Kong Xiangzhen, Gu Hanwen, Zhang Yuanqiang, Meng Qunbo, Li Qi, Song Kangle, Li Yanlin, Liu Kaiwen, Liu Zhenchuan, Hu Rui, Zhai Haoxi, Li Tian, Ling Zemin, Wei Zhijian, Wei Fuxin, Cheng Lei
Department of Orthopaedic Surgery, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, 250012, P. R. China.
The First Clinical College of Shandong University, Jinan, Shandong, 250012, P. R. China.
Adv Sci (Weinh). 2025 Aug;12(32):e05077. doi: 10.1002/advs.202505077. Epub 2025 Jun 25.
Intervertebral disc degeneration (IDD) induced lower back pain is a main cause of disability, resulting in a substantial workforce loss worldwide and placing a substantial burden on the global economy and healthcare systems. However, no effective disease-modifying therapies presently exist for IDD or its related pathologies. Single-cell sequencing analyses reveal progressive M1 macrophage polarization in NP cells correlating with IDD severity, underscoring the therapeutic imperative for dual-targeting agents addressing both inflammatory dysregulation and matrix homeostasis. β-mangostin (β_Man) is screened to be proven to possess potential therapeutic effects in alleviating IDD. β_Man possesses anti-inflammatory capabilities, which include remodeling the homeostasis of the extracellular matrix, regulating macrophage polarization, and inhibiting apoptosis in the nucleus pulposus. TET2-Prkcg exerts significant regulatory functions downstream of β_Man. Mechanically, β_Man mediated reduction of TET2 maintains the DNA methylation of Prkcg rather than hydroxymethylation, which promotes mitophagy and alleviates the inflammatory microenvironment. β_Man represents a promising novel therapeutic strategy for IDD treatment. The TET2-Prkcg axis emerges as a novel therapeutic target for IDD treatment.
椎间盘退变(IDD)引发的下背痛是导致残疾的主要原因,在全球范围内造成大量劳动力损失,并给全球经济和医疗系统带来沉重负担。然而,目前尚无针对IDD或其相关病理的有效疾病修饰疗法。单细胞测序分析显示,髓核细胞中M1巨噬细胞呈进行性极化,且与IDD严重程度相关,这凸显了开发同时解决炎症失调和基质稳态问题的双靶点药物的治疗紧迫性。经筛选,β-山竹素(β_Man)被证明在缓解IDD方面具有潜在治疗作用。β_Man具有抗炎能力,包括重塑细胞外基质稳态、调节巨噬细胞极化以及抑制髓核细胞凋亡。TET2-Prkcg在β_Man下游发挥重要调节功能。从机制上讲,β_Man介导的TET2减少维持了Prkcg的DNA甲基化而非羟甲基化,从而促进线粒体自噬并减轻炎症微环境。β_Man代表了一种有前景的IDD治疗新策略。TET2-Prkcg轴成为IDD治疗的一个新的治疗靶点。
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