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Interleukin-1 beta and cathepsin D modulate formation of the terminal complement complex in cultured human disc tissue

Title
Interleukin-1 beta and cathepsin D modulate formation of the terminal complement complex in cultured human disc tissue
Type
Article in International Scientific Journal
Year
2021
Authors
Teixeira, GQ
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Yong, ZY
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Kuhn, A
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Riegger, J
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Goncalves, RM
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Ruf, M
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Mauer, UM
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Huber Lang, M
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Ignatius, A
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Brenner, RE
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Neidlinger Wilke, C
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Journal
Vol. 30
Pages: 2247-2256
ISSN: 0940-6719
Publisher: Springer Nature
Other information
Authenticus ID: P-00V-40J
Abstract (EN): Purpose Formation of terminal complement complex (TCC), a downstream complement system activation product inducing inflammatory processes and cell lysis, has been identified in degenerated discs. However, it remains unclear which molecular factors regulate complement activation during disc degeneration (DD). This study investigated a possible involvement of the pro-inflammatory cytokine interleukin-1 beta (IL-1 beta) and the lysosomal protease cathepsin D (CTSD). Methods Disc biopsies were collected from patients suffering from DD (n = 43) and adolescent idiopathic scoliosis (AIS, n = 13). Standardized tissue punches and isolated cells from nucleus pulposus (NP), annulus fibrosus (AF) and endplate (EP) were stimulated with 5% human serum (HS) alone or in combination with IL-1 beta, CTSD or zymosan. TCC formation and modulation by the complement regulatory proteins CD46, CD55 and CD59 were analysed. Results In DD tissue cultures, IL-1 beta stimulation decreased the percentage of TCC + cells in AF and EP (P < 0.05), whereas CTSD stimulation significantly increased TCC deposition in NP (P < 0.01) and zymosan in EP (P < 0.05). Overall, the expression of CD46, CD55 and CD59 significantly increased in all isolated cells during culture (P < 0.05). Moreover, cellular TCC deposition was HS concentration dependent but unaffected by IL-1 beta, CTSD or zymosan. Conclusion These results suggest a functional relevance of IL-1 beta and CTSD in modulating TCC formation in DD, with differences between tissue regions. Although strong TCC deposition may represent a degeneration-associated event, IL-1 beta may inhibit it. In contrast, TCC formation was shown to be triggered by CTSD, indicating a multifunctional involvement in disc pathophysiology.
Language: English
Type (Professor's evaluation): Scientific
No. of pages: 10
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