Revolutionizing the treatment of intervertebral disc degeneration: an approach based on molecular typing
Journal of Translational Medicine,
Journal Year:
2025,
Volume and Issue:
23(1)
Published: Feb. 25, 2025
Intervertebral
disc
degeneration
(IVDD)
is
a
significant
cause
of
global
disability,
reducing
labor
productivity,
increasing
the
burden
on
public
health,
and
affecting
socio-economic
well-being.
Currently,
there
lack
recognized
clinical
approaches
for
molecular
classification
precision
therapy.
Chondrocyte
differentiation
prognosis-related
genes
were
extracted
from
single-cell
RNA
sequencing
multi-omics
data
in
Gene
Expression
Omnibus
(GEO)
database
through
chondrocyte
trajectory
analysis
non-parametric
tests.
Subsequently,
precise
IVDD
risk
stratification
system
was
developed
using
ConsensusClusterPlus
analysis.
The
significance
typing
demonstrated
case–control
trials
involving
patients.
Specific
inhibitors
predicted
pRRophetic
package
R
language
then
validated
vitro.
A
stratified
model
IVDD,
considering
demonstrating
high
relevance,
set
44
fate
genes.
Extensive
analyses
confirmed
relevance
this
model,
indicating
that
cases
High
Scoring
Classification
(HCSC)
group
had
most
favorable
prognosis,
whereas
those
Low
(LCSC)
worst
prognosis.
Additionally,
studies
provided
evidence
utility
translational
medicine.
gene
expression-based
approach
used
to
create
matrix
identifying
potential
specific
each
subtype.
In
vitro
experiments
revealed
gefitinib,
drug
designed
LCSC,
not
only
protective
effects
chondrocytes
but
also
could
induce
conversion
LCSC
into
HCSC
subgroup.
Therefore,
played
critical
role
assisting
clinicians
with
enabling
personalized
treatment
decisions.
results
study
have
comprehensive
clinically
relevant
offers
new
opportunity
customizing
treatments
IVDD.
Language: Английский
Exploring the correlation between magnetic resonance diffusion tensor imaging (DTI) parameters and aquaporin expression and biochemical composition content in degenerative intervertebral disc nucleus pulposus tissue: a clinical experimental study
Shuang Chen,
No information about this author
Shenglu Sun,
No information about this author
Nan Wang
No information about this author
et al.
BMC Musculoskeletal Disorders,
Journal Year:
2025,
Volume and Issue:
26(1)
Published: Feb. 17, 2025
This
study
investigates
the
correlation
between
magnetic
resonance
diffusion
tensor
imaging
(DTI)
parameters
and
biochemical
composition
in
degenerative
intervertebral
disc
nucleus
pulposus
tissue,
offering
a
potential
reference
for
clinical
diagnosis
efficacy
evaluation
of
degeneration.
Human
lumbar
tissue
samples
were
collected
via
full
endoscopic
minimally
invasive
surgery.
DTI
was
employed
to
quantitatively
measure
fractional
anisotropy
(FA)
apparent
coefficient
(ADC)
values
pulposus,
examining
relationship
Pfirrmann
grading
these
parameters.
Western
blotting
used
detect
expression
levels
aquaporin
1
(AQP1)
3
(AQP3)
tissue.
The
glycosaminoglycan
(GAG)
content
quantified
using
dimethylmethylene
blue
(DMMB)
colorimetric
assay,
collagen
assessed
with
Sircol
soluble
assay
kit.
also
analyzed.
Finally,
analysis
performed
FA
ADC
from
human
their
GAG
contents.
A
total
39
patients
(19
males,
20
females)
herniation
(LDH),
averaging
54.41
years
age,
included.
As
degree
degeneration
increased,
rose,
while
continuously
declined.
Concurrently,
as
progressed,
AQP1
AQP3
proteins
decreased,
significantly
diminished,
increased.
exhibited
moderate
negative
(r
=
-0.5974,
P
<
0.0001)
strong
positive
0.8694,
0.0001).
showed
0.6873,
-0.8502,
derived
DTI,
along
protein
AQPs,
can
reflect
severity
certain
extent.
Additionally,
glycosaminoglycans
correlates
Therefore,
quantitative
provides
means
assess
changes
within
discs,
valuable
insights
therapeutic
diseases.
Chinese
Clinical
Trial
Registry,
ChiCTR2000041151,
Registered
on
19
December,
2020,
https://www.chictr.org.cn/showproj.html?proj=206119
.
Language: Английский
Distinct role of perlecan in mesenchymal tissue regeneration via genetic and epigenetic modification
Chemical Engineering Journal,
Journal Year:
2025,
Volume and Issue:
508, P. 161103 - 161103
Published: Feb. 27, 2025
Language: Английский
Biomimetic Proteoglycans for Intervertebral Disc (IVD) Regeneration
Biomimetics,
Journal Year:
2024,
Volume and Issue:
9(12), P. 722 - 722
Published: Nov. 22, 2024
Intervertebral
disc
degeneration,
which
leads
to
low
back
pain,
is
the
most
prevalent
musculoskeletal
condition
worldwide,
significantly
impairing
quality
of
life
and
imposing
substantial
socioeconomic
burdens
on
affected
individuals.
A
major
impediment
development
any
prospective
cell-driven
recovery
functional
properties
in
degenerate
IVDs
diminishing
IVD
cell
numbers
viability
with
ageing
cannot
sustain
such
a
process.
However,
if
proteoglycan
levels,
component,
can
be
replenished
through
an
orthobiological
process
does
not
rely
cellular
or
nutritional
input,
then
this
may
effective
strategy
for
re-attainment
mechanical
properties.
Furthermore,
biomimetic
proteoglycans
(PGs)
represent
established
polymer
that
strengthens
osteoarthritis
cartilage
improves
its
biomechanical
properties,
actively
promoting
biological
repair
processes.
Biomimetic
PGs
have
superior
water
imbibing
compared
native
aggrecan
are
more
resistant
proteolytic
degradation,
increasing
their
half-life
cartilaginous
tissues.
Methods
also
now
been
developed
chemically
edit
structure
proteoglycans,
allowing
incorporation
bioactive
peptide
modules
equipping
as
delivery
vehicles
drugs
growth
factors,
further
improving
biotherapeutic
credentials.
This
article
aims
provide
comprehensive
overview
strategies
leverage
engineered
paving
way
novel
therapeutic
interventions
degeneration
ultimately
enhancing
patient
outcomes.
Language: Английский