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中华关节外科杂志(电子版) ›› 2022, Vol. 16 ›› Issue (06) : 756 -761. doi: 10.3877/cma.j.issn.1674-134X.2022.06.015

综述

机械敏感离子通道在脊柱退行性疾病的研究进展
王宇涛1, 陈嘉欣1, 卢申怡1, 黄艺琪1, 郭伟正1, 梁健朗1, 黄兆科1, 刘祺2,()   
  1. 1. 510260 广州医科大学第二临床学院
    2. 510260 广州医科大学附属第二医院骨外科
  • 收稿日期:2022-11-28 出版日期:2022-12-01
  • 通信作者: 刘祺
  • 基金资助:
    广东省基础与应用基础研究基金项目(2020A1515110631); 广州市科技计划项目(2020A1515110631); 广州医科大学学生创新能力提升计划项目(2022)

Research progress of mechanical sensitive ion channel in spinal degenerative diseases

Yutao Wang1, Jiaxin Chen1, Shenyi Lu1, Yiqi Huang1, Weizheng Guo1, Jianlang Liang1, Zhaoke Huang1, Qi Liu2,()   

  1. 1. The Second Clinical College of Guangzhou Medical University, Guangzhou 510260, China
    2. The department of Orthopeadic Surgery, The Second Affiliated Hospital of Guangzhou Medical University, Guangzhou 510260, China
  • Received:2022-11-28 Published:2022-12-01
  • Corresponding author: Qi Liu
引用本文:

王宇涛, 陈嘉欣, 卢申怡, 黄艺琪, 郭伟正, 梁健朗, 黄兆科, 刘祺. 机械敏感离子通道在脊柱退行性疾病的研究进展[J]. 中华关节外科杂志(电子版), 2022, 16(06): 756-761.

Yutao Wang, Jiaxin Chen, Shenyi Lu, Yiqi Huang, Weizheng Guo, Jianlang Liang, Zhaoke Huang, Qi Liu. Research progress of mechanical sensitive ion channel in spinal degenerative diseases[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2022, 16(06): 756-761.

椎间盘退变和脊柱小关节炎是常见的退行性疾病,它是慢性腰痛并间歇性急性发作的重要病因,涉及力学、遗传和生物学等多因素诱发的退行性改变,表现为椎间盘和小关节结构的破坏和功能的减退。压电型机械敏感离子通道蛋白(Piezo1)被认为是力学环境下椎间盘退变和关节炎的关键因子。Piezo1在退变椎间盘组织和关节组织中异常激活,并深度参与椎间盘退变和关节炎的发病机制。因此,本文将从椎间盘和脊柱小关节的角度,进行Piezo1对椎间盘退变和关节炎的文献综述,以期了解其对椎间盘退变和小关节紊乱方面的机制,为未来研究提供方向,为该类疾病的治疗提供靶点。

Intervertebral disc degeneration and spinal facet joint arthritis are comman spinal degenerative diseases. It is important causes of chronic low back pain and intermittent acute attacks. It is a degenerative change induced by multiple factors including mechanics, genetics and biology, which is manifested in the destruction of the structure and function of intervertebral discs and facet joints. Mechanical sensitive ion channel protein Piezo1 is considered as the key factor of intervertebral disc degeneration and facet joint osteoarthritis under mechanical environment. Piezo1 is abnormally activated in degenerative intervertebral disc tissue and joint tissue, and deeply participates in the pathogenesis of intervertebral disc degeneration and osteoarthritis. Therefore, this article made a review from the perspective of Piezo1 on intervertebral disc degeneration and osteoarthritis, in order to understand its mechanism on intervertebral disc degeneration and facet joint disorder, provide direction for future research, and provide a therapeutic targets for those diseases.

