JOR Spine,
Journal Year:
2024,
Volume and Issue:
7(4)
Published: Dec. 1, 2024
Abstract
Background
Intervertebral
disc
degeneration
(IDD)
is
a
progressive
age‐related
disorder
characterized
by
the
reduction
in
number
of
nucleus
pulposus
cells
(NPCs)
and
degradation
extracellular
matrix
(ECM),
thereby
leading
to
chronic
pain
disability.
The
pathogenesis
IDD
multifaceted,
current
therapeutic
strategies
remain
limited.
(NP),
primarily
composed
NPCs,
proteoglycans,
type
II
collagen,
constitutes
essential
components
for
maintaining
intervertebral
(IVD)
function
spinal
motion.
disturbed
homeostasis
NPCs
closely
associated
with
IDD.
Accumulating
evidence
increasingly
suggests
crucial
role
programmed
cell
death
(PCD)
regulating
NPCs.
Aims
This
review
aimed
elucidate
various
forms
PCD
their
respective
roles
IDD,
investigate
diverse
targeting
treatment.
Materials
&
Methods
We
collected
relevant
literature
regarding
development
Subsequently,
we
comprehensively
summarized
intricate
association
between
also
explored
potential
application
therapy
traditional
Chinese
medicine
(TCM)
prevention
treatment
Results
Current
indicated
that
was
Additionally,
targeted
pharmaceuticals
based
on
mechanisms
could
effectively
impede
loss
Conclusion
demonstrated
may
be
promising
strategy
European Journal of Clinical Investigation,
Journal Year:
2024,
Volume and Issue:
54(9)
Published: April 17, 2024
Intervertebral
disc
degeneration
(IVDD)
is
a
common
chronic
orthopaedic
disease
in
orthopaedics
that
imposes
heavy
economic
burden
on
people
and
society.
Although
it
well
established
IVDD
associated
with
genetic
susceptibility,
ageing
obesity,
its
pathogenesis
remains
incompletely
understood.
Previously,
was
thought
to
occur
because
of
excessive
mechanical
loading
leading
destruction
nucleus
pulposus
cells
(NPCs),
but
studies
have
shown
much
more
complex
process
inflammation,
metabolic
factors
NPCs
death
can
involve
all
parts
the
disc,
characterized
by
causing
extracellular
matrix
(ECM)
degradation.
The
damage
pattern
like
some
programmed
cell
death,
suggesting
death.
apoptosis
pyroptosis
been
studied
IVDD,
intervertebral
still
not
be
fully
elucidated
using
only
traditional
modalities.
With
increasing
research,
new
modes
PANoptosis,
ferroptosis
senescence
found
closely
related
degeneration.
Among
these,
PANoptosis
combines
essential
elements
pyroptosis,
necroptosis
form
highly
coordinated
dynamically
balanced
inflammatory
process.
Furthermore,
we
believe
may
also
crosstalk
senescence.
Therefore,
review
progress
research
multiple
deaths
provide
guidance
for
clinical
treatment.
International Immunopharmacology,
Journal Year:
2023,
Volume and Issue:
124, P. 110844 - 110844
Published: Aug. 28, 2023
Intervertebral
disc
degeneration
(IVDD)
is
one
of
the
leading
causes
lower
back
pain
and
most
common
health
problem
in
world.
Inflammasomes,
which
mainly
caused
by
NLRP3,
mediated
nucleus
pulposus
pyroptosis
has
been
discovered
to
be
strongly
related
IVDD.
In
addition,
Duhuo
Jisheng
Decoction
(DHJSD)
anti-inflammatory
regulatory
effects
on
NLRP3
inflammasome,
but
molecular
mechanism
whether
DHJSD
can
regulate
through
treat
IVDD
unclear.
this
study,
we
used
a
bioinformatics
way
discover
regulation
IVDD,
validated
our
predictions
vitro
vivo
experiments.
Through
bioinformatics,
found
that
GSDMD,
IL-1βand
other
hub
proteins
were
highly
expressed
SD
rats,
network
pharmacology
may
control
cellular
senescence,
apoptosis,
order
Additional
findings
demonstrated
could
successfully
brought
imaging
histomorphological
analysis.
Western
blot
showed
key
protein
pyroptosis,
was
elevated
rat
degenerated
tissue
lipopolysaccharide-treated
Nucleus
Cells
(NPCs),
intervention
effective
reducing
LPS-induced
inflammatory
responses
further
suppressing
expression
improve
The
specific
inhibits
NPCs
via
SDF-1/CXCR4-NF-kB-NLRP3
axis.
conclusion,
revealed
intrinsic
its
value
for
treatment.
PLoS ONE,
Journal Year:
2024,
Volume and Issue:
19(1), P. e0290925 - e0290925
Published: Jan. 2, 2024
Background
Articular
cartilage
and
matrix
degradation
are
key
pathological
changes
occurring
in
the
early
stage
of
knee
osteoarthritis
(KOA).
However,
currently,
there
limited
strategies
for
prevention
treatment
KOA.
Duhuo
Jisheng
Decoction
(DHJSD)
is
a
formula
quoted
Bei
Ji
Qian
jin
Yao
Fang
,
which
was
compiled
by
Sun
Simiao
Tang
Dynasty
China.
