Li Guangye, Lin Jili, Zhang Hongtao, Lin Liusu, Wu Mian, Guan Yingjun, Li Junling
Department of Orthopedics, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China.
The Department of Anesthesiology, Zhongshan Torch Development Zone People's Hospital, Zhongshan, China.
Global Spine J. 2025 Jun 3:21925682251336711. doi: 10.1177/21925682251336711.
Study DesignProspective Study.ObjectiveThe objective of this investigation was to explore the abnormal expression of migration inhibitory factor antisense RNA 1 (MIF-AS1) in lumbar disc herniation (LDH) patients and its relationship to the degree of pain and inflammatory response in LDH, as well as the molecular mechanism of its involvement in LDH.MethodsThis study included 50 patients with LDH. The expression levels of MIF-AS1 were detected by RT-qPCR. The LDH model was constructed in SD rats, and the paw withdrawal mechanical threshold (PWMT) and paw withdrawal thermal latency (PWTL) of LDH rats were detected by behavioral experiments. Enzyme-linked immunosorbent assay (ELISA) was used to detect the concentrations of TNF-α, IL-6, and IL-1β. The targeted regulatory relationships between MIF-AS1 and miR-185-5p, miR-185-5p and VEGFA were verified by a dual-luciferase reporter gene assay.ResultThe expression of MIF-AS1 was up-regulated in LDH patients and correlated with the degree of pain in patients. Low expression of MIF-AS1 reduced the degree of pain and inflammation in LDH rats. In addition, MIF-AS1 may regulate pain and inflammation induced by LDH by modulating the miR-185-5p/VEGFA axis.ConclusionMIF-AS1/miR-185-5p/VEGFA axis may be a therapeutic target for LDH.
研究设计
前瞻性研究。
目的
本研究旨在探讨腰椎间盘突出症(LDH)患者中迁移抑制因子反义RNA 1(MIF-AS1)的异常表达及其与LDH患者疼痛程度和炎症反应的关系,以及其参与LDH的分子机制。
方法
本研究纳入50例LDH患者。采用RT-qPCR检测MIF-AS1的表达水平。在SD大鼠中构建LDH模型,通过行为学实验检测LDH大鼠的爪部撤离机械阈值(PWMT)和爪部撤离热潜伏期(PWTL)。采用酶联免疫吸附测定(ELISA)检测TNF-α、IL-6和IL-1β的浓度。通过双荧光素酶报告基因测定验证MIF-AS1与miR-185-5p、miR-185-5p与VEGFA之间的靶向调控关系。
结果
MIF-AS1在LDH患者中表达上调,且与患者疼痛程度相关。MIF-AS1低表达减轻了LDH大鼠的疼痛和炎症程度。此外,MIF-AS1可能通过调节miR-185-5p/VEGFA轴来调节LDH诱导的疼痛和炎症。
结论
MIF-AS1/miR-185-5p/VEGFA轴可能是LDH的治疗靶点。