2017
DOI: 10.1038/s41598-017-17289-y
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A selective inhibition of c-Fos/activator protein-1 as a potential therapeutic target for intervertebral disc degeneration and associated pain

Abstract: Intervertebral disc (IVD) degeneration is a major cause of low back pain. The transcription factor c-Fos/Activator Protein-1 (AP-1) controls the expression of inflammatory cytokines and matrix metalloproteinases (MMPs) that contribute to the pathogenesis IVD degeneration. We investigated the effects of inhibition of c-Fos/AP-1 on IVD degeneration and associated pain. A selective inhibitor, T-5224, significantly suppressed the interleukin-1β-induced up-regulation of Mmp-3, Mmp-13 and Adamts-5 transcription in h… Show more

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Cited by 50 publications
(44 citation statements)
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“…Therefore, it was hypothesized that upregulated expression of FOS may be a risk factor that promotes the development of IDD. This hypothesis has been confirmed by a recent study, which used the AP-1 selective inhibitor T-5224 to demonstrate that inhibition of c-Fos/AP-1 prevents disc degeneration and associated pain (53). As an inflammatory response gene (54), FOS was revealed to be upregulated in this study.…”
Section: Discussionmentioning
confidence: 63%
“…Therefore, it was hypothesized that upregulated expression of FOS may be a risk factor that promotes the development of IDD. This hypothesis has been confirmed by a recent study, which used the AP-1 selective inhibitor T-5224 to demonstrate that inhibition of c-Fos/AP-1 prevents disc degeneration and associated pain (53). As an inflammatory response gene (54), FOS was revealed to be upregulated in this study.…”
Section: Discussionmentioning
confidence: 63%
“…Since therapeutic approaches for IVDD remain limited, biological anti‐inflammatory approaches to IVD regeneration have gained increasing interest. In cases of refractory LBP due to IVDD, anti‐inflammatory and/or anti‐degenerative therapies such as cytokine inhibition may relieve pain and slow down the progression of the disease 22‐31 . Several studies indicated that cyclooxygenase‐2 (COX2) inhibitors can reduce the inflammatory response in different models 25‐27 .…”
Section: Introductionmentioning
confidence: 99%
“…In silico promoter analysis of Ppia revealed at least four conserved putative AP-1 binding sites (SI Appendix, Table S4), suggesting that Ppia gene expression might be regulated via the MLK3-JNK-AP-1 axis. The Jurkat cells expressing WT MLK3 (i.e., MLK3 [WT]) were treated with an AP-1/c-Fos inhibitor, T-5224 (26), for 24 h, and gene expression of Ppia was estimated. Indeed, the gene expression of Ppia was significantly down-regulated upon T-5224 treatment (Fig.…”
Section: Resultsmentioning
confidence: 99%