Open Access

Role of microRNAs in intervertebral disc degeneration (Review)

  • Authors:
    • Fengguang Yang
    • Jizu Wang
    • Zhixin Chen
    • Yuping Yang
    • Wenhui Zhang
    • Shifang Guo
    • Qingshan Yang
  • View Affiliations

  • Published online on: June 10, 2021     https://doi.org/10.3892/etm.2021.10292
  • Article Number: 860
  • Copyright: © Yang et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

The incidence of lower back pain caused by intervertebral disc degeneration (IDD) is gradually increasing. IDD not only affects the quality of life of the patients, but also poses a major socioeconomic burden. There is currently no optimal method for delaying or reversing IDD, mainly due to its unknown pathogenesis. MicroRNAs (miRNAs/miRs) participate in the development of a number of diseases, including IDD. Abnormal expression of miRNAs in the intervertebral disc is implicated in various pathological processes underlying the development of IDD, including nucleus pulposus (NP) cell (NPC) proliferation, NPC apoptosis, extracellular matrix remodeling, inflammation and cartilaginous endplate changes, among others. The focus of the present review was the advances in research on the involvement of miRNAs in the mechanism underlying IDD. Further research is expected to identify markers for early diagnosis of IDD and new targets for delaying or reversing IDD.

1. Introduction

Intervertebral disc (IVD) degeneration (IDD) is one of the main causes of low back pain (1-3). Low back pain is common, with ~80% of the population experiencing low back pain at different time points during their lifetime (4,5), and ~40% of all cases are caused by IDD (6). Low back pain caused by IDD costs ~70 billion euros annually worldwide (7). IDD not only affects the quality of life of the patients, but also poses a major socioeconomic burden. However, there is currently no effective and reliable treatment for IDD, mainly due to its unknown pathogenesis. Reversing or delaying the progression of IDD is particularly important for restoring the original physiological structure and function of the spine.

IDD has been widely considered as the result of ‘wear and tear’ due to aging and mechanical strain (8), but these factors have limited impact on the IVDs (9), and several studies have found that genetic factors account for 74% of all cases of IDD (10). MicroRNAs (miRNAs/miRs) are small endogenous non-coding RNAs that regulate gene expression at the post-transcriptional level (11), participating in a number of processes, including cell proliferation, differentiation and apoptosis, among others (12,13). miRNAs have also been closely linked to the process of disc degeneration, with several advances in related research (14-17). The aim of the present review was to focus on the progress of the research on the role of miRNAs in nucleus pulposus (NP) cell (NPC) proliferation and apoptosis, inflammation, extracellular matrix (ECM) remodeling and cartilaginous endplate (CEP) changes, and to discuss the pathogenic mechanisms and potential therapeutic prospects of miRNAs in the treatment of IDD.

2. miRNAs and IDD

The molecular pathological mechanism of IDD remains largely unclear. However, previous studies have shown that IDD is closely associated with apoptosis, cell proliferation, ECM degradation and inflammation (18,19). There is increasing evidence that miRNAs are involved in several aspects of cellular function, such as proliferation, apoptosis and inflammation, thereby regulating a series of pathophysiological changes that affect a number of processes. Several studies have reported significant changes in miRNA expression in degenerated IVD tissue (20-28), a number of which may be involved in the pathological process of IDD.

3. miRNAs and NPC proliferation

Young and healthy human IVDs contain two types of cells: Notochordal cells, which are vacuolated cells originating from the embryonic notochord; and NPCs. NPCs are less dense in healthy human IVDs and have specific distribution areas (29,30). One characteristic of IVD degeneration is the appearance of clusters of cells, particularly in damaged areas (31). The appearance of cell clusters is considered to be the result of abnormal proliferation of NPCs, which is closely associated with IVD degeneration (32). Proliferation is the basic life activity of cells and is affected by a number of factors. miRNAs regulate a variety of physiological activities and pathological processes, including cell proliferation, at the post-transcriptional level (12,33).

miR-21 is one of the most extensively investigated miRNAs. It is expressed in a variety of tissue types (34-36) and is involved in the regulation of cell proliferation (37). The expression of miR-21 in degenerated NP tissue is significantly higher compared with that in healthy NP tissue and is closely associated with the degree of IVD degeneration (14). Moreover, bioinformatics target prediction has indicated that PTEN may be the target of miR-21, that miR-21 inhibits PTEN expression by directly targeting its 3'-untranslated region, and this inhibition is eliminated by miR-21 binding site mutation (14). In addition, miR-21 overexpression-mediated cell proliferation and increased cyclin D1 expression were almost completely blocked by the Akt inhibitor, Ly294002(14). In conclusion, the abnormal upregulation of miR-21 in IVDs may target PTEN, which is involved in the abnormal proliferation of NPCs through derepressing the Akt pathway (14). This suggests that the miR-21 and PTEN/Akt pathways may be potential targets for inhibiting the abnormal proliferation of NPCs. In addition, miR-21 inhibitors can inhibit the expression of hypoxia-inducible factor-1α and VEGF in the annulus fibrosus (AF) and NP, and inhibit NPC apoptosis (15). Furthermore, miR-21 may promote the proliferation of NPCs via targeting programmed cell death 4(16). Upregulation of miR-21 also increases the expression of MMP-2 and MMP-9 mRNA (16). Proteins in the MMP family are classified into three categories based on the degradation substrate: Collagenases (for example, MMP-1 and MMP-13), gelatinases (for example, MMP-2 and MMP-9), which act on denatured collagen and collagen types IV and V, and stromelysins (for example, MMP-3) (17). Therefore, miR-21 not only regulates the number of NPCs, but also regulates in the expression of MMP.

As another potentially important miRNA, miR-10b has not only been found to be expressed in a variety of tissue types, but also has several functions (38), and its abnormal expression is closely associated with the occurrence of malignant tumors dominated by uncontrollable cell proliferation (39). Compared with the NP tissue of patients with idiopathic scoliosis, miR-10b expression in degenerated NP tissues is significantly increased and is closely associated with the degree of disc degeneration (40). In vitro, miR-10b overexpression was shown to stimulate NPC proliferation and inhibit the translation of the homeobox D10 (HOXD10) gene, whereas restored HOXD10 expression reversed the pro-mitotic effect of miR-10b (40). miR-10b-mediated downregulation of HOXD10 expression resulted in increased Ras homolog gene family member C (RhoC) expression and Akt phosphorylation. By downregulating RhoC or inhibiting Akt, the effects of miR-10b on NPC proliferation were eliminated (40). This suggests that abnormal upregulation of miR-10b in IDD may result in abnormal proliferation of NPCs by targeting HOXD10 to inhibit the RhoC/Akt pathway.

miR-96 was found to be upregulated in human degenerated NP tissue and was positively correlated with the degree of IDD (41). Overexpression of miR-96 may promote NPC proliferation by targeting AT-rich interaction domain 2 to activate the Akt signaling pathway (41). miR-665 is similar to miR-9 in that its expression increases with the aggravation of disc degeneration. The increased expression of miR-665 not only promotes NPC proliferation, but also reduces aggrecan and type II collagen expression and increases MMP-3 and MMP-13 expression by inhibiting the expression of growth differentiation factor 5 in NPCs (42). miR-125b-1-3p regulates the cell cycle proteins cyclin D1 and B1 by targeting teashirt zinc finger homeobox 3, which may be involved in the regulation of NPC proliferation (43). In addition, miR-184 was elevated in degenerative NP tissues and promoted abnormal proliferation of NPCs via the growth arrest-specific 1/Akt pathway (44). The abnormal proliferation of NPCs is one of the early changes observed in IDD, and some miRNAs are involved in this important pathological change (Table I). Therefore, these miRNAs are expected to represent targets for the early detection and prevention of IDD.

Table I

miRNAs are involved in NPC proliferation in IDD.

Table I

miRNAs are involved in NPC proliferation in IDD.

Author (year)miRNAExperimental modelExpressionTarget(Refs.)
Liu et al, 2014miR-21hIDD tissue, hNPCUpPTEN(14)
Sheng et al, 2018miR-21Rat IDD modelUpHIF-1α/VEGF(15)
Chen et al, 2016miR-21hNP tissue, hNPCUpPDCD4(16)
Yu et al, 2013miR-10bhIDD tissue, hNPCUpHOXD10(40)
Tao et al, 2017miR-96hIDD tissue, hNPCUpARID2/AKT(41)
Tan et al, 2018miR-665hNP tissue, hNPCUpGDF5(42)
Li et al, 2017miR-184hNP tissue, hNPCUpGAS1(44)

[i] miR/miRNA, microRNA; IDD, intervertebral disk degeneration; h, human; NP, nucleus pulposus; NPC, NP cell; PDCD4, programmed cell death 4; HOXD10, homeobox D10; ARID2, AT-rich interaction domain 2; GDF, growth differentiation factor; GAS1, growth arrest-specific 1.

