Fibrocyte enrichment and myofibroblastic adaptation causes nucleus pulposus fibrosis and associates with disc degeneration severity

Abstract Fibrotic remodeling of nucleus pulposus (NP) leads to structural and mechanical anomalies of intervertebral discs that prone to degeneration, leading to low back pain incidence and disability. Emergence of fibroblastic cells in disc degeneration has been reported, yet their nature and origi...

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Main Authors: Yi Sun, Yan Peng, Zezhuo Su, Kyle, K. H. So, Qiuji Lu, Maojiang Lyu, Jianwei Zuo, Yongcan Huang, Zhiping Guan, Kenneth M. C. Cheung, Zhaomin Zheng, Xintao Zhang, Victor Y. L. Leung
Format: Article
Language:English
Published: Nature Publishing Group 2025-01-01
Series:Bone Research
Online Access:https://doi.org/10.1038/s41413-024-00372-2
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author Yi Sun
Yan Peng
Zezhuo Su
Kyle, K. H. So
Qiuji Lu
Maojiang Lyu
Jianwei Zuo
Yongcan Huang
Zhiping Guan
Kenneth M. C. Cheung
Zhaomin Zheng
Xintao Zhang
Victor Y. L. Leung
author_facet Yi Sun
Yan Peng
Zezhuo Su
Kyle, K. H. So
Qiuji Lu
Maojiang Lyu
Jianwei Zuo
Yongcan Huang
Zhiping Guan
Kenneth M. C. Cheung
Zhaomin Zheng
Xintao Zhang
Victor Y. L. Leung
author_sort Yi Sun
collection DOAJ
description Abstract Fibrotic remodeling of nucleus pulposus (NP) leads to structural and mechanical anomalies of intervertebral discs that prone to degeneration, leading to low back pain incidence and disability. Emergence of fibroblastic cells in disc degeneration has been reported, yet their nature and origin remain elusive. In this study, we performed an integrative analysis of multiple single-cell RNA sequencing datasets to interrogate the cellular heterogeneity and fibroblast-like entities in degenerative human NP specimens. We found that disc degeneration severity is associated with an enrichment of fibrocyte phenotype, characterized by CD45 and collagen I dual positivity, and expression of myofibroblast marker α-smooth muscle actin. Refined clustering and classification distinguished the fibrocyte-like populations as subtypes in the NP cells - and immunocytes-clusters, expressing disc degeneration markers HTRA1 and ANGPTL4 and genes related to response to TGF-β. In injury-induced mouse disc degeneration model, fibrocytes were found recruited into the NP undergoing fibrosis and adopted a myofibroblast phenotype. Depleting the fibrocytes in CD11b-DTR mice in which myeloid-derived lineages were ablated by diphtheria toxin could markedly attenuate fibrous modeling and myofibroblast formation in the NP of the degenerative discs, and prevent disc height loss and histomorphological abnormalities. Marker analysis supports that disc degeneration progression is dependent on a function of CD45+COL1A1+ and αSMA+ cells. Our findings reveal that myeloid-derived fibrocytes play a pivotal role in NP fibrosis and may therefore be a target for modifying disc degeneration and promoting its repair.
