Chinese Journal of Tissue Engineering Research ›› 2025, Vol. 29 ›› Issue (5): 951-957.doi: 10.12307/2025.277

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Compressive stress induces degeneration of cartilaginous endplate cells through the SOST/Wnt/beta-catenin pathway

Xiang Pan1, Che Yanjun2, Luo Zongping1   

  1. 1Department of Orthopaedics, The First Affiliated Hospital of Soochow University, Suzhou 215006, Jiangsu Province, China; 2Orthopedics and Sports Medicine Center, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou 215000, Jiangsu Province, China 
  • Received:2024-01-02 Accepted:2024-02-21 Online:2025-02-18 Published:2024-06-03
  • Contact: Luo Zongping, MD, Professor, Department of Orthopaedics, The First Affiliated Hospital of Soochow University, Suzhou 215006, Jiangsu Province, China Co-corresponding author: Che Yanjun, MD, Associate chief physician, Master’s supervisor, Orthopedics and Sports Medicine Center, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou 215000, Jiangsu Province, China
  • About author:Xiang Pan, Master candidate, Department of Orthopaedics, The First Affiliated Hospital of Soochow University, Suzhou 215006, Jiangsu Province, China
  • Supported by:
    National Natural Science Foundation of China, No. 32071307 (to LZP); Jiangsu Provincial Higher Education Key Discipline Construction Project (PAPD) (to LZP); Suzhou Science and Technology Bureau Project, No. SKY2022185 (to CYJ); Gusu Health Talent Program Talent Research Project, No. GSWS2021035 (to CYJ); Scientific Research Fund for Integrative Medicine of Suzhou City, No. SKYD:2023254 (to CYJ)

Abstract: BACKGROUND: Many factors can cause disc degeneration, including aging, nutritional deficiency, and mechanical factors. The mechanical load is considered to be a very important factor, but its mechanism is still unclear.OBJECTIVE: To investigate the role of sclerostin (SOST) and Wnt/β-catenin signaling pathways in inducing degeneration of endplate cartilage. 
METHODS: Cartilage endplate cells were extracted from 4-week-old male Sprague-Dawley rats. Compressive stress was applied to endplate chondrocytes in vitro using a mechanical loading apparatus, and the cell viability was determined by the cell counting kit-8 assay at 1, 3, 5, and 7 days after compression. Western blot, reverse transcription quantitative PCR, and cellular immunofluorescence techniques were employed to examine intracellular cartilage markers (Aggrecan and type II collagen) as well as calcification-related factors (Runx2 and osteocalcin). The expression of extracellular matrix degradation enzyme and genes related to the signaling pathway (SOST and β-catenin) was also analyzed. 
RESULTS AND CONCLUSION: Under compressive stress, the cell activity of endplate chondrocytes increased with both the duration and intensity of stress. Furthermore, the expression levels of Aggrecan and type II collagen decreased in endplate cells under compressive stress, while those of calcification-related factors (Runx2 and osteocalcin) increased. Additionally, compressive stress promoted extracellular matrix degradation in endplate chondrocytes, leading to an increase in matrix metalloproteinase 3 and matrix metalloproteinase 13 expression. Abnormalities were observed in the Wnt/β-catenin signaling pathway within these cells under compressive stress, characterized by a decrease in specific inhibitory factor SOST expression accompanied by abnormal accumulation of β-catenin. To conclude, decreased SOST expression in endplate chondrocytes under compressive stress activates the Wnt/β-catenin signaling pathway, thereby promoting calcification, degeneration and extracellular matrix degradation in the cartilage endplate.

Key words: cartilage endplate, chondrocyte, SOST, Wnt/β-catenin, compressive stress, intervertebral disc degeneration

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