Pathogenesis of Inflammation-driven Intervertebral Disc Herniation: The Role of Syndecan 4

炎症驱动的椎间盘突出症的发病机制：Syndecan 4 的作用

基本信息

批准号：
9754682
负责人：
Makarand V Risbud
金额：
$ 46.25万
依托单位：
THOMAS JEFFERSON UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-04-01 至 2024-01-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9754682
关键词：
ADAMTS Address American Animal Model Animals Apoptosis Back Back Pain Biomechanics CXCL12 gene Catabolism Cell Aging Cell surface Cells Chronic Collagen Defect Disease Etiology Fibronectins Foundations Future Genes Goals Heparan Sulfate Proteoglycan Heparitin Sulfate Human IL8 gene Immune Immune Cell Activation Incidence Individual Infiltration Inflammation Inflammatory Interleukin-1 beta Intervention Intervertebral disc structure Investigation Lead Learning Link Low Back Pain MMP3 gene Macrophage Activation Magnetic Resonance Imaging Matrix Metalloproteinases Measures Mediating Mediator of activation protein Molecular Molecular Structure Motion Mus Neck Pain Occupations Outcome Study Pain Pathogenesis Pathway interactions Phase Play Process Production Property Proteoglycan RANTES Regulation Role Side Signal Transduction Slipped Disk Solid Stromal Cell-Derived Factor 1 Stromelysin 1 Structure TNF gene Testing Time Tissues Transgenic Mice Trauma Unspecified or Sulfate Ion Sulfates Vertebral column Work aggrecan aggrecanase cell motility chemokine cytokine disability discogenic pain experience human tissue in vivo inflammatory milieu intervertebral disk degeneration loss of function macrophage migration mutant new therapeutic target novel nucleus pulposus overexpression prevent protein degradation stem syndecan-4 syndecan4 synergism therapy development transcriptome sequencing

项目摘要

The relationship between the etiology of intervertebral disc degeneration and low back pain has been subjected to considerable scrutiny. Degeneration is thought to be initiated by the abnormal production of a number of pro-inflammatory cytokines, in particular TNF-α and IL-1β. While these studies have shown involvement of cytokines in pathogenesis of disc degeneration and herniation, progress has been slow in delineating new therapeutic targets to block inflammation. This deficit stems from our lack of understanding of molecular mediators that regulate and link cytokine-dependent matrix degradation with immune cell migration into the disc through annular defects. Interestingly, our ongoing work has found an unexpected synergism between heparan sulfate (HS) proteoglycan syndecan4 (SDC4) and these two key inflammatory cytokines. The goal of the proposed investigations is to build on the central role of SDC4 in the pathogenesis of the disc herniation and inflammation. We have formulated two interrelated hypotheses each of which addresses a separate but linked phase of the disease process. The first phase relates to the effect of the inflammatory cytokines on the regulation of aggrecan rich matrix degradation. We will test the hypothesis that SDC4 through HS side chains promotes cytokine-dependent aggrecan rich matrix degradation through ADAMTS and MMP activation. Using gain and loss-of-function studies of SDC4 in NP cells treated with cytokines and RNA-Seq approach we will identify novel SDC4 responsive genes. We will also measure the contribution of MMPs, ADAMTS-1 and ADAM17 produced by NP cells in SDC4 shedding. In addition, we will determine how changes in SDC4 levels relate to aggrecan and collagen turnover in human tissues. The second stage of the disease process is characterized by structural changes in the NP and AF and formation of annular tears and herniations. We propose to test the hypothesis that that in inflammatory milieu of the herniated disc, SDC4 plays an important role in macrophage activation and migration by controlling the activity of select chemokines (CCL5, IL-8 and SDF-1) secreted by the disc cells. This will be achieved using primary macrophages isolated from SDC4-/- mice. Using well characterized painful human disc tissues, we will link changes in chemokines and SDC4 levels to immune cell activation, infiltration and matrix degradation. Finally, to explore the in vivo importance of SDC4 in pathogenesis of TNF--driven disc herniation, we will cross hTNFtg mice with SDC4 -/- animals to generate hTNFtg,SDC4-/- mice. To establish if a deficiency in SDC4 provides protection against cytokine-dependent disc herniation, we will compare molecular, structural and biomechanical properties of the motion segments with that of hTNFtg. To our knowledge, this would be the first attempt to address the contribution of SDC4 to mechanisms linking initiation and propagation of the degenerative cascade and herniation driven by inflammatory cytokines. These studies will provide a foundation for future development of interventional strategies to target SDC4 dependent catabolic and inflammatory phases of degenerative disc disease.