4. miRNAs and NPC apoptosis

Apoptosis, or programmed cell death, is an important factor in IDD. NPCs are the main source of ECM in IVD tissue. When NPCs become apoptotic, the amount of ECM is reduced, and the water in the IVD tissue cannot be retained, resulting in the loss of biomechanical properties (45). NPC apoptosis is considered to be an important mechanism involved in IDD, and some miRNAs have been reported to be involved in the regulation of apoptosis in NPCs (Table II) (46-64).

Table II

miRNAs involved in NPC apoptosis in IDD.

Table II

miRNAs involved in NPC apoptosis in IDD.

Author (year)miRNAExperimental modelExpressionTarget(Refs.)
Wang et al, 2015miR-494hNPCUpJunD(46)
Kang et al, 2017miR-494hNP tissue, hNPCUpSOX9(47)
Li et al, 2018miR-494hNPC, rat IDD modelUpNOVA1(48)
Yang and Sun, 2019miR-129-5phIDD tissue, NPCDownBMP2(49)
Sun et al, 2019miR-499a-5phNPC, hNP tissueDownSOX4(50)
Yang et al, 2019miR-143-5pRat IDD model, rat NPCUpeEF2(51)
Liu et al, 2017miR-125ahNP tissue, hNPCDownBAK1(52)
Wang et al, 2011miR-155hNP tissue, hNPCDownFADD/caspase-3(28)
Zhao et al, 2017miR-143hNP tissue, hNPCUpBCL2(54)
Lv et al, 2018miR-30dhNP tissue, hNPCUpSOX9(55)
Liu et al, 2013miR-27ahNP tissue, hNPCUpPI3K(56)
Wang et al, 2016miR-138-5phNP tissue, hNPCDownSIRT1(57)
Sun et al, 2018miR-532hNPC, h-bloodUpBcl-9(58)
Wang et al, 2019miR-573hNP tissue, hNPCDownBax(59)
Liu et al, 2016miR-4458hNP tissue, hNPCUpIGF1(60)
Zhang et al, 2016miR-210hNP tissue hNPCDownHOXA9(61)
Cai et al, 2017miR-15ahNP tissue, hNPCUpMAP3K9(62)
Liu et al, 2019miR-222-3phNPCUpCDKN1B(63)
Wang et al, 2018miR-199hNPCDownMAP3K5(64)

[i] miR/miRNA, microRNA; h, human; NP, nucleus pulposus; NPC, NP cell; IDD, intervertebral disk degeneration; SOX, sex-determining region Y-box; HOXA9, homeobox A9; IGF1, insulin-like growth factor 1; CDKN1B, cyclin-dependent kinase inhibitor 1B; NOVA1, neurooncological ventral antigen 1; eEF2, eukaryotic elongation factor 2; BAK1, Bcl2 antagonist/killer 1; SIRT, sirtuin; FADD, Fas-associated protein with death domain.

A growing body of literature suggests that miR-494 plays an important role in the regulation of apoptosis in NPCs. It has been found that miR-494 is upregulated in degenerated human IVD tissue, and inhibition of miR-494 may protect NPCs from TNF-α-induced apoptosis by targeting JunD and cytochrome c (46). In addition, miR-494 promotes the expression of ECM resolution factors, such as MMPs and a disintegrin and metalloproteinase with thrombospondin motifs (ADAMTS), by directly targeting sex-determining region Y-box (SOX)9 and reducing the expression of type II collagen and aggrecan, which mediates the apoptosis of degenerated human NPCs (47). Some scholars have observed elevated miR-494 expression levels in IDD rats, whereas miR-494 inhibitors reduced caspase-3 and Bax expression, and increased neurooncological ventral antigen 1 (NOVA1) and Bcl-2 expression (48). NOVA1 was identified as a target gene of miR-494 by a dual-luciferase reporter assay (48). miR-494 is widely involved in the apoptosis of NPCs and plays an important role in the progression of IDD. Therefore, it may represent a promising potential target for IDD treatment.

Recent research has found decreased expression of miR-129-5p in human IDD, whereas NPCs treated with miR-129-5p mimics or bone morphogenic protein 2 (BMP-2) siRNA exhibited improved survival and inhibition of apoptosis (49). Therefore, the abnormal expression of miR-129-5p may serve a role in IDD by targeting BMP-2. Similar to miR-129-5p, miR-499a-5p was also found to be significantly downregulated in human degenerated NP tissue. miR-499a-5p knockout promoted NPC apoptosis, stimulated caspase activation, enhanced MMP-3 and MMP-13 expression, and decreased aggrecan and type II collagen expression (50). In addition, overexpression of miR-499a-5p alleviated the apoptosis of TNF-α-treated NPCs and the imbalance of ECM anabolism and catabolism; however, the abnormal expression of SOX4 weakened the negative effect of miR-499a-5p on NPC apoptosis and the positive effect on ECM synthesis (50). This indicates that the effects of miR-499a-5p may be mediated by targeting SOX4. NPCs are the main functional cells of the IVD. The ECM produced by NPCs is the structural basis of the biomechanical properties of the IVD.

Consequently, the abnormal proliferation of NPCs is an early pathological change of IDD (44) and may be helpful for the early identification of IDD. Whether the function of NPCs after early abnormal proliferation is the same as those of the parental NPCs needs further study. The ECM in IVD tissue is mainly derived from NPCs, and the apoptosis of NPCs will accelerate the degeneration of the IVD. Further understanding the association between miRNAs and NPC apoptosis in the process of IDD may provide new approaches to delaying or reversing IDD.

5. miRNAs and inflammation

Inflammation is considered to be an important mechanism in the IDD process. The concentrations of nitric oxide, prostaglandin E2, IL-1β, IL-6 and TNF-α in degenerated IVDs were found to be higher compared with those in normal IVDs (64-66). Furthermore, IL-1β and TNF-α mediate catabolism and anti-anabolism within the NP, which are largely involved in the establishment and progression of IDD (67,68). In recent years, numerous studies (69-83) have revealed that miRNAs may be involved in IDD through the regulation of inflammation (Table III).

Table III

miRNAs involved in inflammation in IDD.

Table III

miRNAs involved in inflammation in IDD.

Author (year)miRNAExperimental modelExpressionTarget(Refs.)
Gu et al, 2015miR-146aIL1-NPC (bovine tail)/IL-1(69)
Lv et al, 2017miR-146aPBMCs/LPS-hNPCDownIL-1b/IL-6, TNF-α(70)
Chen et al, 2019miR-194-5phFOB, hAFC, hNPC, hIDD tissueDownCUL4A/B(71)
Qin et al, 2019miR-149LPS-NPC (rat)DownMyD88(72)
Zhang et al, 2019miR-222hNPC, hIDD tissueUpTIMP3(73)
Sun et al, 2018miR-155Rat NPC, hNPC, hNP tissue/TCF7L2(74)
Shen et al, 2019miR-625-5phAFC, hNPC, hIDD tissueUpCOL1A1(75)
Lu et al, 2018miR-589-3phNPCUpSMAD4(76)
Zhang et al, 2018miR-140-5phNPC, hIDD tissueDownTLR4(77)
Dong et al, 2019miR-640hNPC, hAFC, hIDD tissueUpLRP1(78)
Li et al, 2018miR-148ahNPC, hIDD tissueDownp-p38(79)
Wang et al, 2018miR-223Rat NP tissues, rat NPCDownIrak1(80)
Kong et al, 2018miR-194LPS-NPC (rat)DownTRAF6(81)
Zhou et al, 2019miR-155Rat NPC, C57BL/6 mouse/C/EBPβ(82)
Cao and Chen, 2017miR-27ahIDD tissue, hNPCUp IL-1β/IL-6/TNF-α(83)

[i] miR/miRNA, microRNA; NP, nucleus pulposus; PBMCs, peripheral blood mononuclear cells; LPS, lipopolysaccharide; h, human; FOB, osteoblast cell; AFC, annuls fibrosus cell; NPC, NP cell; IDD, intervertebral disc degeneration; CUL4, cullin family gene 4; MyD88, myeloid differentiation factor 88; TIMP, tissue inhibitor of metalloproteinase; COL1A1, collagen, type I, alpha 1; TLR, toll-like receptor; TCF7L2, transcription factor 7 like 2; LRP1, LDL receptor-related protein-1; Irak1, IL-1 receptor-associated kinase 1; TRAF6, TNFR-associated factor 6; C/EBP, CCAAT/enhancer binding protein.

