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柚皮苷调控髓核细胞的细胞外基质表达、炎症反应和凋亡的机制研究
林飞,李亨,胡天翼,郑军
上海市浦东新区中医医院上海 201299;上海中医药大学附属岳阳中西医结合医院上海 200437
摘要:
目的:探讨柚皮苷对脂多糖(LPS)诱导的退变髓核细胞的保护作用及其分子机制,为开发退行性椎间盘疾病(IVDD)新型治疗策略提供理论依据。方法:构建LPS诱导的退变髓核细胞模型,并对退变髓核细胞施加不同浓度(10~40 μmol/L)的柚皮苷进行干预处理,用蛋白质免疫印迹法(Western Blot)检测细胞外基质(ECM)相关蛋白如Ⅱ型胶原蛋白(Collagen Ⅱ)、蛋白聚糖(Aggrecan)、基质金属蛋白酶-3(MMP-3)及基质金属蛋白酶-13(MMP-13),炎症因子如肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6),凋亡相关因子如B细胞淋巴瘤-2基因(Bcl-2)、半胱氨酸蛋白酶2(Caspase-2)以及丝裂原活化蛋白激酶(MAPK)信号通路相关蛋白,如丝裂原活化的细胞外信号调节激酶(MEK)、细胞外调节蛋白激酶(ERK)、P38丝裂原活化蛋白激酶(P38)的表达情况。通过转染P38小干扰RNA(siRNA)敲低P38蛋白表达,进一步探究P38在IVDD中的作用。结果:LPS处理显著下调Collagen II和Aggrecan表达,上调MMP-3和MMP-13活性,诱导TNF-α、IL-6分泌,促进细胞凋亡,同时增强MAPK信号通路中MEK、ERK和P38蛋白的表达。柚皮苷逆转上述病理改变,上调Collagen II和Aggrecan表达,下调MMP-3和MMP-13活性,降低TNF-α、IL-6水平,减少细胞凋亡,抑制MEK、ERK和P38蛋白表达。P38 siRNA转染组中,P38蛋白表达降低,ECM合成相关蛋白表达上调,炎症因子水平显著降低。结论:柚皮苷可通过靶向P38 MAPK通路调控IVDD进程,抑制退变髓核细胞的ECM降解、炎症反应和细胞凋亡,为IVDD的治疗提供了新的潜在靶点和治疗策略。
关键词:  椎间盘退变  柚皮苷  细胞外基质  P38丝裂原活化蛋白激酶  炎症反应
DOI:10.3969/j.issn.1007-6948.2025.06.022
投稿时间:2025-05-01
基金项目:
The mechanism by which naringin regulates extracellular matrix expression, inflammatory response, and apoptosis in myeloid cells
LIN Fei,LI Hen,HU Tian-yi
Abstract:
Objective To investigate the protective effect of naringin on lipopolysaccharide (LPS)-induced degenerated nucleus pulposus(NP) cells and its molecular mechanism, and to provide a theoretical basis for the development of novel therapeutic strategies for intervertebral disc degeneration (IVDD). Methods Model of LPS-induced degenerated NP cells was constructed, and different concentrations (10-40 μmol/L) of naringin were applied to the degenerated NP cells for intervention treatments, Western Blot and other techniques were used to detect extracellular matrix (ECM) proteins [e.g. Collagen II, Aggrecan, matrix metalloproteinase-3(MMP-3), MMP-13], inflammatory factors [e.g. tumor necrosis factor-α(TNF-α), Interleukin-6 (IL-6)], apoptosis-related factors [B cell lymphoma-2(Bcl-2), Caspase-2], and expression of mitogen-activated protein kinase (MAPK) signalling pathway-related proteins [(mitogen-activated extracellular signal-regulated kinase, MEK), extracellular regulated protein kinases (ERK), P38]. In addition, P38 protein expression was knocked down by transfection of P38 small interfering RNA (siRNA) to further investigate the role of P38 in IVDD. Results LPS treatment significantly down-regulated the expression of Collagen II and Aggrecan, up-regulated the activities of MMP-3 and MMP-13, induced the secretion of TNF-α and IL-6, and promoted apoptosis, and enhanced the expression of MEK, ERK, and P38 proteins in the MAPK signalling pathway. Naringin intervention dose-dependently reversed the above pathological changes, up-regulated the expression of Collagen II and Aggrecan, down-regulated the activities of MMP-3 and MMP-13, decreased the levels of TNF-α and IL-6, reduced apoptosis, and inhibited the expression of MEK, ERK and P38 proteins. In the group transfected with P38 siRNA, the expression of P38 proteins was reduced, the expression of proteins related to ECM synthesis was up-regulated, and the expression of inflammation-related proteins was increased. In the P38 siRNA transfected group, P38 protein expression was reduced, ECM synthesis-related protein expression was up-regulated, and the level of inflammatory factors decreased significantly. Conclusion Naringin can regulate IVDD by targeting the P38 MAPK pathway and inhibit ECM degradation, inflammation and apoptosis in degenerated NP cells, which provides a new potential target and therapeutic strategy for the treatment of IVDD.
Key words:  Intervertebral disc degeneration  naringin  extracellular matrix  P38 mitogen-activated protein kinase  inflammatory response

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