FOXO are required for intervertebral disk homeostasis during aging and their deficiency promotes disk degeneration

Intervertebral disk (IVD) degeneration is a prevalent age‐associated musculoskeletal disorder and a major cause of chronic low back pain. Aging is the main risk factor for the disease, but the molecular mechanisms regulating IVD homeostasis during aging are unknown. The aim of this study was to inve...

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Veröffentlicht in:Aging cell 2018-10, Vol.17 (5), p.e12800-n/a
Hauptverfasser: Alvarez‐Garcia, Oscar, Matsuzaki, Tokio, Olmer, Merissa, Miyata, Kohei, Mokuda, Sho, Sakai, Daisuke, Masuda, Koichi, Asahara, Hiroshi, Lotz, Martin K.
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container_issue 5
container_start_page e12800
container_title Aging cell
container_volume 17
creator Alvarez‐Garcia, Oscar
Matsuzaki, Tokio
Olmer, Merissa
Miyata, Kohei
Mokuda, Sho
Sakai, Daisuke
Masuda, Koichi
Asahara, Hiroshi
Lotz, Martin K.
description Intervertebral disk (IVD) degeneration is a prevalent age‐associated musculoskeletal disorder and a major cause of chronic low back pain. Aging is the main risk factor for the disease, but the molecular mechanisms regulating IVD homeostasis during aging are unknown. The aim of this study was to investigate the function of FOXO, a family of transcription factors linked to aging and longevity, in IVD aging and age‐related degeneration. Conditional deletion of all FOXO isoforms (FOXO1, 3, and 4) in IVD using the Col2a1Cre and AcanCreER mouse resulted in spontaneous development of IVD degeneration that was driven by severe cell loss in the nucleus pulposus (NP) and cartilaginous endplates (EP). Conditional deletion of individual FOXO in mature mice showed that FOXO1 and FOXO3 are the dominant isoforms and have redundant functions in promoting IVD homeostasis. Gene expression analyses indicated impaired autophagy and reduced antioxidant defenses in the NP of FOXO‐deficient IVD. In primary human NP cells, FOXO directly regulated autophagy and adaptation to hypoxia and promoted resistance to oxidative and inflammatory stress. Our findings demonstrate that FOXO are critical regulators of IVD homeostasis during aging and suggest that maintaining or restoring FOXO expression can be a therapeutic strategy to promote healthy IVD aging and delay the onset of IVD degeneration.
doi_str_mv 10.1111/acel.12800
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Aging is the main risk factor for the disease, but the molecular mechanisms regulating IVD homeostasis during aging are unknown. The aim of this study was to investigate the function of FOXO, a family of transcription factors linked to aging and longevity, in IVD aging and age‐related degeneration. Conditional deletion of all FOXO isoforms (FOXO1, 3, and 4) in IVD using the Col2a1Cre and AcanCreER mouse resulted in spontaneous development of IVD degeneration that was driven by severe cell loss in the nucleus pulposus (NP) and cartilaginous endplates (EP). Conditional deletion of individual FOXO in mature mice showed that FOXO1 and FOXO3 are the dominant isoforms and have redundant functions in promoting IVD homeostasis. Gene expression analyses indicated impaired autophagy and reduced antioxidant defenses in the NP of FOXO‐deficient IVD. In primary human NP cells, FOXO directly regulated autophagy and adaptation to hypoxia and promoted resistance to oxidative and inflammatory stress. 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Aging is the main risk factor for the disease, but the molecular mechanisms regulating IVD homeostasis during aging are unknown. The aim of this study was to investigate the function of FOXO, a family of transcription factors linked to aging and longevity, in IVD aging and age‐related degeneration. Conditional deletion of all FOXO isoforms (FOXO1, 3, and 4) in IVD using the Col2a1Cre and AcanCreER mouse resulted in spontaneous development of IVD degeneration that was driven by severe cell loss in the nucleus pulposus (NP) and cartilaginous endplates (EP). Conditional deletion of individual FOXO in mature mice showed that FOXO1 and FOXO3 are the dominant isoforms and have redundant functions in promoting IVD homeostasis. Gene expression analyses indicated impaired autophagy and reduced antioxidant defenses in the NP of FOXO‐deficient IVD. In primary human NP cells, FOXO directly regulated autophagy and adaptation to hypoxia and promoted resistance to oxidative and inflammatory stress. Our findings demonstrate that FOXO are critical regulators of IVD homeostasis during aging and suggest that maintaining or restoring FOXO expression can be a therapeutic strategy to promote healthy IVD aging and delay the onset of IVD degeneration.</abstract><cop>England</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>29963746</pmid><doi>10.1111/acel.12800</doi><tpages>13</tpages><oa>free_for_read</oa></addata></record>
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subjects Aging
Aging - metabolism
Analysis
Animals
Antioxidants
Autophagy
Backache
Cells, Cultured
Clonal deletion
Degeneration
Forkhead Box Protein O1 - deficiency
Forkhead Box Protein O1 - genetics
Forkhead Box Protein O1 - metabolism
Forkhead Box Protein O3 - deficiency
Forkhead Box Protein O3 - genetics
Forkhead Box Protein O3 - metabolism
Forkhead protein
FOXO
FOXO1 protein
FOXO3 protein
Gene expression
Homeostasis
Humans
Hypoxia
Inflammation
Intervertebral Disc - metabolism
Intervertebral discs
intervertebral disk
Isoforms
Low back pain
Mice
Mice, Inbred C57BL
Mice, Knockout
Mice, Transgenic
Molecular modelling
Musculoskeletal diseases
Nucleus pulposus
Original
Pain
Phagocytosis
Physiological aspects
Transcription factors
title FOXO are required for intervertebral disk homeostasis during aging and their deficiency promotes disk degeneration
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