miR-146a has been reported to inhibit the mRNA expression of IL-1-mediated inflammatory genes and catabolic proteinases, as well as the protein level of IL-1-mediated MMPs and aggrecanases (69). In 2017, Lv et al (70) demonstrated that the expression of miR-146a in peripheral blood mononuclear cells of patients with IDD was significantly downregulated. In addition, they found that overexpression of miR-146a could significantly downregulate the levels of pro-inflammatory cytokines (IL-1β, IL-6 and TNF-α) in lipopolysaccharide-stimulated NPCs, and confirmed that these effects depend on the TNF receptor associated-associated factor 6/NF-κB pathway.

miR-194-5p was also found to be significantly downregulated in patients with IDD by miRNA-based microarray analysis (71). Inhibition/overexpression of miR-194-5p led to inhibition/overexpression of cullin family (CUL) gene 4A (CUL4A) and CUL4B (71). Furthermore, IL-6 and TNF-α inhibitors in NPCs and AF cells reduced the expression of CUL4A and CUL4B (71). Similar to miR-194-5p, miR-149 was significantly reduced in lipopolysaccharide-induced NPCs (71). Overexpression of miR-149 reversed the expression of aggrecan and collagen II, and alleviated the increase in MMP-3, ADAMTS4 and inflammatory cytokines by targeting myeloid differentiation factor 88(72). In vitro, miR-222 mimics/inhibitors were able to promote/inhibit NPC apoptosis, respectively (74). Moreover, transfection of miR-222 mimics/inhibitors could significantly increase/reduce the production of TNF-α, IL-1β, and IL-6 and inhibit/enhance the expression of collagen II and aggrecan, respectively (73).

Therefore, miRNAs directly or indirectly affect the ECM, NPCs and AF cells of the IVD through the regulation of inflammatory factors, subsequently influencing the process of IDD. Taking specific miRNAs as the entry point to control the progression of inflammation in the process of IDD may be an important approach to delaying the progression of IDD.

6. miRNAs and ECM remodeling

In human IVDs, the ECM is mainly composed of proteoglycans and type II collagen, which not only retain water, but also help maintain osmotic pressure, thus conferring unique biomechanical properties (84). The balance of ECM catabolism and anabolism is the basis of the biomechanical function of the IVD. An important feature of IDD is that ECM catabolism is greater than its anabolism (85). Recently, a number of studies demonstrated that miRNAs may be involved in the regulation of the ECM in IDD by regulating key molecules (for example, MMPs, collagen II and ADAMTS) that affect anabolic and catabolic processes (25,86-103) (Table IV).

Table IV

miRNAs involved in ECM remodeling in IDD.

Table IV

miRNAs involved in ECM remodeling in IDD.

Author (year)miRNAExperimental modelExpressionTarget(Refs.)
Ye et al, 2016miR-155hNPCDownERK1/2(86)
Zhang et al, 2017miR-155hIDDDownMMP-16(87)
Jing and Jiang, 2015miR-93hNP tissueDownMMP-3(88)
Hua et al, 2017miR-127-5phNP tissueDownMMP-13(89)
Yang et al, 2019miR-483-3phNPCUpGSK3B(91)
 miR-23c DownCTNNB1 
Ji et al, 2016miR-98hNP tissueDownMMP-2(25)
Zhang et al, 2018miR-3150a-3phNPCUpACAN(92)
Yan et al, 2015miR-100hIDDUpMMP-13(93)
Zhou et al, 2017miR-146ahNP tissueUp/(94)
Liu et al, 2016miR-7hNP tissueUpGDF5(95)
Kang et al, 2017miR-15bhNP tissueUpSMAD3(96)
Liu et al, 2017miR-132hNP tissueUpGDF5(97)
Wang et al, 2018miR-21hNPCUpPTEN(98)
Yang et al, 2019miR-146Rat NPC/Notch1(99)
Shi et al, 2019miR-202-3phNPCDownMMP-1(100)
Wang et al, 2017miR-210hNP tissuesUpATG7(101)
Chai et al, 2019miR-486-5pLPS-stimulated NPCDownFOXO1(102)
Wang et al, 2019miR-154hNPCUpFGF14(103)

[i] h, human; NP, nucleus pulposus; NPC, NP cell; IDD, intervertebral disc degeneration; ECM, extracellular matrix; PBMCs, peripheral blood mononuclear cells; LPS, lipopolysaccharide; FOB, osteoblast cell; AFC, annuls fibrosus cell; GSK, glycogen synthase kinase; GDF, growth differentiation factor; CTNNB1, β-catenin; ACAN, aggrecan; ATG7, autophagy-related gene 7; FOXO1, forkhead box O1; FGF, fibroblast growth factor.

In degenerated disc tissue, inhibition of miR-155 was shown to reduce the expression of collagen II and glycosaminoglycans by targeting ERK1/2(86). A previous study using an IDD mouse model demonstrated that upregulation of miR-155 upregulated the expression of aggrecan and collagen type II, and downregulated MMP-16(87), suggesting that miR-155 serves an important regulatory role in ECM anabolism and catabolism.

MMPs are classified into three categories based on the degradation substrate: Collagenases, gelatinases, or stromelysins (37). MMPs are key molecules regulating ECM catabolism. Several miRNAs targeting the MMP family participate in the regulation of ECM metabolism (18-20,88,89). These findings indicate that the involvement of miRNAs in ECM catabolism may be closely associated with the regulation of MMP expression. The effects of MMPs on ECM catabolism and anabolism are important. Therefore, by regulating MMPs, these miRNAs may represent important biological molecules in the alleviation, or even the reversal of ECM loss.

Reversing or alleviating ECM loss is crucial for IDD. Aucubin, a compound found in traditional Chinese medicines, was reported to play a key role in the regulation of the ECM (90). In IDD, the increased release of pro-inflammatory factors by NPCs can cause the degradation of the ECM. However, aucubin can alleviate the degradation of ECM mediated by IL-1β or TNF-α by regulating the miR-140/cAMP responsive element binding protein 1 axis (90). In addition, Bu Shen Hu Xue Fang (BSHXF), a traditional Chinese medicine, is composed of six herbs (Cortex Eucommiae ulmoides, Fructus Psoraleae, Achyranthes bidentata, Salvia miltiorrhiza, Radix clematidis and Chaenomeles speciosa). Through the regulation of the Wnt signaling pathway by miR-483-3p and miR-23c, BSHXF was shown to affect ECM synthesis and NPC proliferation (91). Thus, traditional Chinese medicine may also be of value in the study of IDD.

7. miRNAs and CEP changes

The CEP is located between the vertebral endplate and the NP, and is mainly composed of hyaline cartilage cells and chondrocytes, and the ECM they produce. CEP degradation is accompanied by a loss of nutrients in the ECM, which is a major cause for the development of IDD (104). CEP serves as a mechanical shock absorber and is also an important channel for the free transmission of nutrients and metabolites between the avascular NP and the vertebral body (105). It also serves as a barrier and part of the body's defense against toxic and harmful substances, such as inflammatory factors, MMPs and immune molecules, entering the NP (106,107). The occurrence of IDD may be associated with CEP degeneration, dysfunction, and calcification (108,109). Some miRNAs (110-114) have been found to be involved in the changes of the CEP in the progress of IDD (Table V).

Table V

miRNAs involved in CEP changes in IDD.

Table V

miRNAs involved in CEP changes in IDD.

Author (year)miRNAExperimental modelExpressionTarget(Refs.)
Chen et al, 2015miR-34aChondrocytes (hIDD)UpBcl-2(110)
Zhan et al, 2018miR-625hIDDDownFas(111)
Sheng et al, 2018miR-221Cells (hIDD CEP)UpERα(112)
Zheng et al, 2019miR-365Chondrocytes (hIDD CEP)DownHDAC4(114)
Liu et al, 2016miR-20aCells (hCEP)UpANKH(116)

[i] h, human; IDD, intervertebral disc degeneration; CEP, cartilaginous endplate; HDAC, histone deacetylase; ANKH, ankylosis protein homolog; ER, estrogen receptor.

Chondrocytes are an important part of the CEP. However, it was demonstrated that upregulation of miR-34a expression in human degenerated chondrocytes caused Fas-mediated CEP chondrocyte apoptosis (110). Similar to miR-34a, downregulation of miR-625 also caused Fas-mediated cervical CEP chondrocyte apoptosis (111). These findings may indicate that the effects of miRNAs on chondrocyte apoptosis in the CEP may be mediated by Fas. Further research may elucidate the role of miRNAs in the apoptosis of CEP chondrocytes.

