M2 macrophages regulate nucleus pulposus cell extracellular matrix synthesis through the OPN-CD44 axis in

Zhiwen Tao1, Tianyou Zhang1, Yaning Ge1

  • 1Department of Orthopedics, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, Jiangsu, China.

PubMed
Abstract

Insights

Macrophages influence intervertebral disc degeneration (IDD) by regulating nucleus pulposus cells (NPCs) extracellular matrix (ECM) expression via the osteopontin-CD44 axis. Targeting macrophages and this pathway offers therapeutic potential for IDD.

Area of Science:

  • Immunology
  • Orthopedics
  • Cell Biology

Background:

  • Macrophages are key immune cells involved in physiological processes.
  • Macrophage infiltration is observed in human intervertebral disc degeneration (IDD), but their specific role is unclear.

Purpose of the Study:

  • To investigate the role of macrophages in IDD.
  • To elucidate the mechanism by which macrophages influence nucleus pulposus cells (NPCs) and extracellular matrix (ECM) expression in IDD.
  • To explore the osteopontin-CD44 (OPN-CD44) axis in this process.

Main Methods:

  • Analysis of single-cell transcriptome data (GSE165722) to identify macrophage infiltration in IDD.
  • Verification of macrophage markers in human nucleus pulposus, lumbar spinal instability mice, and annulus fibrosus puncture mice.
  • In vitro co-culture of NPCs with M2 macrophages, treated with OPN neutralization antibody and siCD44.
  • In vivo experiments using OPN neutralization antibody and siCD44 treatments.
  • Investigation of the pSMAD2/3 pathway regulation by CD44.

Main Results:

  • IDD is characterized by macrophage infiltration and M2 polarization, particularly in the endplate.
  • Infiltrated macrophages express high levels of OPN, while NPCs upregulate CD44.
  • Macrophage depletion exacerbates IDD and reduces OPN and CD44 expression.
  • NPC-conditioned media induce M2 polarization of macrophages.
  • M2 macrophages restore NPC ECM phenotype via the OPN-CD44 axis by regulating pSMAD2/3 nuclear translocation.

Conclusions:

  • Macrophages regulate NPC ECM expression in IDD through the OPN-CD44 axis.
  • Targeting macrophages and the OPN-CD44 axis presents a promising therapeutic strategy for IDD prevention and treatment.

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