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Updated: May 10, 2025

Operational and Intervention Effects of Targeted Tuina in Lumbar Intervertebral Disc Degeneration Model Rabbits
Published on: July 21, 2023
The BATF2-ATF3 axis exacerbates intervertebral disc degeneration via inducing mitochondrial dysfunction.
Cheng Yu1, Chun Liu1, Wenhao Kuang1
1Department of Spinal Surgery, Orthopedic Medical Center, Zhujiang Hospital, Southern Medical University, Guangzhou 510280, China.
The study reveals that basic leucine zipper ATF-like transcription factor 2 (BATF2) promotes intervertebral disc degeneration (IVDD) by increasing cell death and matrix breakdown. Targeting the BATF2-ATF3 pathway may treat IVDD.
Area of Science:
- Biochemistry
- Molecular Biology
- Orthopedics
Background:
- Intervertebral disc degeneration (IVDD) is a primary cause of low back pain and spinal disorders.
- The molecular mechanisms underlying IVDD remain largely unknown.
- The role of basic leucine zipper ATF-like transcription factor 2 (BATF2) in IVDD has not been previously elucidated.
Purpose of the Study:
- To investigate the role and molecular mechanisms of BATF2 in the pathogenesis of IVDD.
- To explore the potential of targeting the BATF2-activating transcription factor 3 (ATF3) axis for IVDD treatment.
Main Methods:
- Analysis of BATF2 expression in degenerated nucleus pulposus (NP) tissues.
- In vitro and in vivo functional assays to assess the effects of BATF2 overexpression on NP cells (NPCs) and IVDD progression.
- Investigation of mitochondrial function and redox homeostasis.
- Exploration of the interaction between BATF2 and ATF3, including ubiquitination.
- Assessment of ATF3 knockdown effects on BATF2-induced pathologies.
Main Results:
- BATF2 expression was significantly upregulated in degenerated NP tissues.
- BATF2 overexpression promoted NPC apoptosis and extracellular matrix (ECM) catabolism.
- BATF2 impaired mitochondrial function by disrupting redox homeostasis.
- BATF2 stabilized ATF3 by inhibiting its ubiquitination.
- ATF3 overexpression mimicked BATF2's effects, and ATF3 knockdown reversed BATF2-induced mitochondrial dysfunction and IVDD progression.
Conclusions:
- The BATF2-ATF3 axis exacerbates IVDD by disrupting mitochondrial redox homeostasis and impairing mitochondrial function.
- Targeting the BATF2-ATF3 pathway presents a potential therapeutic strategy for IVDD.
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