Interestingly, estrogen (17β-estradiol, E2) could inhibit apoptosis of CEP cells and restore cell viability and cell cycle progression in the G0/G1 phase (112). The luciferase assay demonstrated that estrogen receptor α (ERα) was a target of miR-221(112). This indicates that miR-221 may affect the protective effect of estrogen on degenerating CEP cells through targeting ERα. However, there are few studies on estrogen in IDD, and its specific effect and mechanism require further research.

The CEP is an important load-bearing structure, and long-term mechanical loads are considered to be one of the causes of IDD (113). miR-365 is a mechanically sensitive miRNA, which directly targets histone deacetylase 4 to regulate the degeneration of human chondrocytes (114). In addition, the TGF-β/SMAD signaling pathway inhibits the intermittent cyclic mechanical tension-mediated degeneration of CEP chondrocytes by regulating the miR-455-5p/Runt-related transcription factor 2 (Runx2) axis (115). In addition, it was previously demonstrated that miR-20a/ankylosis protein homolog regulates stiff matrix-promoted CEP calcification (116). Chondrocyte degeneration and calcification affect the function of the CEP, which is an important factor in CEP degeneration.

8. miRNAs and AF

The AF consists of bundles of fibers arranged in a crisscross pattern and is an important structure surrounding the NP. AF cells may be a source of pluripotent stem cells with the potential to differentiate into adipocytes, chondrocytes, neurons, osteoblasts and endothelial cells (117). The normal AF and degenerated AF cells were found to undergo osteogenic differentiation, as shown by mineralization of cultured cells and increased mRNA expression of BMP2, Runx2, alkaline phosphatase and osteocalcin (118). However, the osteogenic differentiation potential of degenerated AF cells is higher than that of normal AF cells, which may be associated with the regulation of the BMP/SMAD pathway by miR-221(118). AF is an important structure of the IVD. However, the association between pathological changes in the AF and miRNAs in IDD remains elusive.

9. miRNAs and IDD diagnosis

Early treatment intervention usually improves the outcome of most diseases; however, early diagnosis is a prerequisite for early intervention. There are currently no early diagnostic methods for IDD, and imaging findings are often lacking. Therefore, it is necessary to explore and develop laboratory diagnostic methods for early diagnosis of IDD. The expression level of miR-26a-5p in the serum of mice with IVD degeneration was found to be consistently higher compared with that of young pre-injury samples or a normal control group without IVD degeneration (119). This indicates that miR-26a-5p is a potential molecule for IDD diagnosis. In addition, the expression of miR-146a in peripheral blood mononuclear cells from patients with IDD was significantly lower compared with that of healthy controls (70). Some scholars recently demonstrated that several miRNAs (for example, miR-199a-5p, miR-574-3p, miR-551a and miR-640) may be candidate markers for predicting IDD (120). The clinical correlation between these miRNAs and IDD suggests that miRNAs may be useful as early diagnostic markers of IDD.

10. Conclusion

IDD is currently a common disease. However, there is yet no optimal treatment for IDD, and the main reason is that its pathogenesis is unknown. miRNAs participate in the various pathological processes implicated in IDD (Fig. 1). Significant progress has been made in the study of miRNAs affecting the development of IDD, revealing the association between genetic susceptibility and exposure to risk factors, and improving our understanding of the pathogenesis of IDD. Taken together, the findings of the currently available studies highlight miRNAs as a promising research direction for IDD. Further study on the association between miRNAs and IDD may reveal new diagnostic markers and therapeutic targets for IDD.

Acknowledgements

Not applicable.

Funding

Funding: The present study was supported by the National Natural Science Foundation of China, Regional fund (grant no. 82060409).

Availability of data and materials

Not applicable.

Authors' contributions

QY and SG conceived this review article. FY, JW, ZC, YY and WZ searched the literature and collected the articles/published data, for inclusion and interpretation in this review. All the authors were involved in the writing of the manuscript. All the authors have read and approved the final manuscript.

Ethics approval and consent to participate

Not applicable.

Patient consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

References

1 

Park EH, Moon SW, Suh HR, Hochman S, Lee MG, Kim YI, Jang IT and Han HC: Disc degeneration induces a mechano-sensitization of disc afferent nerve fibers that associates with low back pain. Osteoarthritis Cartilage. 27:1608–1617. 2019.PubMed/NCBI View Article : Google Scholar

2 

Lv B, Yuan J, Ding H, Wan B, Jiang Q, Luo Y, Xu T, Ji P, Zhao Y, Wang L, et al: Relationship between endplate defects, modic change, disc degeneration, and facet joint degeneration in patients with low back pain. Biomed Res Int. 2019(9369853)2019.PubMed/NCBI View Article : Google Scholar

3 

Brinjikji W, Diehn FE, Jarvik JG, Carr CM, Kallmes DF, Murad MH and Luetmer PH: MRI findings of disc degeneration are more prevalent in adults with low back pain than in asymptomatic controls: A systematic review and meta-analysis. AJNR Am J Neuroradiol. 36:2394–2399. 2015.PubMed/NCBI View Article : Google Scholar

4 

Borenstein D: Mechanical low back pain-a rheumatologist's view. Nat Rev Rheumatol. 9:643–653. 2013.PubMed/NCBI View Article : Google Scholar

5 

GBD 2016 DALYs and HALE Collaborators. Global, regional, and national disability-adjusted life-years (DALYs) for 333 diseases and injuries and healthy life expectancy (HALE) for 195 countries and territories, 1990-2016: A systematic analysis for the global burden of disease study 2016. Lancet. 390:1260–1344. 2017.PubMed/NCBI View Article : Google Scholar

6 

Cheung KM, Karppinen J, Chan D, Ho DW, Song YQ, Sham P, Cheah KS, Leong JC and Luk KD: Prevalence and pattern of lumbar magnetic resonance imaging changes in a population study of one thousand forty-three individuals. Spine (Phila Pa 1976). 34:934–940. 2009.PubMed/NCBI View Article : Google Scholar

7 

van Uden S, Silva-Correia J, Oliveira JM and Reis RL: Current strategies for treatment of intervertebral disc degeneration: Substitution and regeneration possibilities. Biomater Res. 21(22)2017.PubMed/NCBI View Article : Google Scholar

8 

Battié MC, Videman T, Kaprio J, Gibbons LE, Gill K, Manninen H, Saarela J and Peltonen L: The twin spine study: Contributions to a changing view of disc degeneration. Spine J. 9:47–59. 2009.PubMed/NCBI View Article : Google Scholar

9 

Frymoyer JW: Lumbar disk disease: Epidemiology. Instr Course Lect. 41:217–223. 1992.PubMed/NCBI

10 

MacGregor AJ, Andrew T, Sambrook PN and Spector TD: Structural, psychological, and genetic influences on low back and neck pain: A study of adult female twins. Arthritis Rheum. 51:160–167. 2004.PubMed/NCBI View Article : Google Scholar

11 

Bartel DP: MicroRNAs: Target recognition and regulatory functions. Cell. 136:215–233. 2009.PubMed/NCBI View Article : Google Scholar

12 

Li Z, Lei H, Luo M, Wang Y, Dong L, Ma Y, Liu C, Song W, Wang F, Zhang J, et al: DNA methylation downregulated mir-10b acts as a tumor suppressor in gastric cancer. Gastric Cancer. 18:43–54. 2015.PubMed/NCBI View Article : Google Scholar

13 

Zheng F, Liao YJ, Cai MY, Liu YH, Liu TH, Chen SP, Bian XW, Guan XY, Lin MC, Zeng YX, et al: The putative tumour suppressor microRNA-124 modulates hepatocellular carcinoma cell aggressiveness by repressing ROCK2 and EZH2. Gut. 61:278–289. 2012.PubMed/NCBI View Article : Google Scholar

14 

Liu H, Huang X, Liu X, Xiao S, Zhang Y, Xiang T, Shen X, Wang G and Sheng B: miR-21 promotes human nucleus pulposus cell proliferation through PTEN/AKT signaling. Int J Mol Sci. 15:4007–4018. 2014.PubMed/NCBI View Article : Google Scholar

15 

Sheng X, Guo Q, Yu J and Xu Y: Experimental research on the effect of microRNA-21 inhibitor on a rat model of intervertebral disc degeneration. Exp Ther Med. 16:67–72. 2018.PubMed/NCBI View Article : Google Scholar

