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자료유형
학술저널
저자정보
Banala Rajkiran Reddy (Sunshine Medical Academy of Research and Training Sunshine Hospitals Secunderabad India) Vemuri Satish Kumar (Sunshine Medical Academy of Research and Training Sunshine Hospitals Secunderabad India) EV Sherline (Department of Microbiology St. Francis College for Women Hyderabad India) AV Gurava Reddy (Sunshine Medical Academy of Research and Training Sunshine Hospitals Secunderabad India) GPV Subbaiah (Department of Spine Surgery Star Hospitals Hyderabad India)
저널정보
대한척추외과학회 Asian Spine Journal Asian Spine Journal Vol.15 No.2
발행연도
2021.1
수록면
143 - 154 (12page)

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Study Design: Developing an <i>in vitro</i> model for assessing the anti-inflammatory properties of curvularin.Purpose: To evaluate the efficacy of natural fungal macrolactone as a therapeutic drug against lipopolysaccharide (LPS)-induced inflammation in primary human nucleus pulposus cells (NPCs) <i>in vitro</i>.Overview of Literature: Lumbar disk disease is a common cause of lower back pain (LBP) and sciatica. It is an established fact that inflammation, rather than mechanical compression on the nerve root, plays a role in the cause of LBP and sciatica. Current treatment options for reducing inflammation are either nonsteroidal anti-inflammatory drugs or steroids, prolonged use of which can potentially lead to adverse effects such as gastrointestinal disturbances and renal and cardiac issues. Hence, there is a need for better antiinflammatory drugs with no or minimal complications for treating inflammation-induced LBP and sciatica. Curvularin (Cur), a fungal macrolactone, is known for its anti-inflammatory activity, but nothing is known about its impact on inflammation due to disk pathologies.Methods: Primary NPCs were cultured and characterized by flow cytometry and immunocytochemistry using the CD24 antibody and treated with 10 μg/mL LPS for 36 hours and then treated with Cur, betamethasone, and dexamethasone (10 μg/mL) for 48 hours, after which cell cycle analysis, cell viability assay, and gene expression studies (quantitative polymerase chain reaction [PCR] and quantitative real-time-PCR) were conducted. The NPCs treated with Cur downregulated the expression of pro-inflammatory cytokines (tumor necrosis factor-α, interleukin [IL]-1β, and IL-6); matrix metalloproteinases (MMPs; MMP-2 and MMP-3), ADAMTS; and apoptotic marker (cytochrome c).Results: In our study, Cur-treated cells showed enhanced expression of collagen 9A1 and insulin-like growth factor receptor 1, indicating the recovery of NPCs from inflammatory assault.Conclusions: Based on observations, the anti-inflammatory properties of Cur render it an excellent drug molecule for treating disk degeneration nonsurgically, by direct injection into spinal disks when treating LBP and sciatica.

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