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Roles of p38 MAPK signalling in intervertebral disc degeneration
Zheng-Wei Shi1, Lei Zhu1, Zong-Rang Song1
1Department of Spine Surgery, Hong-Hui Hospital, Xi'an Jiaotong University College of Medicine, Xi'an, China.
Abstract:
Intervertebral disc degeneration (IVDD) is a common degenerative disease mediated by multiple factors. Because of its complex aetiology and pathology, no specific molecular mechanisms have yet been identified and no definitive treatments are currently available for IVDD. p38 mitogen-activated protein kinase (MAPK) signalling, part of the serine and threonine (Ser/Thr) protein kinases family, is associated with the progression of IVDD, by mediating the inflammatory response, increasing extracellular matrix (ECM) degradation, promoting cell apoptosis and senescence and suppressing cell proliferation and autophagy. Meanwhile, the inhibition of p38 MAPK signalling has a significant effect on IVDD treatment. In this review, we first summarize the regulation of p38 MAPK signalling and then highlight the changes in the expression of p38 MAPK signalling and their impact on pathological process of IVDD. Moreover, we discuss the current applications and future prospects of p38 MAPK as a therapeutic target for IVDD treatment.
Insights
Intervertebral disc degeneration (IVDD) involves complex mechanisms. Targeting p38 mitogen-activated protein kinase (MAPK) signaling shows promise for treating this common condition.
Area of Science:
- Biochemistry
- Molecular Biology
- Cell Biology
Background:
- Intervertebral disc degeneration (IVDD) is a prevalent degenerative condition with complex causes and pathology.
- Current treatments for IVDD are limited due to a lack of understanding of specific molecular mechanisms.
Purpose of the Study:
- To review the regulation of p38 mitogen-activated protein kinase (MAPK) signaling.
- To highlight the role of p38 MAPK signaling in the pathological processes of IVDD.
- To discuss the therapeutic potential of targeting p38 MAPK for IVDD treatment.
Main Methods:
- Literature review focusing on p38 MAPK signaling pathways.
- Analysis of studies investigating p38 MAPK expression in IVDD.
- Synthesis of current research on p38 MAPK as a therapeutic target.
Main Results:
- p38 MAPK signaling is implicated in IVDD progression through inflammation, extracellular matrix degradation, apoptosis, senescence, and suppressed proliferation/autophagy.
- Inhibition of p38 MAPK signaling demonstrates a significant therapeutic effect on IVDD.
Conclusions:
- p38 MAPK signaling is a key mediator in the pathogenesis of IVDD.
- Targeting p38 MAPK presents a promising therapeutic strategy for managing intervertebral disc degeneration.
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