16 

Chen B, Huang SG, Ju L, Li M, Nie FF, Zhang Y, Zhang YH, Chen X and Gao F: Effect of microRNA-21 on the proliferation of human degenerated nucleus pulposus by targeting programmed cell death 4. Braz J Med Biol Res. 49(e5020)2016.PubMed/NCBI View Article : Google Scholar

17 

Millward-Sadler SJ, Costello PW, Freemont AJ and Hoyland JA: Regulation of catabolic gene expression in normal and degenerate human intervertebral disc cells: Implications for the pathogenesis of intervertebral disc degeneration. Arthritis Res Ther. 11(R65)2009.PubMed/NCBI View Article : Google Scholar

18 

Battié MC, Videman T and Parent E: Lumbar disc degeneration: Epidemiology and genetic influences. Spine (Phila Pa 1976). 29:2679–2690. 2004.PubMed/NCBI View Article : Google Scholar

19 

Cheng X, Zhang L, Zhang K, Zhang G, Hu Y, Sun X, Zhao C, Li H, Li YM and Zhao J: Circular RNA VMA21 protects against intervertebral disc degeneration through targeting miR-200c and X linked inhibitor-of-apoptosis protein. Ann Rheum Dis. 77:770–779. 2018.PubMed/NCBI View Article : Google Scholar

20 

Feng C, Liu M, Fan X, Yang M, Liu H and Zhou Y: Intermittent cyclic mechanical tension altered the microRNA expression profile of human cartilage endplate chondrocytes. Mol Med Rep. 17:5238–5246. 2018.PubMed/NCBI View Article : Google Scholar

21 

Cheng X, Zhang G, Zhang L, Hu Y, Zhang K, Sun X, Zhao C, Li H, Li YM and Zhao J: Mesenchymal stem cells deliver exogenous miR-21 via exosomes to inhibit nucleus pulposus cell apoptosis and reduce intervertebral disc degeneration. J Cell Mol Med. 22:261–276. 2018.PubMed/NCBI View Article : Google Scholar

22 

Xu YQ, Zhang ZH, Zheng YF and Feng SQ: Dysregulated miR-133a mediates loss of type II collagen by directly targeting matrix metalloproteinase 9 (MMP9) in human intervertebral disc degeneration. Spine (Phila Pa 1976). 41:E717–E724. 2016.PubMed/NCBI View Article : Google Scholar

23 

Li HR, Cui Q, Dong ZY, Zhang JH, Li HQ and Zhao L: Downregulation of miR-27b is involved in loss of type II collagen by directly targeting matrix metalloproteinase 13 (MMP13) in human intervertebral disc degeneration. Spine (Phila Pa 1976). 41:E116–E123. 2016.PubMed/NCBI View Article : Google Scholar

24 

Ji ML, Zhang XJ, Shi PL, Lu J, Wang SZ, Chang Q, Chen H and Wang C: Downregulation of microRNA-193a-3p is involved in invertebral disc degeneration by targeting MMP14. J Mol Med (Berl). 94:457–468. 2016.PubMed/NCBI View Article : Google Scholar

25 

Ji ML, Lu J, Shi PL, Zhang XJ, Wang SZ, Chang Q, Chen H and Wang C: Dysregulated miR-98 contributes to extracellular matrix degradation by targeting IL-6/STAT3 signaling pathway in human intervertebral disc degeneration. J Bone Miner Res. 31:900–909. 2016.PubMed/NCBI View Article : Google Scholar

26 

Zhao B, Yu Q, Li H, Guo X and He X: Characterization of microRNA expression profiles in patients with intervertebral disc degeneration. Int J Mol Med. 33:43–50. 2014.PubMed/NCBI View Article : Google Scholar

27 

Ohrt-Nissen S, Døssing KB, Rossing M, Lajer C, Vikeså J, Nielsen FC, Friis-Hansen L and Dahl B: Characterization of miRNA expression in human degenerative lumbar disks. Connect Tissue Res. 54:197–203. 2013.PubMed/NCBI View Article : Google Scholar

28 

Wang HQ, Yu XD, Liu ZH, Cheng X, Samartzis D, Jia LT, Wu SX, Huang J, Chen J and Luo ZJ: Deregulated miR-155 promotes Fas-mediated apoptosis in human intervertebral disc degeneration by targeting FADD and caspase-3. J Pathol. 225:232–242. 2011.PubMed/NCBI View Article : Google Scholar

29 

Fontana G, See E and Pandit A: Current trends in biologics delivery to restore intervertebral disc anabolism. Adv Drug Deliv Rev. 84:146–158. 2015.PubMed/NCBI View Article : Google Scholar

30 

Maroudas A, Stockwell RA, Nachemson A and Urban J: Factors involved in the nutrition of the human lumbar intervertebral disc: Cellularity and diffusion of glucose in vitro. J Anat. 120:113–130. 1975.PubMed/NCBI

31 

Mern DS, Beierfuß A, Thomé C and Hegewald AA: Enhancing human nucleus pulposus cells for biological treatment approaches of degenerative intervertebral disc diseases: A systematic review. J Tissue Eng Regen Med. 8:925–936. 2014.PubMed/NCBI View Article : Google Scholar

32 

Johnson WE, Eisenstein SM and Roberts S: Cell cluster formation in degenerate lumbar intervertebral discs is associated with increased disc cell proliferation. Connect Tissue Res. 42:197–207. 2001.PubMed/NCBI View Article : Google Scholar

33 

Araldi E, Chamorro-Jorganes A, van Solingen C, Fernandez-Hernando C and Suarez Y: Therapeutic potential of modulating microRNAs in atherosclerotic vascular disease. Curr Vasc Pharmacol. 13:291–304. 2015.PubMed/NCBI

34 

Toiyama Y, Takahashi M, Hur K, Nagasaka T, Tanaka K, Inoue Y, Kusunoki M, Boland CR and Goel A: Serum miR-21 as a diagnostic and prognostic biomarker in colorectal cancer. J Natl Cancer Inst. 105:849–859. 2013.PubMed/NCBI View Article : Google Scholar

35 

Vicinus B, Rubie C, Stegmaier N, Frick VO, Kölsch K, Kauffels A, Ghadjar P, Wagner M and Glanemann M: miR-21 and its target gene CCL20 are both highly overexpressed in the microenvironment of colorectal tumors: Significance of their regulation. Oncol Rep. 30:1285–1292. 2013.PubMed/NCBI View Article : Google Scholar

36 

Wang P, Zhuang L, Zhang J, Fan J, Luo J, Chen H, Wang K, Liu L, Chen Z and Meng Z: The serum miR-21 level serves as a predictor for the chemosensitivity of advanced pancreatic cancer, and miR-21 expression confers chemoresistance by targeting FasL. Mol Oncol. 7:334–345. 2013.PubMed/NCBI View Article : Google Scholar

37 

Zhang YX, Yue Z, Wang PY, Li YJ, Xin JX, Pang M, Zheng QY and Xie SY: Cisplatin upregulates MSH2 expression by reducing miR-21 to inhibit A549 cell growth. Biomed Pharmacother. 67:97–102. 2013.PubMed/NCBI View Article : Google Scholar

38 

Ma L, Teruya-Feldstein J and Weinberg RA: Tumour invasion and metastasis initiated by microRNA-10b in breast cancer. Nature. 449:682–688. 2007.PubMed/NCBI View Article : Google Scholar

39 

Zhao FL, Hu GD, Wang XF, Zhang XH, Zhang YK and Yu ZS: Serum overexpression of microRNA-10b in patients with bone metastatic primary breast cancer. J Int Med Res. 40:859–866. 2012.PubMed/NCBI View Article : Google Scholar

40 

Yu X, Li Z, Shen J, Wu WK, Liang J, Weng X and Qiu G: MicroRNA-10b promotes nucleus pulposus cell proliferation through RhoC-Akt pathway by targeting HOXD10 in intervetebral disc degeneration. PLoS One. 8(e83080)2013.PubMed/NCBI View Article : Google Scholar

41 

Tao B, Yi J, Huang C, Xu W, Qin C, Chen L, Chen J, Gao Y and Wang R: microRNA-96 regulates the proliferation of nucleus pulposus cells by targeting ARID2/AKT signaling. Mol Med Rep. 16:7553–7560. 2017.PubMed/NCBI View Article : Google Scholar

42 

Tan H, Zhao L, Song R, Liu Y and Wang L: microRNA-665 promotes the proliferation and matrix degradation of nucleus pulposus through targeting GDF5 in intervertebral disc degeneration. J Cell Biochem. 119:7218–7225. 2018.PubMed/NCBI View Article : Google Scholar

