Liang He, Shi Hongyang, Li Yang, Wang Deguo, Zhang Yajie
Department of Orthopedics, Shanghai Songjiang District Central Hospital, Shanghai, China.
Second Department of Spine Surgery, Changzheng Hospital, Shanghai, China.
Ann Transl Med. 2023 Jan 31;11(2):124. doi: 10.21037/atm-22-5700.
Intervertebral disc degeneration (IDD) is an important cause of low back pain. Increase of reactive oxygen species (ROS), overexpression of inflammatory factors, and loss of extracellular matrix are important factors in the pathological changes of IDD. The present study aimed to investigate the mechanism of action of Aspirin regulating oxidative stress in IDD, so as to propose new treatment.
Nucleus pulposus cells (NPCs) were isolated from the caudal intervertebral discs of Sprague Dawley (SD) rats under sterile conditions. The expression of ROS and inflammatory factors was detected sequentially, and the degree of degeneration of nucleus pulposus cells was observed by real-time fluorescence quantitative polymerase chain reaction (PCR) and cell immunofluorescence staining. , the caudal disc puncture model was used to induce degeneration, and a local injection of 10 or 100 µg/mL Aspirin was performed. The rats were sacrificed 1 week later, and the disc specimens of the tail vertebrae were collected for imaging, histomorphology, and immunohistochemical analysis.
experiments showed that lipopolysaccharide (LPS) could significantly induce oxidative stress in NPCs and stimulate NPCs to secrete a large amount of ROS and inflammatory factors, which eventually leads to the reduction of collagen type II and polyglycoprotein gene expression in NPCs and the high expression of matrix metalloproteinase (MMP). Consequently, NPCs degeneration occurs.
Our results clarified the important role of oxidative stress in IDD and proved that LPS can be used as a drug to alleviate oxidative stress and intervene in the IDD process.
椎间盘退变(IDD)是下腰痛的重要原因。活性氧(ROS)增加、炎症因子过度表达以及细胞外基质丢失是IDD病理变化的重要因素。本研究旨在探讨阿司匹林调节IDD氧化应激的作用机制,从而提出新的治疗方法。
在无菌条件下从Sprague Dawley(SD)大鼠的尾椎间盘分离出髓核细胞(NPCs)。依次检测ROS和炎症因子的表达,并通过实时荧光定量聚合酶链反应(PCR)和细胞免疫荧光染色观察髓核细胞的退变程度。采用尾椎间盘穿刺模型诱导退变,并局部注射10或100μg/mL阿司匹林。1周后处死大鼠,收集尾椎椎间盘标本进行影像学、组织形态学和免疫组化分析。
实验表明,脂多糖(LPS)可显著诱导NPCs氧化应激,刺激NPCs分泌大量ROS和炎症因子,最终导致NPCs中Ⅱ型胶原蛋白和聚糖蛋白基因表达降低,基质金属蛋白酶(MMP)高表达。从而发生NPCs退变。
我们的结果阐明了氧化应激在IDD中的重要作用,并证明LPS可作为减轻氧化应激和干预IDD进程的药物。