Retinoic acid inhibits the pyroptosis of degenerated nucleus pulposus cells by activating Sirt1-SOD2 signaling
Abstract Background: Intervertebral disc (IVD) degeneration is a common disease and initiated by the degeneration of nucleus pulposus (NP). The pyroptosis of degenerated NP cells (dNPCs) plays an important role in NP degeneration and may be a potential target in the treatment of IVD degeneration. The purpose of this study is to identify a feasible solution that can inhibit NP cell pyroptosis to therapy the degeneration of the intervertebral disc. Result: In this study, we determined the effects of retinoic acid (RA) on dNPCs and investigated the underlying mechanism of RA mediated pyroptosis in dNPCs. We also verified the effects of RA on IVD degeneration in vivo. Our results demonstrated that RA significantly increased the proliferation and the protein expression of sox9, aggrecan, and collagen II of dNPCs. Pyroptosis-related proteins such as cleaved caspase-1, NT-GSDMD, IL-1β, IL-18, and the pyroptosis rate of dNPCs was significantly decreased by RA. We also found that Sirt1-SOD2 signaling was activated, while ROS generation and TXNIP/NLRP3 signaling in dNPCs was inhibited after the addition of RA. Furthermore, RA also recovered the structure of NP and increased the contents of sGAG and collagen in vivo. Conclusion Our study demonstrated that RA can inhibit the pyroptosis and increase the ECM synthesis function of dNPCs and verified that RA has a protective effect in IVD degeneration.