Abstract

The intervertebral disc is the largest avascular low-nutrient organ in the body. Thus, resident cells may utilize autophagy, a stress-response survival mechanism, by self-digesting and recycling damaged components. Our objective was to elucidate the involvement of autophagy in rat experimental disc degeneration. In vitro, the comparison between human and rat disc nucleus pulposus (NP) and annulus fibrosus (AF) cells found increased autophagic flux under serum deprivation rather in humans than in rats and in NP cells than in AF cells of rats (n = 6). In vivo, time-course Western blotting showed more distinct basal autophagy in rat tail disc NP tissues than in AF tissues; however, both decreased under sustained static compression (n = 24). Then, immunohistochemistry displayed abundant autophagy-related protein expression in large vacuolated disc NP notochordal cells of sham rats. Under temporary static compression (n = 18), multi-color immunofluorescence further identified rapidly decreased brachyury-positive notochordal cells with robust expression of autophagic microtubule-associated protein 1 light chain 3 (LC3) and transiently increased brachyury-negative non-notochordal cells with weaker LC3 expression. Notably, terminal deoxynucleotidyl transferase dUTP nick end labeling-positive apoptotic death was predominant in brachyury-negative non-notochordal cells. Based on the observed notochordal cell autophagy impairment and non-notochordal cell apoptosis induction under unphysiological mechanical loading, further investigation is warranted to clarify possible autophagy-induced protection against notochordal cell disappearance, the earliest sign of disc degeneration, through limiting apoptosis.

Highlights

  • Back pain is a global health problem with a high morbidity of 70%–85% in the lifetime [1] and socioeconomic burden of ≈$100 billion/year in the US [2]

  • Levels of serum deprivation-induced autophagy were compared between lumbar disc nucleus pulposus (NP) and annulus fibrosus (AF) cells from adult humans surgically obtained and young healthy rats (n = 6/species, cell type, and experimental condition)

  • These findings indicate decreased disc cellular autophagy depending on the degeneration severity, which is remarkable in disc NP notochordal cells

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Summary

Introduction

Back pain is a global health problem with a high morbidity of 70%–85% in the lifetime [1] and socioeconomic burden of ≈$100 billion/year in the US [2]. The cause of back pain is multifactorial. As a large-scale twin study showed [3], intervertebral disc degeneration plays an important role in back pain. Disc degeneration is associated with serious neurological complications including radiculopathy, myelopathy, and paralysis [4]. Disc degeneration appears with age in approximately 40% of people under 30 years and 90% of those over 55 years [5], leading to impaired daily activities of the elderly [6]. There is a great need to understand how aging affects the physiology of the intervertebral disc

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