43 

Meng X, Zhu Y, Tao L, Zhao S and Qiu S: MicroRNA-125b-1-3p mediates intervertebral disc degeneration in rats by targeting teashirt zinc finger homeobox 3. Exp Ther Med. 15:2627–2633. 2018.PubMed/NCBI View Article : Google Scholar

44 

Li W, Wang P, Zhang Z, Wang W, Liu Y and Qi Q: MiR-184 regulates proliferation in nucleus pulposus cells by targeting GAS1. World Neurosurg. 97:710–715.e1. 2017.PubMed/NCBI View Article : Google Scholar

45 

Heuer F, Schmidt H and Wilke HJ: The relation between intervertebral disc bulging and annular fiber associated strains for simple and complex loading. J Biomech. 41:1086–1094. 2008.PubMed/NCBI View Article : Google Scholar

46 

Wang T, Li P, Ma X, Tian P, Han C, Zang J, Kong J and Yan H: MicroRNA-494 inhibition protects nucleus pulposus cells from TNF-α-induced apoptosis by targeting JunD. Biochimie. 115:1–7. 2015.PubMed/NCBI View Article : Google Scholar

47 

Kang L, Yang C, Song Y, Zhao K, Liu W, Hua W, Wang K, Tu J, Li S, Yin H and Zhang Y: MicroRNA-494 promotes apoptosis and extracellular matrix degradation in degenerative human nucleus pulposus cells. Oncotarget. 8:27868–27881. 2017.PubMed/NCBI View Article : Google Scholar

48 

Li L, Zhang L and Zhang Y: Roles of miR-494 in intervertebral disk degeneration and the related mechanism. World Neurosurg, Dec 30, 2018 (Online ahead of print).

49 

Yang W and Sun P: Downregulation of microRNA-129-5p increases the risk of intervertebral disc degeneration by promoting the apoptosis of nucleus pulposus cells via targeting BMP2. J Cell Biochem. 120:19684–19690. 2019.PubMed/NCBI View Article : Google Scholar

50 

Sun JC, Zheng B, Sun RX, Meng YK, Wang SM, Yang HS, Chen Y, Shi JG and Guo YF: MiR-499a-5p suppresses apoptosis of human nucleus pulposus cells and degradation of their extracellular matrix by targeting SOX4. Biomed Pharmacother. 113(108652)2019.PubMed/NCBI View Article : Google Scholar

51 

Yang Q, Guo XP, Cheng YL and Wang Y: MicroRNA-143-5p targeting eEF2 gene mediates intervertebral disc degeneration through the AMPK signaling pathway. Arthritis Res Ther. 21(97)2019.PubMed/NCBI View Article : Google Scholar

52 

Liu P, Chang F, Zhang T, Gao G, Yu C, Ding SQ, Zuo GL and Huang XH: Downregulation of microRNA-125a is involved in intervertebral disc degeneration by targeting pro-apoptotic Bcl-2 antagonist killer 1. Iran J Basic Med Sci. 20:1260–1267. 2017.PubMed/NCBI View Article : Google Scholar

53 

Ma JF, Zang LN, Xi YM, Yang WJ and Zou D: MiR-125a Rs12976445 polymorphism is associated with the apoptosis status of nucleus pulposus cells and the risk of intervertebral disc degeneration. Cell Physiol Biochem. 38:295–305. 2016.PubMed/NCBI View Article : Google Scholar

54 

Zhao K, Zhang Y, Kang L, Song Y, Wang K, Li S, Wu X, Hua W, Shao Z, Yang S and Yang C: Epigenetic silencing of miRNA-143 regulates apoptosis by targeting BCL2 in human intervertebral disc degeneration. Gene. 628:259–266. 2017.PubMed/NCBI View Article : Google Scholar

55 

Lv J, Li S, Wan T, Yang Y, Cheng Y and Xue R: Inhibition of microRNA-30d attenuates the apoptosis and extracellular matrix degradation of degenerative human nucleus pulposus cells by up-regulating SOX9. Chem Biol Interact. 296:89–97. 2018.PubMed/NCBI View Article : Google Scholar

56 

Liu G, Cao P, Chen H, Yuan W, Wang J and Tang X: MiR-27a regulates apoptosis in nucleus pulposus cells by targeting PI3K. PLoS One. 8(e75251)2013.PubMed/NCBI View Article : Google Scholar

57 

Wang B, Wang D, Yan T and Yuan H: MiR-138-5p promotes TNF-α-induced apoptosis in human intervertebral disc degeneration by targeting SIRT1 through PTEN/PI3K/Akt signaling. Exp Cell Res. 345:199–205. 2016.PubMed/NCBI View Article : Google Scholar

58 

Sun Z, Jian Y, Fu H and Li B: MiR-532 downregulation of the Wnt/β-catenin signaling via targeting Bcl-9 and induced human intervertebral disc nucleus pulposus cells apoptosis. J Pharmacol Sci. 138:263–270. 2018.PubMed/NCBI View Article : Google Scholar

59 

Wang R, Wen B and Sun D: miR-573 regulates cell proliferation and apoptosis by targeting Bax in nucleus pulposus cells. Cell Mol Biol Lett. 24(2)2019.PubMed/NCBI View Article : Google Scholar

60 

Liu ZQ, Fu WQ, Zhao S and Zhao X: Regulation of insulin-like growth factor 1 receptor signaling by microRNA-4458 in the development of lumbar disc degeneration. Am J Transl Res. 8:2309–2316. 2016.PubMed/NCBI

61 

Zhang DY, Wang ZJ, Yu YB, Zhang Y and Zhang XX: Role of microRNA-210 in human intervertebral disc degeneration. Exp Ther Med. 11:2349–2354. 2016.PubMed/NCBI View Article : Google Scholar

62 

Cai P, Yang T, Jiang X, Zheng M, Xu G and Xia J: Role of miR-15a in intervertebral disc degeneration through targeting MAP3K9. Biomed Pharmacother. 87:568–574. 2017.PubMed/NCBI View Article : Google Scholar

63 

Liu J, Yu J, Jiang W, He M and Zhao J: Targeting of CDKN1B by miR-222-3p may contribute to the development of intervertebral disc degeneration. FEBS Open Bio. 9:728–735. 2019.PubMed/NCBI View Article : Google Scholar

64 

Wang W, Guo Z, Yang S, Wang H and Ding W: Upregulation of miR-199 attenuates TNF-α-induced Human nucleus pulposus cell apoptosis by downregulating MAP3K5. Biochem Biophys Res Commun. 505:917–924. 2018.PubMed/NCBI View Article : Google Scholar

65 

Kang JD, Georgescu HI, McIntyre-Larkin L, Stefanovic-Racic M, Donaldson WF III and Evans CH: Herniated lumbar intervertebral discs spontaneously produce matrix metalloproteinases, nitric oxide, interleukin-6, and prostaglandin E2. Spine (Phila Pa 1976). 21:271–277. 1996.PubMed/NCBI View Article : Google Scholar

66 

Séguin CA, Pilliar RM, Roughley PJ and Kandel RA: Tumor necrosis factor-alpha modulates matrix production and catabolism in nucleus pulposus tissue. Spine (Phila Pa 1976). 30:1940–1948. 2005.PubMed/NCBI View Article : Google Scholar

67 

Ohba T, Haro H, Ando T, Wako M, Suenaga F, Aso Y, Koyama K, Hamada Y and Nakao A: TNF-alpha-induced NF-kappaB signaling reverses age-related declines in VEGF induction and angiogenic activity in intervertebral disc tissues. J Orthop Res. 27:229–235. 2009.PubMed/NCBI View Article : Google Scholar

68 

Clouet J, Vinatier C, Merceron C, Pot-Vaucel M, Hamel O, Weiss P, Grimandi G and Guicheux J: The intervertebral disc: From pathophysiology to tissue engineering. Joint Bone Spine. 76:614–618. 2009.PubMed/NCBI View Article : Google Scholar

69 

Gu SX, Li X, Hamilton JL, Chee A, Kc R, Chen D, An HS, Kim JS, Oh CD, Ma YZ, et al: MicroRNA-146a reduces IL-1 dependent inflammatory responses in the intervertebral disc. Gene. 555:80–87. 2015.PubMed/NCBI View Article : Google Scholar

70 

Lv F, Huang Y, Lv W, Yang L, Li F, Fan J and Sun J: MicroRNA-146a Ameliorates inflammation via TRAF6/NF-κB pathway in intervertebral disc cells. Med Sci Monit. 23:659–664. 2017.PubMed/NCBI View Article : Google Scholar

