Glutamine Suppresses Senescence and Promotes Autophagy Through Glycolysis Inhibition-mediated AMPKα Lactylation in Intervertebral Disc Degeneration
Overview
Authors
Affiliations
Regulating metabolic disorders has become a promising focus in treating intervertebral disc degeneration (IDD). A few drugs regulating metabolism, such as atorvastatin, metformin, and melatonin, show positive effects in treating IDD. Glutamine participates in multiple metabolic processes, including glutaminolysis and glycolysis; however, its impact on IDD is unclear. The current study reveals that glutamine levels are decreased in severely degenerated human nucleus pulposus (NP) tissues and aging Sprague-Dawley (SD) rat nucleus pulposus tissues, while lactate accumulation and lactylation are increased. Supplementary glutamine suppresses glycolysis and reduces lactate production, which downregulates adenosine-5'-monophosphate-activated protein kinase α (AMPKα) lactylation and upregulates AMPKα phosphorylation. Moreover, glutamine treatment reduces NP cell senescence and enhances autophagy and matrix synthesis via inhibition of glycolysis and AMPK lactylation, and glycolysis inhibition suppresses lactylation. Our results indicate that glutamine could prevent IDD by glycolysis inhibition-decreased AMPKα lactylation, which promotes autophagy and suppresses NP cell senescence.
Li Q, Yang Z, Lu H, Liu F, Zhou D, Zou Y Nutrients. 2025; 17(3).
PMID: 39940264 PMC: 11820219. DOI: 10.3390/nu17030406.
Lactylation in health and disease: physiological or pathological?.
Zhao L, Qi H, Lv H, Liu W, Zhang R, Yang A Theranostics. 2025; 15(5):1787-1821.
PMID: 39897556 PMC: 11780532. DOI: 10.7150/thno.105353.
Pan Y, Wu G, Chen M, Lu X, Shen M, Li H Genes (Basel). 2025; 16(1).
PMID: 39858561 PMC: 11765430. DOI: 10.3390/genes16010014.
Lactate and Lactylation: Dual Regulators of T-Cell-Mediated Tumor Immunity and Immunotherapy.
Hao Z, Tan X, Zhang Q, Li J, Xia R, Ma Z Biomolecules. 2025; 14(12.
PMID: 39766353 PMC: 11674224. DOI: 10.3390/biom14121646.
Shi Y, Li F, Lin W, Han L, Wang J, Yan C J Cell Mol Med. 2024; 28(23):e70262.
PMID: 39636180 PMC: 11619158. DOI: 10.1111/jcmm.70262.