Role of Pyroptosis in Intervertebral Disc Degeneration and Its Therapeutic Implications
Overview
Molecular Biology
Affiliations
Intervertebral disc degeneration (IDD), a progressive and multifactorial pathological process, is predominantly associated with low back pain and permanent disability. Pyroptosis is a type of lytic programmed cell death triggered by the activation of inflammasomes and caspases. Unlike apoptosis, pyroptosis is characterized by the rupture of the plasma membrane and the release of inflammatory mediators, accelerating the destruction of the extracellular matrix (ECM). Recent studies have shown that pyrin domain-containing 3 (NLRP3) inflammasome-mediated pyroptosis in nucleus pulposus (NP) cells is activated in the progression of IDD. Furthermore, targeting pyroptosis in IDD demonstrates the excellent capacity of ECM remodeling and its anti-inflammatory properties, suggesting that pyroptosis is involved in the IDD process. In this review, we briefly summarize the molecular mechanism of pyroptosis and the pathogenesis of IDD. We also focus on the role of pyroptosis in the pathological progress of IDD and its targeted therapeutic application.
Zhu D, Wang Z, Chen S, Li Y, Kang X J Neuroinflammation. 2025; 22(1):13.
PMID: 39844302 PMC: 11755837. DOI: 10.1186/s12974-025-03335-4.
Targeting nucleus pulposus cell death in the treatment of intervertebral disc degeneration.
Sun H, Guo J, Xiong Z, Zhuang Y, Ning X, Liu M JOR Spine. 2024; 7(4):e70011.
PMID: 39703198 PMC: 11655182. DOI: 10.1002/jsp2.70011.
Chen H, Tang T, Xue C, Liu X, Xi Z, Xie L J Orthop Surg Res. 2024; 19(1):825.
PMID: 39639370 PMC: 11619685. DOI: 10.1186/s13018-024-05280-z.
Jia S, Liu H, Yang T, Gao S, Li D, Zhang Z Sci Rep. 2024; 14(1):27245.
PMID: 39516278 PMC: 11549379. DOI: 10.1038/s41598-024-78675-x.
De Simone M, Choucha A, Ciaglia E, Conti V, Pecoraro G, Santurro A J Clin Med. 2024; 13(19).
PMID: 39407975 PMC: 11477864. DOI: 10.3390/jcm13195915.