Targeted screening of inflammatory mediators in spontaneous degenerative disc disease in dogs reveals an upregulation of the tumor necrosis superfamily

Author:

Bitterli Thomas1,Schmid David1,Ettinger Ladina1,Krupkova Olga123,Bach Frances C.4,Tryfonidou Marianna A.4ORCID,Meij Björn P.4,Pozzi Antonio1,Steffen Frank1,Wuertz‐Kozak Karin567,Smolders Lucas A.1ORCID

Affiliation:

1. Clinic for Small Animal Surgery, Department for Small Animals, Vetsuisse Faculty University of Zurich Zurich Switzerland

2. Spine Surgery University Hospital Basel Basel Switzerland

3. Department of Biomedicine University of Basel & University Hospital Basel, Tissue Engineering Basel Switzerland

4. Department of Clinical Sciences, Faculty of Veterinary Medicine Utrecht University Utrecht the Netherlands

5. Institute for Biomechanics, ETH Zurich Zurich Switzerland

6. Department of Biomedical Engineering Rochester Institute of Technology (RIT) Rochester New York USA

7. Schön Clinic Munich Harlaching, Spine Center Academic Teaching Hospital and Spine Research Institute of the Paracelsus Medical University Salzburg (Austria) Munich Germany

Abstract

AbstractBackgroundThe regulation of inflammatory mediators in the degenerating intervertebral disc (IVD) and corresponding ligamentum flavum (LF) is a topic of emerging interest. The study aimed to investigate the expression of a broad array of inflammatory mediators in the degenerated LF and IVD using a dog model of spontaneous degenerative disc disease (DDD) to determine potential treatment targets.MethodsLF and IVD tissues were collected from 22 normal dogs (Pfirrmann grades I and II) and 18 dogs affected by DDD (Pfirrmann grades III and IV). A qPCR gene array was used to investigate the expression of 80 inflammatory genes for LF and IVD tissues, whereafter targets of interest were investigated in additional tissue samples using qPCR, western blot (WB), and immunohistochemistry.ResultsTumor necrosis factor superfamily (TNFSF) signaling was identified as a regulated pathway in DDD, based on the significant regulation (n‐fold ± SD) of various TNFSF members in the degenerated IVD, including nerve growth factor (NGF; −8 ± 10), CD40LG (464 ± 442), CD70 (341 ± 336), TNFSF Ligand 10 (9 ± 8), and RANKL/TNFSF Ligand 11 (85 ± 74). In contrast, TNFSF genes were not significantly affected in the degenerated LF compared to the control LF. Protein expression of NGF (WB) was significantly upregulated in both the degenerated LF (4.4 ± 0.5) and IVD (11.3 ± 5.6) compared to the control group. RANKL immunopositivity was significantly upregulated in advanced stages of degeneration (Thompson grades IV and V) in the nucleus pulposus and annulus fibrosus of the IVD, but not in the LF.ConclusionsDDD involves a significant upregulation of various TNFSF members, with tissue‐specific expression profiles in LF and IVD tissues. The differential involvement of TNFSF members within multiple spinal tissues from the same individual provides new insights into the inflammatory processes involved in DDD and may provide a basis to formulate hypotheses for the determination of potential treatment targets.

Publisher

Wiley

Subject

Orthopedics and Sports Medicine

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