Expression of toll-like receptors in cartilage endplates cells: a role of toll-like receptor 2 in pro-inflammatory and -catabolic gene expression
Author:
Mengis Tamara1, Bernhard Laura1, Herger Nick1, Heggli Irina1, Devan Jan1, Marcus Roy2, Laux Christoph2, Brunner Florian2, Farshad Mazda2, Distler Oliver3, Dudli Stefan1
Affiliation:
1. University of Zurich 2. Universitätsklinik Balgrist 3. University Hospital of Zurich
Abstract
Abstract
Introduction
The vertebral cartilage endplate (CEP), essential for intervertebral disc health, is susceptible to degeneration, which can be associated with chronic low back pain, disc degeneration, and Modic changes. Although it has been established that intervertebral disc cells express toll-like receptors (TLRs), which can recognize diverse pathogen-associated molecular patterns (PAMPs) and danger-associated molecular patterns (DAMPs), triggering an immune response, it is unknown whether CEP cells (CEPC) share this trait. The CEP exhibits a significantly higher cell density compared to the disc, potentially heightening the relevance of CEPC in this context. This study aimed to identify TLRs on CEPC and explore their role in activating pro-inflammatory and catabolic gene expression.
Methods
Gene expression of TLR1-10 was measured with quantitative real-time polymerase chain reaction in human CEPs and expanded CEPC. Additionally, CEPC were stimulated with tumor necrosis factor alpha and interleukin 1 beta, specific TLR2/6, TLR2/1 and TLR4 agonist (Pam2csk4, Pam3csk4 and lipopolysaccharide) and with the 30 kDa N-terminal fibronectin fragment, a representative DAMP. TLR2 signaling was inhibited with TL2-C29. TLR2 protein expression was measured with flow cytometry.
Results
An ex-vivo analysis of CEP tissue found all 10 TLRs expressed while cultured CEPC lost TLR7 and TLR8 expression. TLR2 was the only TLR whose expression significantly increased after pro-inflammatory stimulation. Stimulation of the TLR2/6 heterodimer with Pam2csk4 upregulated TLR2 protein expression. After 48 hours of stimulation, all applied ligands upregulated expression of pro-inflammatory genes and the matrix metalloproteases 1 (MMP1), MMP3, and MMP13. TLR2 inhibition was able to specifically inhibit the upregulated genes.
Conclusion
The expression of TLR1-10 in CEPC indicates that the CEP is susceptible to PAMP and DAMP stimulation. TLR2 expression in CEPC is enhanced under inflammatory conditions and its stimulation has pro-inflammatory and pro-catabolic consequences. Therefore, TLR2 signaling in CEPC might play an important role in disc degeneration and Modic changes.
Publisher
Research Square Platform LLC
Reference65 articles.
1. Roberts S, Urban JP, Evans H, Eisenstein SM. ‘Transport properties of the human cartilage endplate in relation to its composition and calcification.’, Spine (Phila Pa 1976), vol. 21, no. 4, pp. 415–20, Mar. 1996. 2. Wong J et al. Jun., ‘Nutrient supply and nucleus pulposus cell function: effects of the transport properties of the cartilage endplate and potential implications for intradiscal biologic therapy’, Osteoarthritis Cartilage, vol. 27, no. 6, pp. 956–964, 2019, 10.1016/j.joca.2019.01.013. 3. Bailey JF et al. Jul., ‘The Relationship Between Endplate Pathology and Patient-reported Symptoms for Chronic Low Back Pain Depends on Lumbar Paraspinal Muscle Quality.’, Spine (Phila Pa 1976), vol. 44, no. 14, pp. 1010–1017, 2019, 10.1097/BRS.0000000000003035. 4. Fields AJ, Ballatori A, Liebenberg EC, Lotz JC. ‘Contribution of the Endplates to Disc Degeneration’, Curr Mol Biol Rep, vol. 4, no. 4, pp. 151–160, Dec. 2018, 10.1007/s40610-018-0105-y. 5. Fracture of the vertebral endplates, but not equienergetic impact load, promotes disc degeneration in vitro;Dudli S;J Orthop Res
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