Department of Orthopedics, Xuanwu Hospital, Capital Medical University, No.45 Changchun Street, Xicheng District, Beijing 100053, China; National Clinical Research Center for Geriatric Diseases, Xuanwu Hospital, Capital Medical University, Beijing 100053, China.
Department of Orthopedics, Xuanwu Hospital, Capital Medical University, No.45 Changchun Street, Xicheng District, Beijing 100053, China; National Clinical Research Center for Geriatric Diseases, Xuanwu Hospital, Capital Medical University, Beijing 100053, China.
Int Immunopharmacol. 2023 Aug;121:110400. doi: 10.1016/j.intimp.2023.110400. Epub 2023 Jun 6.
Intervertebral disc degeneration (IVDD) is a complex pathological condition associated with the development of low back pain. Despite numerous studies, the specific molecular mechanisms underlying IVDD remain unclear. At the cellular level, IVDD involves a series of changes, including cell proliferation, cell death, and inflammation. Of these, cell death plays a critical role in the progression of the condition. In recent years, necroptosis has been identified as a new form of programmed cell death (PCD). Necroptosis can be activated by ligands of death receptors, which then interact with RIPK1, RIPK3 and MLKL and lead to necrosome formation.. According to various previous studies, the necroptosis related pathway is activated in IVDD, and plays a significant role in the pathogenesis of IVDD. Furthermore, necroptosis may serve as a target for the IVDD treatment. Recently, several studies have reported the role of necroptosis in IVDD, but few studies have summarized the association between IVDD and necroptosis. The review gives a brief summary of the research progress of necroptosis, and discusses strategies and mechanisms that target necroptosis in IVDD. Lastly, matters needing attention in the necroptosis targeted therapy of IVDD are put forward at last. To the best of our knowledge, the review paper is the first one that integrates current research about the impact of necroptosis on IVDD, and contributes to the future therapy of IVDD from new perspectives.
椎间盘退行性变(IVDD)是一种与腰痛发展相关的复杂病理状况。尽管进行了大量研究,但 IVDD 的确切分子机制仍不清楚。在细胞水平上,IVDD 涉及一系列变化,包括细胞增殖、细胞死亡和炎症。在这些变化中,细胞死亡在疾病的进展中起着关键作用。近年来,坏死性凋亡已被确定为一种新的程序性细胞死亡(PCD)形式。死亡受体的配体可以激活坏死性凋亡,然后与 RIPK1、RIPK3 和 MLKL 相互作用,导致坏死小体形成。根据之前的多项研究,坏死性凋亡相关途径在 IVDD 中被激活,并在 IVDD 的发病机制中起重要作用。此外,坏死性凋亡可能成为 IVDD 治疗的靶点。最近,有几项研究报道了坏死性凋亡在 IVDD 中的作用,但很少有研究总结 IVDD 与坏死性凋亡之间的关系。该综述简要总结了坏死性凋亡的研究进展,并讨论了针对 IVDD 中坏死性凋亡的策略和机制。最后,还提出了在 IVDD 中针对坏死性凋亡进行治疗时需要注意的事项。据我们所知,这篇综述论文是第一篇综合当前关于坏死性凋亡对 IVDD 影响的研究的论文,为从新的角度治疗 IVDD 做出了贡献。