Magnoflorine Alleviates "M1" Polarized Macrophage-Induced Intervertebral Disc Degeneration Through Repressing the

Feng Zhao1,2, Zhenye Guo2, Fushan Hou2

  • 1Department of Orthopedics, The First Affiliated Hospital of Soochow University, Suzhou 215006, China.

Insights

Magnoflorine (MAG) reduces intervertebral disc degeneration (IDD) by inhibiting M1 macrophage polarization and associated inflammation. This study shows MAG protects nucleus pulposus cells from damage mediated by inflammatory macrophages.

Area of Science:

  • Biomedical Science
  • Cell Biology
  • Immunology

Background:

  • Intervertebral disc degeneration (IDD) involves nucleus pulposus (NP) cell dysfunction, including hypertrophy and calcification.
  • An imbalance between M1 (pro-inflammatory) and M2 (anti-inflammatory) macrophages exacerbates IDD.
  • Understanding macrophage polarization's role is crucial for developing IDD treatments.

Purpose of the Study:

  • To investigate the therapeutic effect of Magnoflorine (MAG) on NP cell apoptosis induced by M1-polarized macrophages.
  • To elucidate the underlying molecular mechanisms involving the HMGB1-MyD88-NF-κB pathway and NLRP3 inflammasome.

Main Methods:

  • THP-1 cells were polarized to M1 macrophages using lipopolysaccharide (LPS).
  • The effects of MAG on M1 polarization, cytokine expression, and inflammasome activation were assessed.
  • Human NP cells were treated with conditioned medium from M1 macrophages, with and without MAG, and analyzed for viability, apoptosis, protein expression, and extracellular matrix content via Western blot.

Main Results:

  • LPS-induced M1 polarization increased pro-inflammatory cytokines, HMGB1, and activated MyD88-NF-κB and NLRP3 inflammasomes.
  • MAG treatment inhibited M1 polarization and suppressed these inflammatory markers in THP-1 cells.
  • M1 macrophage conditioned medium induced NP cell apoptosis and ECM degradation; MAG treatment reversed these detrimental effects, reducing HMGB1 and inactivating the MyD88/NF-κB and NLRP3 pathways.

Conclusions:

  • Magnoflorine (MAG) effectively alleviates M1 macrophage-mediated NP cell damage in intervertebral disc degeneration.
  • MAG exerts its protective effects by inhibiting the HMGB1-MyD88-NF-κB pathway and NLRP3 inflammasome activation.
  • MAG represents a potential therapeutic agent for treating IDD by modulating macrophage polarization and inflammation.

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