Department of Nutrition, Takasaki University Graduate Scholl of Health and Welfare, 37-1 Nakaorui-Machi, Takasaki, Gunma, 370-0033, Japan.
Orthopaedic Surgery, Japanese Red Cross Maebashi Hospital, Maebashi, Gunma, Japan.
Eur Spine J. 2023 Oct;32(10):3403-3412. doi: 10.1007/s00586-023-07877-0. Epub 2023 Aug 9.
Kyphosis involves spines curving excessively backward beyond their physiological curvature. Although the normal structure of the spinal vertebrae is extremely important for maintaining posture and the normal function of the thoracic and abdominal organs, our knowledge concerning the pathogenesis of the disease is insufficient. We herein report that the downregulation of the calcium signaling pathway is involved in the pathogenesis of congenital kyphosis.
The third to fifth lumbar spine segments, the kyphotic region of Ishibashi (IS) rats, which are used as a model of congenital kyphoscoliosis, were collected. A DNA microarray, quantitative PCR, Western blotting, and immunohistochemistry were used to measure the expression of genes and proteins related to intracellular calcium signaling.
We found that the expression of calcium-sensing receptor (CaSR) and transient receptor potential vanilloid 1 (Trpv1)-two receptors involved in the calcium signaling-was decreased in the lumbar spine of IS rats. We also observed that the number of CaSR-immunoreactive and Trpv1-immunoreactive cells in the lumbar spine of IS rats was lower than in wild-type rats. Furthermore, the expression of intracellular molecules downstream of these receptors, such as phosphorylated protein kinase C, c-Jun N-terminal kinase, and neural EGFL-like 1, was also reduced. In fact, the calcium content in the lumbar spine of IS rats was significantly lower than that in wild-type rats.
These results indicate that adequate calcium signaling is extremely important for the regulation of normal bone formation and may also be a key factor for understanding the pathogenesis of congenital kyphosis.
脊柱后凸是指脊柱过度向后弯曲超过其生理曲度。尽管脊柱椎体的正常结构对于维持姿势和胸腹部器官的正常功能非常重要,但我们对该疾病的发病机制了解不足。我们在此报告钙信号通路的下调与先天性脊柱后凸的发病机制有关。
收集 Ishibashi(IS)大鼠的第 3 至第 5 腰椎节段,即作为先天性脊柱侧凸模型的后凸区域。使用 DNA 微阵列、定量 PCR、Western blot 和免疫组织化学来测量与细胞内钙信号相关的基因和蛋白的表达。
我们发现钙敏感受体(CaSR)和瞬时受体电位香草酸 1(Trpv1)-两种参与钙信号的受体-在 IS 大鼠的腰椎中的表达降低。我们还观察到 IS 大鼠腰椎中 CaSR 免疫反应性和 Trpv1 免疫反应性细胞的数量低于野生型大鼠。此外,这些受体下游的细胞内分子的表达,如磷酸化蛋白激酶 C、c-Jun N-末端激酶和神经 EGFL 样 1,也降低了。事实上,IS 大鼠腰椎中的钙含量明显低于野生型大鼠。
这些结果表明,适当的钙信号对于正常骨形成的调节非常重要,也可能是理解先天性脊柱后凸发病机制的关键因素。