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- W2316621204 abstract "Intervertebral disc degeneration is a leading cause of chronic low back pain (LBP), but how degeneration contributes to LBP is poorly understood. Nerve growth factor (NGF) is upregulated in disc degeneration. The presence of NGF may promote disc innervation, neuronal sensitization and low back pain, making NGF a possible therapeutic target. However, the mechanisms underlying the dysregulation of NGF during degeneration are poorly understood. During disc degeneration proteoglycans and other extra-cellular matrix (ECM) proteins are degraded and fragmented. ECM fragments can act as endogenous danger signal ligands for toll-like receptors, which were originally characterized in the innate immune system. TLR activation induces cytokine and chemokine expression, and could regulate a sterile inflammation in disc degeneration. NGF is often upregulated in inflammation, therefore we hypothesized that TLR activation leads to NGF overexpression in intervertebral disc cells. To test this hypothesis we treated human disc cells with IL-1β (control), peptidoglycan (PGN, TLR2 agonist) and lipopolysaccharide (LPS, TLR4 agonist) and evaluated NGF gene and protein expression. IL-1β and PGN treatment increased NGF gene expression after 6, 12 and 24 hours and protein secretion after 24 and 48 hours, while LPS had little effect. To confirm that PGN is acting through TLR2, we knocked down TLR2 with siRNA, which greatly decreased PGN-induced NGF expression. We evaluated which signaling pathways regulate NGF by western blot and found PGN treatment of disc cells increased p38 MAPK and NF-κB phosphorylation. Using small molecule signaling inhibitors, we found p38 inhibition had little effect on PGN induction of NGF, while NF-κB inhibition blocked NGF upregulation. Taken together, these results suggest that TLR2 activation regulates NGF through NF-κB signaling. Identification of this new mechanism of NGF regulation in intervertebral disc cells could lead to the development of new therapeutic strategies for LBP associated with disc degeneration. Intervertebral disc degeneration is a leading cause of chronic low back pain (LBP), but how degeneration contributes to LBP is poorly understood. Nerve growth factor (NGF) is upregulated in disc degeneration. The presence of NGF may promote disc innervation, neuronal sensitization and low back pain, making NGF a possible therapeutic target. However, the mechanisms underlying the dysregulation of NGF during degeneration are poorly understood. During disc degeneration proteoglycans and other extra-cellular matrix (ECM) proteins are degraded and fragmented. ECM fragments can act as endogenous danger signal ligands for toll-like receptors, which were originally characterized in the innate immune system. TLR activation induces cytokine and chemokine expression, and could regulate a sterile inflammation in disc degeneration. NGF is often upregulated in inflammation, therefore we hypothesized that TLR activation leads to NGF overexpression in intervertebral disc cells. To test this hypothesis we treated human disc cells with IL-1β (control), peptidoglycan (PGN, TLR2 agonist) and lipopolysaccharide (LPS, TLR4 agonist) and evaluated NGF gene and protein expression. IL-1β and PGN treatment increased NGF gene expression after 6, 12 and 24 hours and protein secretion after 24 and 48 hours, while LPS had little effect. To confirm that PGN is acting through TLR2, we knocked down TLR2 with siRNA, which greatly decreased PGN-induced NGF expression. We evaluated which signaling pathways regulate NGF by western blot and found PGN treatment of disc cells increased p38 MAPK and NF-κB phosphorylation. Using small molecule signaling inhibitors, we found p38 inhibition had little effect on PGN induction of NGF, while NF-κB inhibition blocked NGF upregulation. Taken together, these results suggest that TLR2 activation regulates NGF through NF-κB signaling. Identification of this new mechanism of NGF regulation in intervertebral disc cells could lead to the development of new therapeutic strategies for LBP associated with disc degeneration." @default.
- W2316621204 created "2016-06-24" @default.
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- W2316621204 date "2015-04-01" @default.
- W2316621204 modified "2023-10-17" @default.
- W2316621204 title "(266) TLR2 activation induces NGF gene and protein expression via NF-κB in human intervertebral disc cells" @default.
- W2316621204 doi "https://doi.org/10.1016/j.jpain.2015.01.183" @default.
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