Tomatidine Alleviates Intervertebral Disc Degeneration by Activating the Nrf2/HO-1/GPX4 Signaling Pathway

Ze Li,1,2,* Pu Cheng,1,2,* Huifeng Xi,1,2,* Ting Jiang,1,2 Xiaohang Zheng,1,2 Jianxin Qiu,1,2 Yuhang Gong,1,2 Xinyu Wu,1,2 Shuang Mi,1,2 Yuzhen Hong,3 Zhenghua Hong,1,2 Weiwei Zhou1,2 1Department of Orthopaedics, Taizhou Hospital Affiliated to Wenzhou Medical University, Linh...

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Main Authors: Li Z, Cheng P, Xi H, Jiang T, Zheng X, Qiu J, Gong Y, Wu X, Mi S, Hong Y, Hong Z, Zhou W
Format: Article
Language:English
Published: Dove Medical Press 2024-12-01
Series:Drug Design, Development and Therapy
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Online Access:https://www.dovepress.com/tomatidine-alleviates-intervertebral-disc-degeneration-by-activating-t-peer-reviewed-fulltext-article-DDDT
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author Li Z
Cheng P
Xi H
Jiang T
Zheng X
Qiu J
Gong Y
Wu X
Mi S
Hong Y
Hong Z
Zhou W
author_facet Li Z
Cheng P
Xi H
Jiang T
Zheng X
Qiu J
Gong Y
Wu X
Mi S
Hong Y
Hong Z
Zhou W
author_sort Li Z
collection DOAJ
description Ze Li,1,2,* Pu Cheng,1,2,* Huifeng Xi,1,2,* Ting Jiang,1,2 Xiaohang Zheng,1,2 Jianxin Qiu,1,2 Yuhang Gong,1,2 Xinyu Wu,1,2 Shuang Mi,1,2 Yuzhen Hong,3 Zhenghua Hong,1,2 Weiwei Zhou1,2 1Department of Orthopaedics, Taizhou Hospital Affiliated to Wenzhou Medical University, Linhai, Zhejiang Province, People’s Republic of China; 2Bone Development and Metabolism Research Center of Taizhou Hospital, Linhai, Zhejiang Province, People’s Republic of China; 3School of Medicine, Wuhan University of Science and Technology, Wuhan, Hubei Province, 430065, People’s Republic of China*These authors contributed equally to this workCorrespondence: Weiwei Zhou; Zhenghua Hong, Department of Orthopaedics, Taizhou Hospital Affiliated to Wenzhou Medical University, Taizhou Linhai City, Zhejiang Province, People’s Republic of China, Email zww@enzemed.com; 0001hzh@163.comPurpose: Intervertebral disc degeneration (IDD) is a leading cause of low back pain, and developing new molecular drugs and targets for IDD is a new direction for future treatment strategies. The aim of this study is to investigate the effects and mechanisms of tomatidine in ameliorating lumbar IDD.Methods: Nucleus pulposus cells (NPCs) exposed to lipopolysaccharides were used as an in vitro model to investigate changes in the expression of extracellular matrix components and associated signaling pathway molecules. A lumbar instability model was used to simulate IDD. Tomatidine (Td) was then administered intraperitoneally, and its effects were evaluated through histopathological analysis.Results: In vitro, Td significantly promoted ECM anabolism, inhibited ECM catabolism, and reduced oxidative stress and ferroptosis in LPS-stimulated NPCs. When Nrf2 expression was inhibited, oxidative stress and ferroptosis were exacerbated, and the protective effects of Td on NPCs were lost, suggesting the Nrf2/HO-1/GPX4 axis is critical for the therapeutic effects of Td. In vivo, histopathological analysis demonstrated that Td ameliorated IDD in a murine model.Conclusion: Td alleviates IDD in vitro and in vivo by activating the Nrf2/HO-1/GPX4 pathway to inhibit ferroptosis in NPCs. This mechanism suggests Td is a promising candidate for IDD treatment.Keywords: intervertebral disc degeneration, tomatidine, Nrf 2, GPX4, ferroptosis
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publishDate 2024-12-01
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series Drug Design, Development and Therapy
