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Updated: May 31, 2025

A Proinflammatory, Degenerative Organ Culture Model to Simulate Early-Stage Intervertebral Disc Disease.
Published on: February 14, 2021
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.
Objective:
Macrophages play a crucial role in various physiological processes. In intervertebral disc degeneration (IDD), macrophage infiltration has been observed in human intervertebral disc (IVD) specimens, but how macrophages influence IDD remains unclear.
Methods:
According to the single-cell transcriptome expression profiles from GSE165722, we verified the infiltration of macrophages in IDD and the possible interaction between infiltrated macrophages and nucleus pulposus cells (NPCs). The expression of macrophage-associated markers was verified in specimens of human nucleus pulposus, lumbar spinal instability mice and annulus fibrosus puncture mice. By treating NPCs cocultured with M2 macrophages with osteopontin (OPN) neutralization antibody and siCD44, we demonstrated that both in vitro and in vivo macrophages regulated IDD through the OPN-CD44 axis. Using transforming growth factor beta 1 and siCD44 treatment, we verified that CD44 regulated the pSMAD2/3 pathway.
Results:
IDD engaged macrophage infiltration, mainly gathered in the endplate, and induced macrophage M2 polarization. Infiltrated macrophages showed high-level expression of OPN, and NPCs showed upregulated CD44. Depletion of macrophages significantly decreased the expression of OPN and CD44 in degenerative IVD, concurrently exacerbating IDD. The co-culture of macrophages and NPCs in vitro demonstrated that the conditioned media from NPCs induced macrophage M2 polarization. Further, M2 macrophages rescued NPCs extracellular matrix (ECM) phenotype through the OPN-CD44 axis, by regulating pSMAD2/3 nuclear translocation.
Conclusions:
Our findings suggest that macrophages regulate NPC ECM expression in IDD through the OPN-CD44 axis, emphasizing the therapeutic potential of targeting macrophages and the OPN-CD44 axis for IDD prevention and treatment.
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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