71 

Chen Z, Han Y, Deng C, Chen W, Jin L, Chen H, Wang K, Shen H and Qian L: Inflammation-dependent downregulation of miR-194-5p contributes to human intervertebral disc degeneration by targeting CUL4A and CUL4B. J Cell Physiol. 234:19977–19989. 2019.PubMed/NCBI View Article : Google Scholar

72 

Qin C, Lv Y, Zhao H, Yang B and Zhang P: MicroRNA-149 suppresses inflammation in nucleus pulposus cells of intervertebral discs by regulating MyD88. Med Sci Monit. 25:4892–4900. 2019.PubMed/NCBI View Article : Google Scholar

73 

Zhang Y, Yang J, Zhou X, Wang N, Li Z, Zhou Y, Feng J, Shen D and Zhao W: Knockdown of miR-222 inhibits inflammation and the apoptosis of LPS-stimulated human intervertebral disc nucleus pulposus cells. Int J Mol Med. 44:1357–1365. 2019.PubMed/NCBI View Article : Google Scholar

74 

Sun J, Hong J, Sun S, Wang X, Peng Y, Zhou J, Huang Y, Li S, Chen W, Li C, et al: Transcription factor 7-like 2 controls matrix degradation through nuclear factor κB signaling and is repressed by microRNA-155 in nucleus pulposus cells. Biomed Pharmacother. 108:646–655. 2018.PubMed/NCBI View Article : Google Scholar

75 

Shen L, Xiao Y, Wu Q, Liu L, Zhang C and Pan X: TLR4/NF-κB axis signaling pathway-dependent up-regulation of miR-625-5p contributes to human intervertebral disc degeneration by targeting COL1A1. Am J Transl Res. 11:1374–1388. 2019.PubMed/NCBI

76 

Lu A, Wang Z and Wang S: Role of miR-589-3p in human lumbar disc degeneration and its potential mechanism. Exp Ther Med. 15:1616–1621. 2018.PubMed/NCBI View Article : Google Scholar

77 

Zhang Q, Weng Y, Jiang Y, Zhao S, Zhou D and Xu N: Overexpression of miR-140-5p inhibits lipopolysaccharide-induced human intervertebral disc inflammation and degeneration by downregulating toll-like receptor 4. Oncol Rep. 40:793–802. 2018.PubMed/NCBI View Article : Google Scholar

78 

Dong W, Liu J, Lv Y, Wang F, Liu T, Sun S, Liao B, Shu Z and Qian J: miR-640 aggravates intervertebral disc degeneration via NF-κB and WNT signalling pathway. Cell Prolif. 52(e12664)2019.PubMed/NCBI View Article : Google Scholar

79 

Li G, Tang X, Chen H, Sun W and Yuan F: miR-148a inhibits pro-inflammatory cytokines released by intervertebral disc cells by regulating the p38/MAPK pathway. Exp Ther Med. 16:2665–2669. 2018.PubMed/NCBI View Article : Google Scholar

80 

Wang H, Hao P, Zhang H, Xu C and Zhao J: MicroRNA-223 inhibits lipopolysaccharide-induced inflammatory response by directly targeting Irak1 in the nucleus pulposus cells of intervertebral disc. IUBMB Life. 70:479–490. 2018.PubMed/NCBI View Article : Google Scholar

81 

Kong L, Sun M, Jiang Z, Li L and Lu B: MicroRNA-194 inhibits lipopolysaccharide-induced inflammatory response in nucleus pulposus cells of the intervertebral disc by targeting TNF receptor-associated factor 6 (TRAF6). Med Sci Monit. 24:3056–3067. 2018.PubMed/NCBI View Article : Google Scholar

82 

Zhou J, Liang A, Hong J, Sun J, Lin X, Peng Y, Wang X, Sun S, Xiao D, Xu K and Ye W: MicroRNA-155 suppresses the catabolic effect induced by TNF-α and IL-1β by targeting C/EBPβ in rat nucleus pulposus cells. Connect Tissue Res. 60:165–177. 2019.PubMed/NCBI View Article : Google Scholar

83 

Cao Z and Chen L: Inhibition of miR-27a suppresses the inflammatory response via the p38/MAPK pathway in intervertebral disc cells. Exp Ther Med. 14:4572–4578. 2017.PubMed/NCBI View Article : Google Scholar

84 

Yang X and Li X: Nucleus pulposus tissue engineering: A brief review. Eur Spine J. 18:1564–1572. 2009.PubMed/NCBI View Article : Google Scholar

85 

Le Maitre CL, Pockert A, Buttle DJ, Freemont AJ and Hoyland JA: Matrix synthesis and degradation in human intervertebral disc degeneration. Biochem Soc Trans. 35:652–655. 2007.PubMed/NCBI View Article : Google Scholar

86 

Ye D, Dai L, Yao Y, Qin S, Xie H, Wang W and Liang W: miR-155 inhibits nucleus pulposus cells' degeneration through targeting ERK 1/2. Dis Markers. 2016(6984270)2016.PubMed/NCBI View Article : Google Scholar

87 

Zhang WL, Chen YF, Meng HZ, Du JJ, Luan GN, Wang HQ, Yang MW and Luo ZJ: Role of miR-155 in the regulation of MMP-16 expression in intervertebral disc degeneration. J Orthop Res. 35:1323–1334. 2017.PubMed/NCBI View Article : Google Scholar

88 

Jing W and Jiang W: MicroRNA-93 regulates collagen loss by targeting MMP3 in human nucleus pulposus cells. Cell Prolif. 48:284–292. 2015.PubMed/NCBI View Article : Google Scholar

89 

Hua WB, Wu XH, Zhang YK, Song Y, Tu J, Kang L, Zhao KC, Li S, Wang K, Liu W, et al: Dysregulated miR-127-5p contributes to type II collagen degradation by targeting matrix metalloproteinase-13 in human intervertebral disc degeneration. Biochimie. 139:74–80. 2017.PubMed/NCBI View Article : Google Scholar

90 

Yang S, Li L, Zhu L, Zhang C, Li Z, Guo Y, Nie Y and Luo Z: Aucubin inhibits IL-1β- or TNF-α-induced extracellular matrix degradation in nucleus pulposus cell through blocking the miR-140-5p/CREB1 axis. J Cell Physiol. 234:13639–13648. 2019.PubMed/NCBI View Article : Google Scholar

91 

Yang S, Li L, Zhu L, Zhang C, Li Z, Guo Y, Nie Y and Luo Z: Bu-Shen-Huo-Xue-Fang modulates nucleus pulposus cell proliferation and extracellular matrix remodeling in intervertebral disk degeneration through miR-483 regulation of Wnt pathway. J Cell Biochem. 120:19318–19329. 2019.PubMed/NCBI View Article : Google Scholar

92 

Zhang B, Guo W, Sun C, Duan HQ, Yu BB, Mu K, Guan YY, Li Y, Liu S, Liu Y, et al: Dysregulated MiR-3150a-3p promotes lumbar intervertebral disc degeneration by targeting aggrecan. Cell Physiol Biochem. 45:2506–2515. 2018.PubMed/NCBI View Article : Google Scholar

93 

Yan N, Yu S, Zhang H and Hou T: Lumbar disc degeneration is facilitated by MiR-100-mediated FGFR3 suppression. Cell Physiol Biochem. 36:2229–2236. 2015.PubMed/NCBI View Article : Google Scholar

94 

Zhou T, Lin H, Cheng Z, Ji C, Zhang C and Tian J: Mechanism of microRNA-146a-mediated IL-6/STAT3 signaling in lumbar intervertebral disc degeneration. Exp Ther Med. 14:1131–1135. 2017.PubMed/NCBI View Article : Google Scholar

95 

Liu W, Zhang Y, Xia P, Li S, Feng X, Gao Y, Wang K, Song Y, Duan Z, Yang S, et al: MicroRNA-7 regulates IL-1β-induced extracellular matrix degeneration by targeting GDF5 in human nucleus pulposus cells. Biomed Pharmacother. 83:1414–1421. 2016.PubMed/NCBI View Article : Google Scholar

96 

Kang L, Yang C, Yin H, Zhao K, Liu W, Hua W, Wang K, Song Y, Tu J, Li S, et al: MicroRNA-15b silencing inhibits IL-1β-induced extracellular matrix degradation by targeting SMAD3 in human nucleus pulposus cells. Biotechnol Lett. 39:623–632. 2017.PubMed/NCBI View Article : Google Scholar

