Targeting Piezo1 channel to alleviate intervertebral disc degeneration

Background: Low back pain impacts over 600 million people worldwide, predominantly due to intervertebral disc degeneration. This study focuses on the role of Piezo1, a crucial mechanosensitive ion channel protein, in the pathology and potential treatment of disc degeneration. Materials and methods:...

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Main Authors: Feiyun Li, Mingjue Chen, Mengrui Zhang, Sheng Chen, Minghao Qu, Shuangshuang He, Lin Wang, Xiaohao Wu, Guozhi Xiao
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Journal of Orthopaedic Translation
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Online Access:http://www.sciencedirect.com/science/article/pii/S2214031X25000075
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author Feiyun Li
Mingjue Chen
Mengrui Zhang
Sheng Chen
Minghao Qu
Shuangshuang He
Lin Wang
Xiaohao Wu
Guozhi Xiao
author_facet Feiyun Li
Mingjue Chen
Mengrui Zhang
Sheng Chen
Minghao Qu
Shuangshuang He
Lin Wang
Xiaohao Wu
Guozhi Xiao
author_sort Feiyun Li
collection DOAJ
description Background: Low back pain impacts over 600 million people worldwide, predominantly due to intervertebral disc degeneration. This study focuses on the role of Piezo1, a crucial mechanosensitive ion channel protein, in the pathology and potential treatment of disc degeneration. Materials and methods: To investigate the effects of disc-specific Piezo1 deletion, we generated AggrecanCreERT2; Piezo1fl/fl mice and examined both lumbar spine instability (LSI)- and aging-induced disc degeneration. Additionally, the effect of pharmacological inhibition of Piezo1 was evaluated using GsMTx4, a potent Piezo1 antagonist, in an ex vivo model stimulated with IL-1β to induce disc degeneration. Assessments included histological examinations, immunofluorescence, and western blot analyses to thoroughly characterize the alterations in the intervertebral discs. Results: Elevated expression of Piezo1 was detected in the nucleus pulposus (NP) of intervertebral discs with advanced disc degeneration in both aged mice and human patients. Inducible deletion of Piezo1 expression in aggrecan-expressing disc cells significantly reduced lumbar disc degeneration, decreased extracellular matrix (ECM) degradation, and lowered apoptosis in NP cells, observed in both aged mice and those undergoing LSI surgery. Excessive compression loading (CL) upregulated Piezo1 expression, induced ECM disruption, and increased apoptosis in NP cells, whereas inhibition of Piezo1 with GsMTx4 effectively mitigated these pathological changes. Furthermore, in ex vivo cultured mouse discs, GsMTx4 treatment significantly alleviated IL-1β-induced degenerative damages, restored ECM anabolism, and reduced apoptosis. Conclusions: The findings suggest that Piezo1 plays a critical role in the development of disc degeneration and highlight its potential as a therapeutic target. Inhibiting Piezo1 could offer a novel strategy for treating or preventing this critical disease. Translational potential of this article: This research highlights the involvement of Piezo1 in the development of intervertebral disc degeneration and emphasizes the potential for targeting Piezo1 as a therapeutic strategy to delay or reverse this condition.