图1 Piezo1对椎间盘和脊柱小关节的影响示意图注:异常应力增加Piezo1表达,促进椎间盘细胞(左)和脊柱小关节软骨细胞(右)凋亡和衰老,造成椎间盘和脊柱小关节退变的发生和进展
[1]
Freburger JK, Holmes GM, Agans RP, et al. The rising prevalence of chronic low back pain[J]. Arch Intern Med, 2008, 169(3): 251-258.
[2]
Katz JN. Lumbar disc disorders and low-back pain: socioeconomic factors and consequences[J]. J Bone Joint Surg Am, 2006, 88 Suppl 2:21-24.
[3]
Desmoulin GT, Pradhan V, Milner TE. Mechanical aspects of intervertebral disc injury and implications on biomechanics[J]. Spine (Phila Pa 1976), 2020, 45(8): E457-E464.
[4]
Wang J, Sun YX, Li J. The role of mechanosensor Piezo1 in bone homeostasis and mechanobiology[J]. Dev Biol, 2022, 493:80-88.
[5]
Waxenbaum J A, Reddy V, Williams C, et al. Anatomy, back, lumbar vertebrae[M/OL] Treasure Island (FL): StatPearls Publishing,2022: Bookshelf ID: NBK470583.

URL    
[6]
Zhang D, Feng M, Liu W, et al. From mechanobiology to mechanical repair strategies: a bibliometric analysis of biomechanical studies of intervertebral discs[J]. J Pain Res, 202215:2105-2122.
[7]
Yan Z, Pan Y, Wang S, et al. Static compression induces ECM remodeling and integrin alpha2beta1 expression and signaling in a rat tail caudal intervertebral disc degeneration model[J]. Spine (Phila Pa 1976), 2017, 42(8): E448-E458.
[8]
Zhao YT, Qin Y, Yang JS, et al. Wharton′s jelly-derived mesenchymal stem cells suppress apoptosis of nucleus pulposus cells in intervertebral disc degeneration via Wnt pathway[J]. Eur Rev Med Pharmacol Sci, 2020, 24(19): 9807-9814.
[9]
Wang Y, Wang H, Zhuo Y, et al. SIRT1 alleviates high-magnitude compression-induced senescence in nucleus pulposus cells via PINK1-dependent mitophagy[J]. Aging (Albany NY), 2020, 12(16): 16126-16141.
[10]
Bonnevie ED, Gullbrand SE, Ashinsky BG, et al. Aberrant mechanosensing in injured intervertebral discs as a result of boundary-constraint disruption and residual-strain loss[J]. Nat Biomed Eng, 2019, 3(12): 998-1008.
[11]
Gullbrand SE, Peterson J, Mastropolo R, et al. Low rate loading-induced convection enhances net transport into the intervertebral disc in vivo[J]. Spine J, 2014, 15(5): 1028-1033.
[12]
Liu Q, Yang Z, Liu Y, et al. Cervical spinal instability causes vertebral microarchitecture change and vertebral endplate lesion in rats[J]. J Orthop Translat, 2020, 24: 209-217.
[13]
郑军,辛宗山,操儒道,等.自噬机制在大鼠终板软骨退变进程中的作用[J].贵州医科大学学报201742(8): 906-910.
[14]
Kong D, Zheng T, Zhang M, et al. Static mechanical stress induces apoptosis in rat endplate chondrocytes through MAPK and mitochondria-dependent caspase activation signaling pathways[J/OL]. PLoS One, 2013, 8(7): e69403. DOI: 10.1371/journal.pone.0069403.
[15]
Zhao L, Tian B, Xu Q, et al. Extensive mechanical tension promotes annulus fibrosus cell senescence through suppressing cellular autophagy[J/OL]. Biosci Rep, 2019, 39(4): BSR20190163. DOI: 10.1042/BSR20190163.
[16]
Jiang Y, Fu L, Song Y. Responses of apoptosis and matrix metabolism of annulus fibrosus cells to different magnitudes of mechanical tension in vitro[J/OL]. Biosci Rep, 2019, 39(2): BSR20182375. DOI: 10.1042/BSR20182375.
[17]
Van Schaik JP. Lumbar facet joint morphology[J]. J Spinal Disord, 2000, 13(1): 88-89.
[18]
Ni S, Cao Y, Liao S, et al. Unilateral osteotomy of lumbar facet joint induces a mouse model of lumbar facet joint osteoarthritis[J]. Spine (Phila Pa 1976), 2019, 44(16): E930-E938.
