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IFT88/Kindlin-2 Signaling Prevents Mechanical Overloading-Induced PANoptosis of Nucleus Pulposus Cells by Activating
Kanglu Li1, Mingjue Chen2, Chao Chen1
1Department of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.
Abstract:
Intervertebral disc (IVD) degeneration (IDD) involves nucleus pulposus (NP) cell death, but its mechanisms are unclear. PANoptosis is a novel cell death pattern whose role in IDD remains elusive. This study investigates whether PANoptosis contributes to mechanical overloading-induced NP cell death and explores its underlying mechanisms. We evaluated PANoptosis in NP cells from human degenerated IVD tissues, aged mice, lumbar spine instability model, and an in vitro mechanical compression system. Results indicated that PANoptosis-related proteins were upregulated in NP cells from degenerated IVDs, as well as in those subjected to mechanical overloading both in vivo and in vitro. To confirm its functional role, we inhibited PANoptosis by interfering PANoptosis sensor Z-DNA-binding protein 1 (ZBP1). Results showed that ZBP1 inhibition partially reversed this upregulation, reduced NP cell death, and alleviated IDD. Mechanistically, we found Kindlin-2 loss promoted PANoptosis in NP cells by suppressing forkhead box P1 (FOXP1) SUMOylation and increasing ZBP1 promoter activity. Furthermore, mechanical overloading downregulated Kindlin-2 by impairing ciliary intraflagellar transport 88 (IFT88), thereby exacerbating PANoptosis and IDD. We show that ciliary IFT88 influences Kindlin-2, which protects NP cells from mechanical overloading-induced PANoptosis by enhancing FOXP1 SUMOylation. This pathway may offer a new therapeutic target for IDD.
Insights
PANoptosis, a new cell death pathway, drives nucleus pulposus cell death in intervertebral disc degeneration. Inhibiting ZBP1, a PANoptosis sensor, alleviates degeneration by restoring Kindlin-2 levels.
Area of Science:
- Cell Biology
- Biochemistry
- Orthopedics
Background:
- Intervertebral disc degeneration (IDD) involves nucleus pulposus (NP) cell death, with unclear mechanisms.
- PANoptosis, a novel cell death pattern, has an unknown role in IDD.
Purpose of the Study:
- To investigate PANoptosis' contribution to mechanical overloading-induced NP cell death.
- To explore the underlying mechanisms of PANoptosis in IDD.
Main Methods:
- Evaluated PANoptosis in human degenerated IVD tissues, aged mice, and in vitro models.
- Utilized Z-DNA-binding protein 1 (ZBP1) inhibition to assess PANoptosis' functional role.
- Investigated the roles of Kindlin-2, forkhead box P1 (FOXP1), and intraflagellar transport 88 (IFT88) in the pathway.
Main Results:
- PANoptosis markers were upregulated in degenerated IVDs and with mechanical overloading.
- ZBP1 inhibition reduced NP cell death and alleviated IDD.
- Kindlin-2 loss promoted PANoptosis by suppressing FOXP1 SUMOylation and increasing ZBP1 activity.
- Mechanical overloading downregulated Kindlin-2 via IFT88, exacerbating PANoptosis and IDD.
Conclusions:
- PANoptosis contributes to mechanical overloading-induced NP cell death and IDD.
- The Kindlin-2/FOXP1 SUMOylation pathway, influenced by ciliary IFT88, protects NP cells from mechanical stress-induced PANoptosis.
- This pathway presents a potential therapeutic target for IDD.
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