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Roebke E, Jacho D, Eby O, Aldoohan S, Elsamaloty H, Yildirim-Ayan E. Injectable Cell-Laden Nanofibrous Matrix for Treating Annulus Fibrosus Defects in Porcine Model: An Organ Culture Study. Life (Basel) 2022; 12. [PMID: 36431001 DOI: 10.3390/life12111866] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/13/2022] [Revised: 11/05/2022] [Accepted: 11/10/2022] [Indexed: 11/16/2022]
Abstract
Lower back pain commonly arises from intervertebral disc (IVD) failure, often caused by deteriorating annulus fibrosus (AF) and/or nucleus pulposus (NP) tissue. High socioeconomic cost, quality of life issues, and unsatisfactory surgical options motivate the rapid development of non-invasive, regenerative repair strategies for lower back pain. This study aims to evaluate the AF regenerative capacity of injectable matrix repair strategy in ex vivo porcine organ culturing using collagen type-I and polycaprolactone nanofibers (PNCOL) with encapsulated fibroblast cells. Upon 14 days organ culturing, the porcine IVDs were assessed using gross optical imaging, magnetic resonance imaging (MRI), histological analysis, and Reverse Transcriptase quantitative PCR (RT-qPCR) to determine the regenerative capabilities of the PNCOL matrix at the AF injury. PNCOL-treated AF defects demonstrated a full recovery with increased gene expressions of AF extracellular matrix markers, including Collagen-I, Aggrecan, Scleraxis, and Tenascin, along with anti-inflammatory markers such as CD206 and IL10. The PNCOL treatment effectively regenerates the AF tissue at the injury site contributing to decreased herniation risk and improved surgical outcomes, thus providing effective non-invasive strategies for treating IVD injuries.
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Gupta A, Cole S, Labus JS, Joshi S, Nguyen TJ, Kilpatrick LA, Tillisch K, Naliboff BD, Chang L, Mayer EA. Gene expression profiles in peripheral blood mononuclear cells correlate with salience network activity in chronic visceral pain: A pilot study. Neurogastroenterol Motil 2017; 29:10.1111/nmo.13027. [PMID: 28191693 PMCID: PMC5503466 DOI: 10.1111/nmo.13027] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/20/2016] [Accepted: 12/12/2016] [Indexed: 12/17/2022]
Abstract
BACKGROUND Distinct gene expression profiles in peripheral blood mononuclear cells (PBMCs) consistent with increased sympathetic nervous system activity have been described in different populations under chronic stress. Neuroinflammatory brain changes, possibly related to the migration of primed monocytes to the brain, have been implicated in the pathophysiology of chronic pain. Irritable bowel syndrome (IBS) is a stress-sensitive gastrointestinal disorder associated with altered brain-gut interactions and increased sympathetic/vagal tone and anxiety. Reports about immune alterations in IBS are conflicting. This pilot study aimed to test how PBMC gene expression inflammatory profiles are correlated with altered brain signatures in the salience system. METHODS Sixteen IBS and 16 healthy controls (HCs) completed resting state MRI scans. Gene expression profiles in PBMCs were assessed using human transcriptome array-2. Bioinformatic analyses determined differential expression of PBMCs between IBS and HCs. Partial least squares, a multivariate analysis technique, was used to identify disease correlations between PBMC gene expression profiles and functional activity in the brain's salience network. KEY RESULTS Regions of the salience network, including the mid cingulate cortex, and mid and superior temporal gyrus were positively correlated with several pro-inflammatory genes (interleukin 6, APOL2) in IBS, but negatively correlated with several anti-inflammatory genes (KRT8, APOA4) in HCs. CONCLUSIONS & INFERENCES Based on rodent studies, one may speculate that chronically activated stress signaling pathways in IBS maintain a pro-inflammatory state in the periphery. Alternatively, primed monocytes may migrate to the brain during stress, inducing regional neuroinflammatory changes in salience regions involved in the modulation of visceral sensitivity.
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Affiliation(s)
- Arpana Gupta
- Oppenheimer Center for Neurobiology of Stress and Resilience, UCLA,David Geffen School of Medicine, UCLA,Division of Digestive Diseases, UCLA
| | - Steve Cole
- David Geffen School of Medicine, UCLA,Department of Hematology-Oncology, UCLA
| | - Jennifer S. Labus
- Oppenheimer Center for Neurobiology of Stress and Resilience, UCLA,David Geffen School of Medicine, UCLA,Division of Digestive Diseases, UCLA
| | - Swapna Joshi
- Oppenheimer Center for Neurobiology of Stress and Resilience, UCLA,David Geffen School of Medicine, UCLA,Division of Digestive Diseases, UCLA,Center for Systems Biomedicine, UCLA
| | - Trang J. Nguyen
- Oppenheimer Center for Neurobiology of Stress and Resilience, UCLA
| | - Lisa A. Kilpatrick
- Oppenheimer Center for Neurobiology of Stress and Resilience, UCLA,David Geffen School of Medicine, UCLA,Division of Digestive Diseases, UCLA
| | - Kirsten Tillisch
- Oppenheimer Center for Neurobiology of Stress and Resilience, UCLA,David Geffen School of Medicine, UCLA,Division of Digestive Diseases, UCLA,Integrative Medicine, GLA, VHA
| | - Bruce D. Naliboff
- Oppenheimer Center for Neurobiology of Stress and Resilience, UCLA,David Geffen School of Medicine, UCLA,Division of Digestive Diseases, UCLA
| | - Lin Chang
- Oppenheimer Center for Neurobiology of Stress and Resilience, UCLA,David Geffen School of Medicine, UCLA,Division of Digestive Diseases, UCLA
| | - Emeran A. Mayer
- Oppenheimer Center for Neurobiology of Stress and Resilience, UCLA,David Geffen School of Medicine, UCLA,Division of Digestive Diseases, UCLA,Ahmanson-Lovelace Brain Mapping Center, UCLA
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