一种具有 GLRX3 细胞外囊泡的氧化还原稳态调节水凝胶通过抑制髓核细胞衰老来减轻椎间盘退变。
A Redox Homeostasis Modulatory Hydrogel with GLRX3 Extracellular Vesicles Attenuates Disc Degeneration by Suppressing Nucleus Pulposus Cell Senescence.
机构信息
Department of Orthopedic Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China.
Department of Orthopedic Surgery, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China.
出版信息
ACS Nano. 2023 Jul 25;17(14):13441-13460. doi: 10.1021/acsnano.3c01713. Epub 2023 Jul 11.
Characterized by nucleus pulposus (NP) cell senescence and extracellular matrix (ECM) degradation, disc degeneration is a common pathology for various degenerative spinal disorders. To date, effective treatments for disc degeneration are absent. Here, we found that Glutaredoxin3 (GLRX3) is an important redox-regulating molecule associated with NP cell senescence and disc degeneration. Using a hypoxic preconditioning method, we developed GLRX3 mesenchymal stem cell-derived extracellular vehicles (EVs-GLRX3), which enhanced the cellular antioxidant defense, thus preventing reactive oxygen species (ROS) accumulation and senescence cascade expansion . Further, a disc tissue-like biopolymer-based supramolecular hydrogel, which was injectable, degradable, and ROS-responsive, was proposed to deliver EVs-GLRX3 for treating disc degeneration. Using a rat model of disc degeneration, we demonstrated that the EVs-GLRX3-loaded hydrogel attenuated mitochondrial damage, alleviated the NP senescence state, and restored ECM deposition by modulating the redox homeostasis. Our findings suggested that modulation of redox homeostasis in the disc can rejuvenate NP cell senescence and thus attenuate disc degeneration.
椎间盘退变的特征是核髓核(NP)细胞衰老和细胞外基质(ECM)降解,是各种退行性脊柱疾病的常见病理。迄今为止,尚无有效的椎间盘退变治疗方法。在这里,我们发现谷氧还蛋白 3(GLRX3)是一种与 NP 细胞衰老和椎间盘退变相关的重要氧化还原调节分子。我们使用低氧预处理方法开发了 GLRX3 间充质干细胞衍生的细胞外囊泡(EVs-GLRX3),增强了细胞抗氧化防御能力,从而防止活性氧(ROS)积累和衰老级联扩张。此外,还提出了一种基于可注射、可降解和 ROS 响应的类椎间盘组织生物聚合物基超分子水凝胶,用于递送 EVs-GLRX3 以治疗椎间盘退变。使用椎间盘退变大鼠模型,我们证明了负载 EVs-GLRX3 的水凝胶通过调节氧化还原平衡减轻了线粒体损伤,缓解了 NP 衰老状态,并恢复了 ECM 沉积。我们的研究结果表明,调节椎间盘的氧化还原平衡可以恢复 NP 细胞衰老,从而减轻椎间盘退变。