Chinese Journal of Tissue Engineering Research ›› 2024, Vol. 28 ›› Issue (5): 676-681.doi: 10.12307/2024.213

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Melatonin-loaded gelatin methacryloyl microspheres delay nucleus pulposus degeneration

Li Yangfeng1, 2, Tian Xin1, 2, He Fan1, 2, Yang Huilin1, 2   

  1. 1Department of Orthopedics, First Affiliated Hospital of Soochow University, Suzhou Medical College of Soochow University, Suzhou 215006, Jiangsu Province, China; 2Institute of Orthopedics, Soochow University, Suzhou 215006, Jiangsu Province, China
  • Received:2022-12-23 Accepted:2023-02-14 Online:2024-02-18 Published:2023-08-16
  • Contact: Yang Huilin, Chief physician, Doctoral supervisor, Professor, Department of Orthopedics, First Affiliated Hospital of Soochow University, Suzhou Medical College of Soochow University, Suzhou 215006, Jiangsu Province, China; Institute of Orthopedics, Soochow University, Suzhou 215006, Jiangsu Province, China
  • About author:Li Yangfeng, Master candidate, Department of Orthopedics, First Affiliated Hospital of Soochow University, Suzhou Medical College of Soochow University, Suzhou 215006, Jiangsu Province, China; Institute of Orthopedics, Soochow University, Suzhou 215006, Jiangsu Province, China
  • Supported by:
    “Science, Education and Health” Project of Department of Health - Institute of Orthopedics at Soochow University (to YHL)

Abstract: BACKGROUND: Nucleus pulposus degeneration is an important pathological link of intervertebral disc degeneration. Melatonin has a protective effect on cells through anti-inflammatory and antioxidant pathways, but the effect of melatonin on the nucleus pulposus has been less studied. At present, the emergence of various biological scaffolders provides a new idea for the study of drug-material combinations.
OBJECTIVE: To explore whether melatonin can improve the metabolic state of the nucleus pulposus by reducing oxidative stress damage as well as the effect of gelatin methacryloyl (GelMA) microspheres loaded with melatonin on intervertebral disc degeneration in vivo.
METHODS: In vitro, melatonin was combined with GelMA solution, and GelMA hydrogel was prepared into microspheres by microfluidic technology to co-culture with nucleus pulposus cells. The cell proliferation activity was detected by cell counting kit-8 assay, the surface morphology of the microspheres was observed under scanning electron microscopy, and the rate of drug release was detected by ultraviolet spectrophotometer. Then, interleukin-1β was used to induce degeneration of the nucleus pulposus. After treatment, the expression levels of aggrecan, type II collagen α1, matrix metalloproteinase 13 and a disintegrin and metalloproteinase with thrombospondin motifs-5 (ADAMTS5) in the nucleus pulposus were detected by qRT-PCR. In vivo, nucleus pulposus degeneration was induced by puncture. Subsequently, GelMA and GelMA@MT microspheres were injected. After 6 weeks, the specimens were taken for tissue staining, and the changes in tissue morphology were observed under the microscope for histological analysis and scoring.
RESULTS AND CONCLUSION: (1) When the GelMA and GelMA@MT microspheres were observed under electron scanning microscope, melatonin binding did not change the morphology and external appearance of the microspheres. Drug release experiments showed that the drug release reached about 80% after 40 days. (2) Cell counting kit-8 assay results showed that both GelMA and GelMA@MT microspheres had no obvious cytotoxicity and promoted the proliferation of nucleus pulposus cells. (3) qRT-PCR results revealed that GelMA@MT microspheres increased the expression of aggrecan and type I collagen α1 in the interleukin 1β environment by 42.1% and 27.1%, respectively, and decreased the expression of matrix metalloproteinase 13 and ADAMTS5 by 70.7% and 109.3%, respectively. (4) The level of reactive oxygen species was significantly lower in the interleukin 1β+GelMA@MT group than in the interleukin 1β and interleukin 1β+GelMA groups. (5) Histological staining of the sections showed that melatonin-loaded GelMA microspheres significantly delayed disc degeneration in vivo. (6) These findings indicate that GelMA@MT microspheres made by combining melatonin with GelMA hydrogel have good cytocompatibility in vitro and significantly delay nucleus pulposus degeneration in vitro and in vivo.

Key words: melatonin, nucleus pulposus, intervertebral disc, microsphere, GelMA

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