Persistent expression of NLRP3 in spinal microglia promotes development of lumbar disc degeneration

Peng Wang1, Jing Zhang1

  • 1Department of Orthopaedics, XinHua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.

Frontiers in Immunology
|December 12, 2022
PubMed
Abstract

Insights

Persistent activation of NACHT, LRR and PYD domains-containing protein 3 (NLRP3) in spinal microglia promotes lumbar disc degeneration (LDD) and associated pain. Suppressing NLRP3 in microglia may offer a promising therapeutic strategy for LDD.

Area of Science:

  • Neuroscience
  • Immunology
  • Orthopedics

Background:

  • Activated microglia contribute to lumbar disc degeneration (LDD) and neuropathic pain.
  • Interleukin 1β (IL-1β) secreted by microglia drives inflammation and disc degradation.
  • NLRP3 inflammasome activation is implicated in IL-1β production.

Purpose of the Study:

  • To investigate the role of NLRP3 in spinal microglia in the context of LDD.
  • To determine the correlation between NLRP3 levels and LDD severity and pain.
  • To assess the therapeutic potential of targeting NLRP3 in LDD.

Main Methods:

  • Examined NLRP3 expression in spinal discs and correlated levels with patient pain scores and degeneration.
  • Investigated the in vitro effects of NLRP3 modulation on microglial phagocytosis and cytokine production.
  • Assessed the in vivo effects of NLRP3 modulation on LDD severity and neuropathic pain in a mouse model.

Main Results:

  • NLRP3 was exclusively found in spinal microglia and its levels correlated with LDD pain and degeneration.
  • Persistent NLRP3 expression enhanced microglial phagocytosis and pro-inflammatory cytokine production.
  • NLRP3 depletion attenuated LDD severity and associated neuropathic pain in a mouse model.

Conclusions:

  • Persistent NLRP3 activation in spinal microglia exacerbates LDD development and pain.
  • Targeting NLRP3 in microglia presents a potential therapeutic avenue for LDD treatment.

Related Concept Videos

Herniated Intervertebral Disc l: Introduction01:29

Herniated Intervertebral Disc l: Introduction

Intervertebral disc herniation refers to the displacement of the nucleus pulposus (the gel-like inner core of the disc) through a tear or weakened area in the annulus fibrosus (the outer fibrous ring). The displaced disc material extends beyond the normal boundaries of the disc space and may compress or irritate nearby spinal nerve roots or, less commonly, the spinal cord.Etiology and Risk FactorsHerniation commonly results from degeneration, in which aging reduces disc hydration and...
Degenerative Disc Disease I: Introduction01:27

Degenerative Disc Disease I: Introduction

Degenerative disc disease is a chronic condition in which intervertebral discs gradually lose structure and function. It is not infectious or autoimmune; rather, it results from age-related biochemical and mechanical changes, influenced by genetic, metabolic, and environmental factors.Structure and Function of DiscsThe spine contains 23 intervertebral discs that absorb load, distribute forces, maintain spacing, and allow flexibility. Each disc consists of a nucleus pulposus, a gel-like core...
Degenerative Disc Disease ll: Pathophysiology01:23

Degenerative Disc Disease ll: Pathophysiology

The symptoms of degenerative disc disease arise from a combination of mechanical compression, vascular compromise, and biochemical inflammation, which together disrupt nerve function and produce pain.Mechanical CompressionDisc degeneration reduces height and elasticity, predisposing to herniation of the nucleus pulposus, a major cause of radicular pain. Herniations may be protrusion (bulging with intact annulus), extrusion (nucleus extends beyond disc but remains connected), or sequestration...