Regulated cell death: Implications for intervertebral disc degeneration and therapy

As a controllable biological process, regulated cell death (RCD) extensively participates in cellular homeostasis, organismal development, and the pathogenesis of diseases. This review addresses the research gaps by synthesising the findings on the complexity of RCD modes and their role in disc dege...

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Main Authors: Fan Yang, Weijian Liu, Yongcan Huang, Shuhua Yang, Zengwu Shao, Xianyi Cai, Liming Xiong
Format: Article
Language:English
Published: Elsevier 2022-11-01
Series:Journal of Orthopaedic Translation
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214031X22001097
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author Fan Yang
Weijian Liu
Yongcan Huang
Shuhua Yang
Zengwu Shao
Xianyi Cai
Liming Xiong
author_facet Fan Yang
Weijian Liu
Yongcan Huang
Shuhua Yang
Zengwu Shao
Xianyi Cai
Liming Xiong
author_sort Fan Yang
collection DOAJ
description As a controllable biological process, regulated cell death (RCD) extensively participates in cellular homeostasis, organismal development, and the pathogenesis of diseases. This review addresses the research gaps by synthesising the findings on the complexity of RCD modes and their role in disc degeneration, and summarises the preclinical strategies to alleviate disc degeneration and promote disc repair by regulating RCD. Background: Intervertebral disc degeneration (IDD) is the major source of chronic low back pain. As a controllable biological process, regulated cell death (RCD) extensively participates in the pathogenesis of IDD. Nevertheless, the initiation and progression of RCD remain unclear, and more importantly, the interaction between different RCD modes during IDD and therapy is far from well understood. Methods: Literature search was performed using “regulated cell death AND intervertebral disc degeneration” in PubMed, Embase, and Web of Science. Meanwhile, relevant findings have been reviewed and quoted. Results: In this review, we discuss the inducing factors of IDD, various modes of RCD in intervertebral disc, the interactions between different RCD modes, as well as the obstacles to achieve disc regeneration. Meanwhile, the research gaps and perspective in studies that targeting RCD are also presented. Conclusion: Increasing evidence demonstrated the presence of different RCD modes in intervertebral disc during the progression of IDD. RCD in the resident disc cells is probably induced by the multiple factors such as abnormal mechanical loading, nutritional imbalance, inflammation microenvironment, circadian rhythm changes, withdraw of hormones, and other biomechanical factors. A better understanding of the fundamental mechanisms and the interactions between different RCD modes might contribute to the rescuing of disc degeneration and development of promising therapeutics. Translational potential statement: The Translational potential of this article. This review aims to demonstrate a better understanding of the fundamental mechanisms governing RCD, which might contribute to the rescuing of disc degeneration and to the development of promising therapeutics in a clinical setting.
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spelling doaj.art-9e9facea6e154b2f99c345ecaa9ea99e2023-01-05T06:24:10ZengElsevierJournal of Orthopaedic Translation2214-031X2022-11-0137163172Regulated cell death: Implications for intervertebral disc degeneration and therapyFan Yang0Weijian Liu1Yongcan Huang2Shuhua Yang3Zengwu Shao4Xianyi Cai5Liming Xiong6Department of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaShenzhen Engineering Laboratory of Orthopaedic Regenerative Technologies, Department of Spine Surgery, Peking University Shenzhen Hospital, Shenzhen, ChinaDepartment of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China; Department of Orthopaedics, Hefeng Central Hospital, Enshi, China; Corresponding author. Department of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.Department of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China; Corresponding author.As a controllable biological process, regulated cell death (RCD) extensively participates in cellular homeostasis, organismal development, and the pathogenesis of diseases. This review addresses the research gaps by synthesising the findings on the complexity of RCD modes and their role in disc degeneration, and summarises the preclinical strategies to alleviate disc degeneration and promote disc repair by regulating RCD. Background: Intervertebral disc degeneration (IDD) is the major source of chronic low back pain. As a controllable biological process, regulated cell death (RCD) extensively participates in the pathogenesis of IDD. Nevertheless, the initiation and progression of RCD remain unclear, and more importantly, the interaction between different RCD modes during IDD and therapy is far from well understood. Methods: Literature search was performed using “regulated cell death AND intervertebral disc degeneration” in PubMed, Embase, and Web of Science. Meanwhile, relevant findings have been reviewed and quoted. Results: In this review, we discuss the inducing factors of IDD, various modes of RCD in intervertebral disc, the interactions between different RCD modes, as well as the obstacles to achieve disc regeneration. Meanwhile, the research gaps and perspective in studies that targeting RCD are also presented. Conclusion: Increasing evidence demonstrated the presence of different RCD modes in intervertebral disc during the progression of IDD. RCD in the resident disc cells is probably induced by the multiple factors such as abnormal mechanical loading, nutritional imbalance, inflammation microenvironment, circadian rhythm changes, withdraw of hormones, and other biomechanical factors. A better understanding of the fundamental mechanisms and the interactions between different RCD modes might contribute to the rescuing of disc degeneration and development of promising therapeutics. Translational potential statement: The Translational potential of this article. This review aims to demonstrate a better understanding of the fundamental mechanisms governing RCD, which might contribute to the rescuing of disc degeneration and to the development of promising therapeutics in a clinical setting.http://www.sciencedirect.com/science/article/pii/S2214031X22001097Regulated cell deathIntervertebral disc degenerationLow back painApoptosisNecroptosis
spellingShingle Fan Yang
Weijian Liu
Yongcan Huang
Shuhua Yang
Zengwu Shao
Xianyi Cai
Liming Xiong
Regulated cell death: Implications for intervertebral disc degeneration and therapy
Journal of Orthopaedic Translation
Regulated cell death
Intervertebral disc degeneration
Low back pain
Apoptosis
Necroptosis
title Regulated cell death: Implications for intervertebral disc degeneration and therapy
title_full Regulated cell death: Implications for intervertebral disc degeneration and therapy
title_fullStr Regulated cell death: Implications for intervertebral disc degeneration and therapy
title_full_unstemmed Regulated cell death: Implications for intervertebral disc degeneration and therapy
title_short Regulated cell death: Implications for intervertebral disc degeneration and therapy
title_sort regulated cell death implications for intervertebral disc degeneration and therapy
topic Regulated cell death
Intervertebral disc degeneration
Low back pain
Apoptosis
Necroptosis
url http://www.sciencedirect.com/science/article/pii/S2214031X22001097
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