Systemic clearance of p16INK4a -positive senescent cells mitigates age-associated intervertebral disc degeneration

系统性清除 p16INK4a 阳性衰老细胞可减轻与年龄相关的椎间盘退化

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作者:Prashanti Patil, Qing Dong, Dong Wang, Jianhui Chang, Christopher Wiley, Marco Demaria, Joon Lee, James Kang, Laura J Niedernhofer, Paul D Robbins, Gwendolyn Sowa, Judith Campisi, Daohong Zhou, Nam Vo

Conclusions

The findings of this study suggest that systemic reduction in the number of senescent cells ameliorates multiple age-associated changes within the disc tissue. Cellular senescence could therefore serve as a therapeutic target to restore the health of disc tissue that deteriorates with age.

Objective

The study aimed to elucidate whether a causal relationship exists between cellular senescence and age-related IDD.

Results

To examine the impact of senescent cells on age-associated IDD, we used p16-3MR transgenic mice, which enables the selective removal of p16Ink4a -positive senescent cells by the drug ganciclovir. Disc cellularity, aggrecan content and fragmentation alongside expression of inflammatory cytokine (IL-6) and matrix proteases (ADAMTS4 and MMP13) in discs of p16-3MR mice treated with GCV and untreated controls were assessed. In aged mice, reducing the per cent of senescent cells decreased disc aggrecan proteolytic degradation and increased overall proteoglycan matrix content along with improved histological disc features. Additionally, reduction of senescent cells lowered the levels of MMP13, which is purported to promote disc degenerative changes during aging. Conclusions: The findings of this study suggest that systemic reduction in the number of senescent cells ameliorates multiple age-associated changes within the disc tissue. Cellular senescence could therefore serve as a therapeutic target to restore the health of disc tissue that deteriorates with age.

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