[19]
Li M, Xie WQ, He M, et al. Characterization of the subchondral bone and pain behavior changes in a novel bipedal standing mouse model of facet joint osteoarthritis[J/OL]. Biomed Res Int, 2020, 2020: 8861347. DOI: 10.1155/2020/8861347.
[20]
Li J, Ding Z, Li Y, et al. BMSCs-Derived exosomes ameliorate pain via abrogation of aberrant nerve invasion in subchondral bone in lumbar facet joint osteoarthritis[J]. J Orthop Res, 2020, 38(3): 670-679.
[21]
Schwarzer AC, Aprill CN, Derby R, et al. The prevalence and clinical features of internal disc disruption in patients with chronic low back pain[J]. Spine (Phila Pa 1976), 1995, 20(17): 1878-1883.
[22]
李忠海,侯树勋.小关节源性腰痛机制研究进展[J].中国脊柱脊髓杂志2013, 23(10): 943-946.
[23]
Kirkaldy-Willis WH, Farfan HF. Instability of the lumbar spine[J]. Clin Orthop Relat Res, 1982, 5(165): 110-123.
[24]
Fujiwara A, Tamai K, Yamato M, et al. The relationship between facet joint osteoarthritis and disc degeneration of the lumbar spine: an MRI study[J]. Eur Spine J, 1999, 8(5): 396-401.
[25]
Eubanks JD, Lee MJ, Cassinelli E, et al. Does lumbar facet arthrosis precede disc degeneration? A postmortem study[J/OL]. Clin Orthop Relat Res, 2007, 464: 184-189.
[26]
Suri P, Miyakoshi A, Hunter DJ, et al. Does lumbar spinal degeneration begin with the anterior structures? A study of the observed epidemiology in a community-based population[J/OL]. BMC Musculoskelet Disord, 2011, 12(1): 202. DOI: 10.1186/1471-2474-12-202.
[27]
Coste B, Mathur J, Schmidt M, et al. Piezo1 and piezo2 are essential components of distinct mechanically activated cation channels[J]. Science, 2010, 330(6000): 55-60.
[28]
Cox CD, Gottlieb PA. Amphipathic molecules modulate PIEZO1 activity[J]. Biochem Soc Trans, 2019, 47(6): 1833-1842.
[29]
Wu J, Lewis AH, Grandl JT. Tension,and Transduction-The function and regulation of piezo ion channels[J]. Trends Biochem Sci, 2017, 42(1): 57-71.
[30]
Zhu D, Zhang G, Guo X, et al. A new hope in spinal degenerative diseases: Piezo1[J/OL]. Biomed Res Int, 2021, 2021: 6645193. DOI: 10.1155/2021/6645193.
[31]
王天宝,李晓飞,冷萍,等.椎间盘髓核细胞应力模型中Piezo1蛋白的表达[J].青岛大学医学院学报2017, 53(03): 257-260.
[32]
殷涛,邵进,张岩,等.机械敏感性离子通道蛋白Piezo1在椎间盘髓核细胞中的表达及意义[J].中国医药导报2019, 16(12): 77-80.
[33]
Shi S, Kang XJ, Zhou Z, et al. Excessive mechanical stress-induced intervertebral disc degeneration is related to Piezo1 overexpression triggering the imbalance of autophagy/apoptosis in human nucleus pulpous[J/OL]. Arthritis Res Ther, 2022, 24(1): 119. DOI: 10.1186/s13075-022-02804-y.
[34]
Wang B, Ke W, Wang K, et al. Mechanosensitive ion channel Piezo1 activated by matrix stiffness regulates oxidative stress-induced senescence and apoptosis in human intervertebral disc degeneration[J/OL]. Oxid Med Cell Longev, 2021, 2021: 8884922. DOI: 10.1155/2021/8884922.
[35]
Zhang F, Zhao X, Shen H, et al. Molecular mechanisms of cell death in intervertebral disc degeneration(Review)[J]. Int J Mol Med, 2016, 37(6): 1439-1448.
[36]
谭洪宇,赵亮,张扬.shRNA-Piezo1对异常机械牵张应力作用下髓核细胞凋亡的影响及相关机制[J].中国脊柱脊髓杂志2018, 28(12): 1125-1132.
[37]
Yang Q, Zhou Y, Wang J, et al. Study on the mechanism of excessive apoptosis of nucleus pulposus cells induced by shRNA-Piezo1 under abnormal mechanical stretch stress[J]. J Cell Biochem, 2019, 120(3): 3989-3997.