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series Journal of Orthopaedic Translation
spelling doaj-art-aa708d51446d457f8d2be7fa88a6d4932025-08-20T03:45:28ZengElsevierJournal of Orthopaedic Translation2214-031X2025-03-015114515810.1016/j.jot.2025.01.006Targeting Piezo1 channel to alleviate intervertebral disc degenerationFeiyun Li0Mingjue Chen1Mengrui Zhang2Sheng Chen3Minghao Qu4Shuangshuang He5Lin Wang6Xiaohao Wu7Guozhi Xiao8Department of Biochemistry, School of Medicine, Shenzhen Key Laboratory of Cell Microenvironment, Guangdong Provincial Key Laboratory of Cell Microenvironment and Disease Research, Southern University of Science and Technology, Shenzhen, 518055, ChinaDepartment of Biochemistry, School of Medicine, Shenzhen Key Laboratory of Cell Microenvironment, Guangdong Provincial Key Laboratory of Cell Microenvironment and Disease Research, Southern University of Science and Technology, Shenzhen, 518055, ChinaQuantitative Sciences Unit, Department of Medicine, Stanford University, Stanford, CA, USADepartment of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaSchool of Medicine, Southern University of Science and Technology, Shenzhen, China; Southern University of Science and Technology Hospital, Shenzhen, ChinaDepartment of Biochemistry, School of Medicine, Shenzhen Key Laboratory of Cell Microenvironment, Guangdong Provincial Key Laboratory of Cell Microenvironment and Disease Research, Southern University of Science and Technology, Shenzhen, 518055, ChinaSchool of Medicine, Southern University of Science and Technology, Shenzhen, China; Southern University of Science and Technology Hospital, Shenzhen, ChinaDivision of Immunology and Rheumatology, Stanford University, Stanford, CA, 94305, USA; VA Palo Alto Health Care System, Palo Alto, CA, 94304, USA; Corresponding author. Division of Immunology and Rheumatology, Stanford University, Stanford, CA, 94305, USA.Department of Biochemistry, School of Medicine, Shenzhen Key Laboratory of Cell Microenvironment, Guangdong Provincial Key Laboratory of Cell Microenvironment and Disease Research, Southern University of Science and Technology, Shenzhen, 518055, China; Corresponding author.Background: Low back pain impacts over 600 million people worldwide, predominantly due to intervertebral disc degeneration. This study focuses on the role of Piezo1, a crucial mechanosensitive ion channel protein, in the pathology and potential treatment of disc degeneration. Materials and methods: To investigate the effects of disc-specific Piezo1 deletion, we generated AggrecanCreERT2; Piezo1fl/fl mice and examined both lumbar spine instability (LSI)- and aging-induced disc degeneration. Additionally, the effect of pharmacological inhibition of Piezo1 was evaluated using GsMTx4, a potent Piezo1 antagonist, in an ex vivo model stimulated with IL-1β to induce disc degeneration. Assessments included histological examinations, immunofluorescence, and western blot analyses to thoroughly characterize the alterations in the intervertebral discs. Results: Elevated expression of Piezo1 was detected in the nucleus pulposus (NP) of intervertebral discs with advanced disc degeneration in both aged mice and human patients. Inducible deletion of Piezo1 expression in aggrecan-expressing disc cells significantly reduced lumbar disc degeneration, decreased extracellular matrix (ECM) degradation, and lowered apoptosis in NP cells, observed in both aged mice and those undergoing LSI surgery. Excessive compression loading (CL) upregulated Piezo1 expression, induced ECM disruption, and increased apoptosis in NP cells, whereas inhibition of Piezo1 with GsMTx4 effectively mitigated these pathological changes. Furthermore, in ex vivo cultured mouse discs, GsMTx4 treatment significantly alleviated IL-1β-induced degenerative damages, restored ECM anabolism, and reduced apoptosis. Conclusions: The findings suggest that Piezo1 plays a critical role in the development of disc degeneration and highlight its potential as a therapeutic target. Inhibiting Piezo1 could offer a novel strategy for treating or preventing this critical disease. Translational potential of this article: This research highlights the involvement of Piezo1 in the development of intervertebral disc degeneration and emphasizes the potential for targeting Piezo1 as a therapeutic strategy to delay or reverse this condition.http://www.sciencedirect.com/science/article/pii/S2214031X25000075Piezo1Intervertebral disc degenerationLumbar spine instabilityAgingGsMTx4
spellingShingle Feiyun Li
Mingjue Chen
Mengrui Zhang
Sheng Chen
Minghao Qu
Shuangshuang He
Lin Wang
Xiaohao Wu
Guozhi Xiao
Targeting Piezo1 channel to alleviate intervertebral disc degeneration
Journal of Orthopaedic Translation
Piezo1
Intervertebral disc degeneration
Lumbar spine instability
Aging
GsMTx4
title Targeting Piezo1 channel to alleviate intervertebral disc degeneration
title_full Targeting Piezo1 channel to alleviate intervertebral disc degeneration
title_fullStr Targeting Piezo1 channel to alleviate intervertebral disc degeneration
title_full_unstemmed Targeting Piezo1 channel to alleviate intervertebral disc degeneration
title_short Targeting Piezo1 channel to alleviate intervertebral disc degeneration
title_sort targeting piezo1 channel to alleviate intervertebral disc degeneration
topic Piezo1
Intervertebral disc degeneration
Lumbar spine instability
Aging
GsMTx4
url http://www.sciencedirect.com/science/article/pii/S2214031X25000075
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