPCs) treated with the solutions released from microspheres for different lengths of time were assigned to a control group (Ctrl), an empty PLGA microsphere group (Mock microsphere, MS), a TGF-β1-loaded PLGA microsphere group (TMS), an anti-miR-141-loaded PLGA microsphere group (AMS), and an anti-miR-141 + TGF-β1-loaded PLGA microsphere group (ATMS). The proliferation and apoptosis of NPCs were observed by alamar blue and flow cytometry. The gene and protein expression of cartilage markers COL2A1 and ACAN were observed by RT-qPCR and Western blot. The rat model of IDD was established by tail puncture. Rats were divided into a control group (Ctrl), a mock operation group (Mock), a TGF-β1 microsphere group (TMS), an anti-miR-141 microsphere group (AMS), and an anti-miR-141 + TGF-β1 microsphere group (ATMS). The degree of rat tail IDD was assessed in each group through magnetic resonance imaging (MRI), safranin O-fast green staining, immunohistochemistry, and Western blotting.
PLGA microspheres were stably coloaded and could sustainably release TGF-β1 and anti-miR-141. The results of in vitro cell experiments showed that the release solution of PLGA microspheres significantly enhanced the proliferation of NPCs without inducing their apoptosis and significantly upregulated cartilage markers in NPCs. The effect of microspheres was greater in the ATMS group than that in the TMS group and AMS group. In vivo experiments showed that IDD could be effectively inhibited and reversed by adding microspheres coloaded with TGF-β1 and/or anti-miR-141, and the effect was greatest in the ATMS group.
PLGA microspheres coloaded with TGF-β1 and anti-miR-141 can reverse IDD by inhibiting the degeneration of NPCs.
颈腰痛通常由髓核(NP)退变引起。作为一种强大的治疗策略,组织工程可以有效地恢复脊柱单元的正常生物学特性。先前的研究表明,聚(乳酸-共-乙醇酸)(PLGA)微球是 NP 组织工程中细胞和生物分子的有效载体。本研究旨在探讨共载转化生长因子-β1(TGF-β1)和抗 miR-141 的 PLGA 微球对椎间盘退变(IDD)的治疗作用。
通过扫描电子显微镜、激光粒度分析仪和激光共聚焦显微镜对 PLGA 微球进行了表征。通过反相高效液相色谱法和琼脂糖凝胶电泳分析了微球中生物分子的体外释放率。将用微球释放液处理不同时间的大鼠 NP 细胞(NPCs)分别置于对照组(Ctrl)、空 PLGA 微球组(Mock microsphere,MS)、TGF-β1 负载 PLGA 微球组(TMS)、抗 miR-141 负载 PLGA 微球组(AMS)和抗 miR-141+TGF-β1 负载 PLGA 微球组(ATMS)。通过阿尔玛蓝和流式细胞术观察 NPCs 的增殖和凋亡。通过 RT-qPCR 和 Western blot 观察软骨标志物 COL2A1 和 ACAN 的基因和蛋白表达。通过尾穿刺建立 IDD 大鼠模型。大鼠分为对照组(Ctrl)、假手术组(Mock)、TGF-β1 微球组(TMS)、抗 miR-141 微球组(AMS)和抗 miR-141+TGF-β1 微球组(ATMS)。通过磁共振成像(MRI)、番红 O-快绿染色、免疫组织化学和 Western blot 评估各组大鼠尾部 IDD 的严重程度。
PLGA 微球稳定地共载并能持续释放 TGF-β1 和抗 miR-141。体外细胞实验结果表明,PLGA 微球的释放液显著促进 NPCs 的增殖,而不诱导其凋亡,并显著上调 NPCs 中的软骨标志物。在 ATMS 组中的效果大于 TMS 组和 AMS 组。体内实验表明,添加共载 TGF-β1 和/或抗 miR-141 的微球可有效抑制和逆转 IDD,在 ATMS 组中的效果最大。
共载 TGF-β1 和抗 miR-141 的 PLGA 微球可通过抑制 NPC 退变逆转 IDD。