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spelling doaj-art-2aa955146a3143c6aa1fae12c394d6b92025-01-26T12:19:51ZengNature Publishing GroupBone Research2095-62312025-01-0113111310.1038/s41413-024-00372-2Fibrocyte enrichment and myofibroblastic adaptation causes nucleus pulposus fibrosis and associates with disc degeneration severityYi Sun0Yan Peng1Zezhuo Su2Kyle, K. H. So3Qiuji Lu4Maojiang Lyu5Jianwei Zuo6Yongcan Huang7Zhiping Guan8Kenneth M. C. Cheung9Zhaomin Zheng10Xintao Zhang11Victor Y. L. Leung12Department of Sports Medicine, Peking University Shenzhen HospitalDepartment of Orthopaedics and Traumatology, The University of Hong KongDepartment of Orthopaedics and Traumatology, The University of Hong KongDepartment of Orthopaedics and Traumatology, The University of Hong KongDepartment of Orthopaedics and Traumatology, The University of Hong KongDepartment of Sports Medicine, Peking University Shenzhen HospitalDepartment of Sports Medicine, Peking University Shenzhen HospitalDepartment of Spine Surgery, Shenzhen Engineering Laboratory of Orthopaedic Regenerative Technologies, Peking University Shenzhen HospitalDepartment of Spine Surgery, Shenzhen Engineering Laboratory of Orthopaedic Regenerative Technologies, Peking University Shenzhen HospitalDepartment of Orthopaedics and Traumatology, The University of Hong KongDepartment of Spine Surgery, the First Affiliated Hospital, Sun Yat-sen UniversityDepartment of Sports Medicine, Peking University Shenzhen HospitalDepartment of Orthopaedics and Traumatology, The University of Hong KongAbstract Fibrotic remodeling of nucleus pulposus (NP) leads to structural and mechanical anomalies of intervertebral discs that prone to degeneration, leading to low back pain incidence and disability. Emergence of fibroblastic cells in disc degeneration has been reported, yet their nature and origin remain elusive. In this study, we performed an integrative analysis of multiple single-cell RNA sequencing datasets to interrogate the cellular heterogeneity and fibroblast-like entities in degenerative human NP specimens. We found that disc degeneration severity is associated with an enrichment of fibrocyte phenotype, characterized by CD45 and collagen I dual positivity, and expression of myofibroblast marker α-smooth muscle actin. Refined clustering and classification distinguished the fibrocyte-like populations as subtypes in the NP cells - and immunocytes-clusters, expressing disc degeneration markers HTRA1 and ANGPTL4 and genes related to response to TGF-β. In injury-induced mouse disc degeneration model, fibrocytes were found recruited into the NP undergoing fibrosis and adopted a myofibroblast phenotype. Depleting the fibrocytes in CD11b-DTR mice in which myeloid-derived lineages were ablated by diphtheria toxin could markedly attenuate fibrous modeling and myofibroblast formation in the NP of the degenerative discs, and prevent disc height loss and histomorphological abnormalities. Marker analysis supports that disc degeneration progression is dependent on a function of CD45+COL1A1+ and αSMA+ cells. Our findings reveal that myeloid-derived fibrocytes play a pivotal role in NP fibrosis and may therefore be a target for modifying disc degeneration and promoting its repair.https://doi.org/10.1038/s41413-024-00372-2
spellingShingle Yi Sun
Yan Peng
Zezhuo Su
Kyle, K. H. So
Qiuji Lu
Maojiang Lyu
Jianwei Zuo
Yongcan Huang
Zhiping Guan
Kenneth M. C. Cheung
Zhaomin Zheng
Xintao Zhang
Victor Y. L. Leung
Fibrocyte enrichment and myofibroblastic adaptation causes nucleus pulposus fibrosis and associates with disc degeneration severity
Bone Research
title Fibrocyte enrichment and myofibroblastic adaptation causes nucleus pulposus fibrosis and associates with disc degeneration severity
title_full Fibrocyte enrichment and myofibroblastic adaptation causes nucleus pulposus fibrosis and associates with disc degeneration severity
title_fullStr Fibrocyte enrichment and myofibroblastic adaptation causes nucleus pulposus fibrosis and associates with disc degeneration severity
title_full_unstemmed Fibrocyte enrichment and myofibroblastic adaptation causes nucleus pulposus fibrosis and associates with disc degeneration severity
title_short Fibrocyte enrichment and myofibroblastic adaptation causes nucleus pulposus fibrosis and associates with disc degeneration severity
title_sort fibrocyte enrichment and myofibroblastic adaptation causes nucleus pulposus fibrosis and associates with disc degeneration severity
url https://doi.org/10.1038/s41413-024-00372-2
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