[38]
Sun Y, Leng P, Song M, et al. Piezo1 activates the NLRP3 inflammasome in nucleus pulposus cell-mediated by Ca(2+)/NF-kappaB pathway[J/OL]. Int Immunopharmacol, 2020, 85: 106681. DOI: 10.1016/j.intimp.2020.106681.
[39]
Wu J, Chen Y, Liao Z, et al. Self-amplifying loop of NF-kappaB and periostin initiated by PIEZO1 accelerates mechano-induced senescence of nucleus pulposus cells and intervertebral disc degeneration[J]. Mol Ther, 2022, 30(10): 3241-3256.
[40]
Huang X, Chen D, Liang C, et al. Swelling-mediated mechanical stimulation regulates differentiation of adipose-derived mesenchymal stem cells for intervertebral disc repair using injectable UCST microgels[J/OL]. Adv Healthc Mater, 2022: e2201925. DOI: 10.1002/adhm.202201925.
[41]
Ding B, Xiao L, Xu H. YAP1 controls degeneration of human cartilage chondrocytes in response to mechanical tension[J]. Cell Biol Int, 2022, 46(10): 1637-1648.
[42]
Sun Z, Zheng X, Li S, et al. Single impact injury of vertebral endplates without structural disruption,initiates disc degeneration through piezo1 mediated inflammation and metabolism dysfunction[J]. Spine (Phila Pa 1976), 2022, 47(5): E203-E213.
[43]
Yamashita T, Minaki Y, Ozaktay AC, et al. A morphological study of the fibrous capsule of the human lumbar facet joint[J]. Spine (Phila Pa 1976), 1996, 21(5): 538-543.
[44]
刘祥伟,李志军.关节突关节形态学的研究进展[J].世界最新医学信息文摘2015, 15(15): 79-80.
[45]
Rustenburg C, Emanuel KS, Peeters M, et al. Osteoarthritis and intervertebral disc degeneration:quite different,quite similar[J/OL]. JOR Spine, 2018, 1(4): e1033. DOI: 10.1002/jsp2.1033.
[46]
Lee W, Leddy HA, Chen Y, et al. Synergy between Piezo1 and Piezo2 channels confers high-strain mechanosensitivity to articular cartilage[J]. Proc Natl Acad Sci USA, 2014, 111(47): E5114-E5122.
[47]
Lee W, Nims RJ, Savadipour A, et al. Inflammatory signaling sensitizes Piezo1 mechanotransduction in articular chondrocytes as a pathogenic feed-forward mechanism in osteoarthritis[J/OL]. Proc Natl Acad Sci USA, 2021, 118(13): e2001611118. DOI: 10.1073/pnas.2001611118.
[48]
Hu Y, Li K, Swahn H, et al. Transcriptomic analyses of joint tissues during osteoarthritis development in a rat model reveal dysregulated mechanotransduction and extracellular matrix pathways[J/OL]. Osteoarthritis Cartilage, 2022, S1063-4584(22)00880-9. DOI: 10.1016/j.joca.2022.10.003. Online ahead of print.
[49]
Sun Y, Leng P, Guo PC, et al. G protein coupled estrogen receptor attenuates mechanical stress-mediated apoptosis of chondrocyte in osteoarthritis via suppression of Piezo1[J/OL]. Molecular Medicine, 2021, 27(1): 96. DOI: 10.1186/s10020-021-00360-w.
[50]
Ren X, Li B, Xu C, et al. High expression of Piezo1 induces senescence in chondrocytes through calcium ions accumulation[J]. Biochem Biophys Res Commun, 2022, 607: 138-145.
[51]
Gao W, Hasan H, Anderson D E, et al. The role of mechanically-activated ion channels Piezo1, Piezo2, and TRPV4 in chondrocyte mechanotransduction and mechano-therapeutics for osteoarthritis[J/OL]. Front Cell Dev Biol, 202210:885224. DOI: 10.3389/fcell.2022.885224.
[52]
Du G, Li L, Zhang X, et al. Roles of TRPV4 and piezo channels in stretch-evoked Ca(2+)response in chondrocytes[J]. Exp Biol Med (Maywood), 2020, 245(3): 180-189.
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