As
complementary
therapy,
it
widely
used
to
treat
early-stage
KOA
China;
however,
its
mechanism
has
not
been
completely
elucidated.
Objective
This
study
investigated
potential
role
DHJSD
preventing
underlying
mechanism.
Methods
A
rat
model
established
via
Hulth
method.
Subsequently,
25
rats
were
randomized
into
sham
(saline),
control
high-DHJSD
(1.9g/mL
DHJSD),
medium-DHJSD
(1.2g/mL
low-DHJSD
groups
(0.6g/mL
DHJSD).
After
4
weeks
treatment,
all
sacrificed
severity
degeneration
evaluated
series
histological
methods.
The
autophagosome
observed
using
transmission
electron
microscopy,
related
functional
proteins
detected
western
blotting
real-time
polymerase
chain
reaction.
Next,
improves
further
clarified
vitro
gene
silencing
technology
combined
with
experiments.
levels
PTEN,
Akt,
p-Akt,
mTOR,
p-mTOR,
as
well
marker
autophagy
apoptosis
determined.
Zinc
chondrocytes
determined
inductively
coupled
plasma
mass
spectrometry.
Results
Histopathological
staining
revealed
that
had
protective
effect
on
cartilage.
increased
synthesis
expression
LC3
Beclin-1
chondrocytes.
Moreover,
reduced
phosphorylation
Akt
mTOR
zinc,
MMP-13,
Bax,
Bcl-2.
Following
PTEN
silencing,
this
DHJSD-mediated
reduction
Bcl-2,
zinc
decreased;
addition,
increase
decreased.
Conclusion
inhibits
Akt/mTOR
signaling
pathway
targeting
promote
chondrocytes,
may
help
reduce
MMP-13
production
regulating
JOR Spine,
Journal Year:
2025,
Volume and Issue:
8(1)
Published: Jan. 8, 2025
ABSTRACT
Background
Intervertebral
disc
degeneration
disease
(IVDD)
is
a
prevalent
orthopedic
condition
that
causes
chronic
lower
back
pain,
imposing
substantial
economic
burden
on
patients
and
society.
Despite
its
high
incidence,
the
pathophysiological
mechanisms
of
IVDD
remain
incompletely
understood.
Objective
This
study
aimed
to
identify
metabolomic
alterations
in
explore
key
metabolic
pathways
metabolites
involved
pathogenesis.
Methods
Serum
samples
from
20
healthy
controls
were
analyzed
using
ultra‐high‐performance
liquid
chromatography‐mass
spectrometry
(UHPLC–MS).
The
identified
mapped
Kyoto
Encyclopedia
Genes
Genomes
(KEGG)
database.
Results
Significant
observed
such
as
2‐methyl‐1,3‐cyclohexadiene,
stearoyl
sphingomyelin,
methylcysteine,
L‐methionine,
cis,
cis‐muconic
acid.
These
including
glycine,
serine,
threonine
metabolism,
cyanoamino
acid
citrate
cycle
(TCA
cycle).
Conclusion
provide
insights
into
pathogenesis
suggest
potential
therapeutic
targets
for
future
investigation.
Analytical Chemistry,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Sept. 15, 2024
Biomimetic
nanoengineering
empowers
nanoparticles
with
enhanced
biointerfacial
capabilities
by
directly
utilizing
cell
membranes
(CMs)
of
natural
origin.
This
top-down
technique
provides
a
powerful
tool
for
the
screening
potentially
active
compounds
in
complex
matrices.
Herein,
cartilaginous
end
plate
(CEP)
membrane
biomimetic
Nile
red
(NR)-loaded
zeolitic
imidazolate
frameworks-8
(ZIF-8)
modified
magnetic
graphene
oxide
(CEP/MGO-ZIF-8-NR)
nanocomposites
stability
were
accurately
prepared
chemical
bonding
and
used
as
drug
discovery
platform
specific
identification
effective
extraction
leads
anti-intervertebral
disc
degeneration
(IDD)
Yaobitong
capsules
(YBTCs).
The
constructed
CEP/MGO-ZIF-8-NR
exhibited
excellent
properties,
fluorescence
stability.
In
addition,
binding
experiments
showed
that
possessed
higher
adsorption
capacity,
faster
rate,
superior
selectivity
compared
uncoated
MGO-ZIF-8-NR.
Ultimately,
four
potential
bioactive
molecules,
including
ginsenoside
Ro,
Rg1,
astringin,
chikusetsusaponin
V
methyl
ester,
successfully
screened
identified
vitro
from
YBTC.
results
CCK-8
assay
BrdU
ELISA
kit
promoted
CEP
proliferation
concentration-dependent
manner.
Cellular
distribution
revealed
could
rapidly
escape
lysosomes
into
cytoplasm.
And
pharmacological
activity
these
was
further
confirmed
real-time
cytomorphological
imaging
cells
confocal
laser
scanning
microscopy
(CLSM).
Overall,
this
surface
engineering
strategy
endows
bioaffinity
sample
pretreatment
materials
tremendous
versatility,
improves
efficiency,
broadens
horizons
methodologies
lead
discovery.