spelling doaj-art-b0d6d81715144a1c9eb40e7a27c667322024-12-29T17:13:14ZengDove Medical PressDrug Design, Development and Therapy1177-88812024-12-01Volume 186313632998788Tomatidine Alleviates Intervertebral Disc Degeneration by Activating the Nrf2/HO-1/GPX4 Signaling PathwayLi ZCheng PXi HJiang TZheng XQiu JGong YWu XMi SHong YHong ZZhou WZe Li,1,2,* Pu Cheng,1,2,* Huifeng Xi,1,2,* Ting Jiang,1,2 Xiaohang Zheng,1,2 Jianxin Qiu,1,2 Yuhang Gong,1,2 Xinyu Wu,1,2 Shuang Mi,1,2 Yuzhen Hong,3 Zhenghua Hong,1,2 Weiwei Zhou1,2 1Department of Orthopaedics, Taizhou Hospital Affiliated to Wenzhou Medical University, Linhai, Zhejiang Province, People’s Republic of China; 2Bone Development and Metabolism Research Center of Taizhou Hospital, Linhai, Zhejiang Province, People’s Republic of China; 3School of Medicine, Wuhan University of Science and Technology, Wuhan, Hubei Province, 430065, People’s Republic of China*These authors contributed equally to this workCorrespondence: Weiwei Zhou; Zhenghua Hong, Department of Orthopaedics, Taizhou Hospital Affiliated to Wenzhou Medical University, Taizhou Linhai City, Zhejiang Province, People’s Republic of China, Email zww@enzemed.com; 0001hzh@163.comPurpose: Intervertebral disc degeneration (IDD) is a leading cause of low back pain, and developing new molecular drugs and targets for IDD is a new direction for future treatment strategies. The aim of this study is to investigate the effects and mechanisms of tomatidine in ameliorating lumbar IDD.Methods: Nucleus pulposus cells (NPCs) exposed to lipopolysaccharides were used as an in vitro model to investigate changes in the expression of extracellular matrix components and associated signaling pathway molecules. A lumbar instability model was used to simulate IDD. Tomatidine (Td) was then administered intraperitoneally, and its effects were evaluated through histopathological analysis.Results: In vitro, Td significantly promoted ECM anabolism, inhibited ECM catabolism, and reduced oxidative stress and ferroptosis in LPS-stimulated NPCs. When Nrf2 expression was inhibited, oxidative stress and ferroptosis were exacerbated, and the protective effects of Td on NPCs were lost, suggesting the Nrf2/HO-1/GPX4 axis is critical for the therapeutic effects of Td. In vivo, histopathological analysis demonstrated that Td ameliorated IDD in a murine model.Conclusion: Td alleviates IDD in vitro and in vivo by activating the Nrf2/HO-1/GPX4 pathway to inhibit ferroptosis in NPCs. This mechanism suggests Td is a promising candidate for IDD treatment.Keywords: intervertebral disc degeneration, tomatidine, Nrf 2, GPX4, ferroptosishttps://www.dovepress.com/tomatidine-alleviates-intervertebral-disc-degeneration-by-activating-t-peer-reviewed-fulltext-article-DDDTintervertebral disc degenerationtomatidinenrf 2gpx4ferroptosis
spellingShingle Li Z
Cheng P
Xi H
Jiang T
Zheng X
Qiu J
Gong Y
Wu X
Mi S
Hong Y
Hong Z
Zhou W
Tomatidine Alleviates Intervertebral Disc Degeneration by Activating the Nrf2/HO-1/GPX4 Signaling Pathway
Drug Design, Development and Therapy
intervertebral disc degeneration
tomatidine
nrf 2
gpx4
ferroptosis
title Tomatidine Alleviates Intervertebral Disc Degeneration by Activating the Nrf2/HO-1/GPX4 Signaling Pathway
title_full Tomatidine Alleviates Intervertebral Disc Degeneration by Activating the Nrf2/HO-1/GPX4 Signaling Pathway
title_fullStr Tomatidine Alleviates Intervertebral Disc Degeneration by Activating the Nrf2/HO-1/GPX4 Signaling Pathway
title_full_unstemmed Tomatidine Alleviates Intervertebral Disc Degeneration by Activating the Nrf2/HO-1/GPX4 Signaling Pathway
title_short Tomatidine Alleviates Intervertebral Disc Degeneration by Activating the Nrf2/HO-1/GPX4 Signaling Pathway
title_sort tomatidine alleviates intervertebral disc degeneration by activating the nrf2 ho 1 gpx4 signaling pathway
topic intervertebral disc degeneration
tomatidine
nrf 2
gpx4
ferroptosis
url https://www.dovepress.com/tomatidine-alleviates-intervertebral-disc-degeneration-by-activating-t-peer-reviewed-fulltext-article-DDDT
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