97 

Liu W, Xia P, Feng J, Kang L, Huang M, Wang K, Song Y, Li S, Wu X, Yang S and Yang C: MicroRNA-132 upregulation promotes matrix degradation in intervertebral disc degeneration. Exp Cell Res. 359:39–49. 2017.PubMed/NCBI View Article : Google Scholar

98 

Wang WJ, Yang W, Ouyang ZH, Xue JB, Li XL, Zhang J, He WS, Chen WK, Yan YG and Wang C: MiR-21 promotes ECM degradation through inhibiting autophagy via the PTEN/akt/mTOR signaling pathway in human degenerated NP cells. Biomed Pharmacother. 99:725–734. 2018.PubMed/NCBI View Article : Google Scholar

99 

Yang RS, Wang YH, Ding C, Su XH and Gong XB: MiR-146 regulates the repair and regeneration of intervertebral nucleus pulposus cells via Notch1 pathway. Eur Rev Med Pharmacol Sci. 23:4591–4598. 2019.PubMed/NCBI View Article : Google Scholar

100 

Shi C, Wu L, Lin W, Cai Y, Zhang Y, Hu B, Gao R, Im HJ, Yuan W, Ye X, et al: MiR-202-3p regulates interleukin-1β-induced expression of matrix metalloproteinase 1 in human nucleus pulposus. Gene. 687:156–165. 2019.PubMed/NCBI View Article : Google Scholar

101 

Wang C, Zhang ZZ, Yang W, Ouyang ZH, Xue JB, Li XL, Zhang J, Chen WK, Yan YG and Wang WJ: MiR-210 facilitates ECM degradation by suppressing autophagy via silencing of ATG7 in human degenerated NP cells. Biomed Pharmacother. 93:470–479. 2017.PubMed/NCBI View Article : Google Scholar

102 

Chai X, Si H, Song J, Chong Y, Wang J and Zhao G: miR-486-5p inhibits inflammatory response, matrix degradation and apoptosis of nucleus pulposus cells through directly targeting FOXO1 in intervertebral disc degeneration. Cell Physiol Biochem. 52:109–118. 2019.PubMed/NCBI View Article : Google Scholar

103 

Wang J, Liu X, Sun B, Du W, Zheng Y and Sun Y: Upregulated miR-154 promotes ECM degradation in intervertebral disc degeneration. J Cell Biochem: Mar 1, 2019 (Epub ahead of print). doi: 10.1002/jcb.28471.

104 

Grunhagen T, Wilde G, Soukane DM, Shirazi-Adl SA and Urban JP: Nutrient supply and intervertebral disc metabolism. J Bone Joint Surg Am. 88 (Suppl 2):S30–S35. 2006.PubMed/NCBI View Article : Google Scholar

105 

Huang YC, Urban JP and Luk KD: Intervertebral disc regeneration: Do nutrients lead the way? Nat Rev Rheumatol. 10:561–566. 2014.PubMed/NCBI View Article : Google Scholar

106 

Moon SM, Yoder JH, Wright AC, Smith LJ, Vresilovic EJ and Elliott DM: Evaluation of intervertebral disc cartilaginous endplate structure using magnetic resonance imaging. Eur Spine J. 22:1820–1828. 2013.PubMed/NCBI View Article : Google Scholar

107 

Urban JP, Smith S and Fairbank JC: Nutrition of the intervertebral disc. Spine (Phila Pa 1976). 29:2700–2709. 2004.PubMed/NCBI View Article : Google Scholar

108 

Ariga K, Miyamoto S, Nakase T, Okuda S, Meng W, Yonenobu K and Yoshikawa H: The relationship between apoptosis of endplate chondrocytes and aging and degeneration of the intervertebral disc. Spine (Phila Pa 1976). 26:2414–2420. 2001.PubMed/NCBI View Article : Google Scholar

109 

Holm S, Holm AK, Ekström L, Karladani A and Hansson T: Experimental disc degeneration due to endplate injury. J Spinal Disord Tech. 17:64–71. 2004.PubMed/NCBI View Article : Google Scholar

110 

Chen H, Wang J, Hu B, Wu X, Chen Y, Li R and Yuan W: MiR-34a promotes Fas-mediated cartilage endplate chondrocyte apoptosis by targeting Bcl-2. Mol Cell Biochem. 406:21–30. 2015.PubMed/NCBI View Article : Google Scholar

111 

Zhan B, Zhan Y, Wang W, Zhan Y and Liu B: Expression of miR-625 and Fas in cervical vertebral cartilage endplate. Exp Ther Med. 15:513–519. 2018.PubMed/NCBI View Article : Google Scholar

112 

Sheng B, Yuan Y, Liu X, Zhang Y, Liu H, Shen X, Liu B and Chang L: Protective effect of estrogen against intervertebral disc degeneration is attenuated by miR-221 through targeting estrogen receptor α. Acta Biochim Biophys Sin (Shanghai). 50:345–354. 2018.PubMed/NCBI View Article : Google Scholar

113 

Stokes IA and Iatridis JC: Mechanical conditions that accelerate intervertebral disc degeneration: Overload versus immobilization. Spine (Phila Pa 1976). 29:2724–2732. 2004.PubMed/NCBI View Article : Google Scholar

114 

Zheng Q, Li XX, Xiao L, Shao S, Jiang H, Zhang XL, Sun LY and Xu HG: MicroRNA-365 functions as a mechanosensitive microRNA to inhibit end plate chondrocyte degeneration by targeting histone deacetylase 4. Bone. 128(115052)2019.PubMed/NCBI View Article : Google Scholar

115 

Xiao L, Xu S, Xu Y, Liu C, Yang B, Wang J and Xu H: TGF-β/SMAD signaling inhibits intermittent cyclic mechanical tension-induced degeneration of endplate chondrocytes by regulating the miR-455-5p/RUNX2 axis. J Cell Biochem. 119:10415–10425. 2018.PubMed/NCBI View Article : Google Scholar

116 

Liu MH, Sun C, Yao Y, Fan X, Liu H, Cui YH, Bian XW, Huang B and Zhou Y: Matrix stiffness promotes cartilage endplate chondrocyte calcification in disc degeneration via miR-20a targeting ANKH expression. Sci Rep. 6(25401)2016.PubMed/NCBI View Article : Google Scholar

117 

Feng G, Yang X, Shang H, Marks IW, Shen FH, Katz A, Arlet V, Laurencin CT and Li X: Multipotential differentiation of human anulus fibrosus cells: An in vitro study. J Bone Joint Surg Am. 92:675–685. 2010.PubMed/NCBI View Article : Google Scholar

118 

Yeh CH, Jin L, Shen F, Balian G and Li XJ: miR-221 attenuates the osteogenic differentiation of human annulus fibrosus cells. Spine J. 16:896–904. 2016.PubMed/NCBI View Article : Google Scholar

119 

Fan Y, Zhao L, Xie W, Yi D, He S, Chen D and Huang J: Serum miRNAs are potential biomarkers for the detection of disc degeneration, among which miR-26a-5p suppresses Smad1 to regulate disc homeostasis. J Cell Mol Med. 23:6679–6689. 2019.PubMed/NCBI View Article : Google Scholar

120 

Sherafatian M, Abdollahpour HR, Ghaffarpasand F, Yaghmaei S, Azadegan M and Heidari M: MicroRNA expression profiles, target genes, and pathways in intervertebral disk degeneration: A meta-analysis of 3 microarray studies. World Neurosurg. 126:389–397. 2019.PubMed/NCBI View Article : Google Scholar

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August-2021
Volume 22 Issue 2

Print ISSN: 1792-0981
Online ISSN:1792-1015

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Spandidos Publications style
Yang F, Wang J, Chen Z, Yang Y, Zhang W, Guo S and Yang Q: Role of microRNAs in intervertebral disc degeneration (Review). Exp Ther Med 22: 860, 2021
APA
Yang, F., Wang, J., Chen, Z., Yang, Y., Zhang, W., Guo, S., & Yang, Q. (2021). Role of microRNAs in intervertebral disc degeneration (Review). Experimental and Therapeutic Medicine, 22, 860. https://doi.org/10.3892/etm.2021.10292
MLA
Yang, F., Wang, J., Chen, Z., Yang, Y., Zhang, W., Guo, S., Yang, Q."Role of microRNAs in intervertebral disc degeneration (Review)". Experimental and Therapeutic Medicine 22.2 (2021): 860.
Chicago
Yang, F., Wang, J., Chen, Z., Yang, Y., Zhang, W., Guo, S., Yang, Q."Role of microRNAs in intervertebral disc degeneration (Review)". Experimental and Therapeutic Medicine 22, no. 2 (2021): 860. https://doi.org/10.3892/etm.2021.10292