PMID- 25209447 OWN - NLM STAT- MEDLINE DCOM- 20150804 LR - 20220318 IS - 1478-6362 (Electronic) IS - 1478-6354 (Print) IS - 1478-6354 (Linking) VI - 16 IP - 5 DP - 2014 Aug 20 TI - Expression and regulation of neurotrophic and angiogenic factors during human intervertebral disc degeneration. PG - 416 LID - 10.1186/s13075-014-0416-1 [doi] LID - 416 AB - INTRODUCTION: The degenerate intervertebral disc (IVD) becomes innervated by sensory nerve fibres, and vascularised by blood vessels. This study aimed to identify neurotrophins, neuropeptides and angiogenic factors within native IVD tissue and to further investigate whether pro-inflammatory cytokines are involved in the regulation of expression levels within nucleus pulposus (NP) cells, nerve and endothelial cells. METHODS: Quantitative real-time PCR (qRT-PCR) was performed on 53 human IVDs from 52 individuals to investigate native gene expression of neurotrophic factors and their receptors, neuropeptides and angiogenic factors. The regulation of these factors by cytokines was investigated in NP cells in alginate culture, and nerve and endothelial cells in monolayer using RT-PCR and substance P (SP) protein expression in interleukin-1 (IL-1beta) stimulated NP cells. RESULTS: Initial investigation on uncultured NP cells identified expression of all neurotrophins by native NP cells, whilst the nerve growth factor (NGF) receptor was only identified in severely degenerate and infiltrated discs, and brain derived neurotrophic factor (BDNF) receptor expressed by more degenerate discs. BDNF expression was significantly increased in infiltrated and degenerate samples. SP and vascular endothelial growth factor (VEGF) were higher in infiltrated samples. In vitro stimulation by IL-1beta induced NGF in NP cells. Neurotropin-3 was induced by tumour necrosis factor alpha in human dermal microvascular endothelial cells (HDMECs). SP gene and protein expression was increased in NP cells by IL-1beta. Calcitonin gene related peptide was increased in SH-SY5Y cells upon cytokine stimulation. VEGF was induced by IL-1beta and interleukin-6 in NP cells, whilst pleiotrophin was decreased by IL-1beta. VEGF and pleiotrophin were expressed by SH-SY5Y cells, and VEGF by HDMECs, but were not modulated by cytokines. CONCLUSIONS: The release of cytokines, in particular IL-1beta during IVD degeneration, induced significant increases in NGF and VEGF which could promote neuronal and vascular ingrowth. SP which is released into the matrix could potentially up regulate the production of matrix degrading enzymes and also sensitise nerves, resulting in nociceptive transmission and chronic low back pain. This suggests that IL-1beta is a key regulatory cytokine, involved in the up regulation of factors involved in innervation and vascularisation of tissues. FAU - Binch, Abbie L A AU - Binch AL FAU - Cole, Ashley A AU - Cole AA FAU - Breakwell, Lee M AU - Breakwell LM FAU - Michael, Anthony L R AU - Michael AL FAU - Chiverton, Neil AU - Chiverton N FAU - Cross, Alison K AU - Cross AK FAU - Le Maitre, Christine L AU - Le Maitre CL LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140820 PL - England TA - Arthritis Res Ther JT - Arthritis research & therapy JID - 101154438 RN - 0 (Angiogenesis Inducing Agents) RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Carrier Proteins) RN - 0 (Cytokines) RN - 0 (Nerve Growth Factors) RN - 0 (Receptors, Nerve Growth Factor) RN - 0 (Vascular Endothelial Growth Factor A) RN - 134034-50-7 (pleiotrophin) RN - 33507-63-0 (Substance P) RN - 9061-61-4 (Nerve Growth Factor) RN - JHB2QIZ69Z (Calcitonin Gene-Related Peptide) SB - IM MH - Adult MH - Aged MH - Angiogenesis Inducing Agents/*metabolism MH - Brain-Derived Neurotrophic Factor/genetics MH - Calcitonin Gene-Related Peptide/genetics MH - Carrier Proteins/genetics MH - Cell Line, Tumor MH - Cells, Cultured MH - Cytokines/genetics/metabolism/pharmacology MH - Gene Expression Regulation/drug effects MH - Humans MH - Intervertebral Disc/*metabolism/pathology MH - Intervertebral Disc Degeneration/*genetics/metabolism MH - Middle Aged MH - Nerve Growth Factor/genetics MH - Nerve Growth Factors/*genetics MH - Receptors, Nerve Growth Factor/genetics MH - Reverse Transcriptase Polymerase Chain Reaction MH - Substance P/genetics MH - Vascular Endothelial Growth Factor A/genetics MH - Young Adult PMC - PMC4177417 EDAT- 2014/09/12 06:00 MHDA- 2015/08/05 06:00 PMCR- 2014/08/20 CRDT- 2014/09/12 06:00 PHST- 2014/04/16 00:00 [received] PHST- 2014/08/01 00:00 [accepted] PHST- 2014/09/12 06:00 [entrez] PHST- 2014/09/12 06:00 [pubmed] PHST- 2015/08/05 06:00 [medline] PHST- 2014/08/20 00:00 [pmc-release] AID - s13075-014-0416-1 [pii] AID - 416 [pii] AID - 10.1186/s13075-014-0416-1 [doi] PST - epublish SO - Arthritis Res Ther. 2014 Aug 20;16(5):416. doi: 10.1186/s13075-014-0416-1.