Excessive mechanical strain accelerates intervertebral disc degeneration by disrupting intrinsic circadian rhythm

Exp Mol Med. 2021 Dec;53(12):1911-1923. doi: 10.1038/s12276-021-00716-6. Epub 2021 Dec 21.

Abstract

Night shift workers with disordered rhythmic mechanical loading are more prone to intervertebral disc degeneration (IDD). Our results showed that circadian rhythm (CR) was dampened in degenerated and aged NP cells. Long-term environmental CR disruption promoted IDD in rats. Excessive mechanical strain disrupted the CR and inhibited the expression of core clock proteins. The inhibitory effect of mechanical loading on the expression of extracellular matrix genes could be reversed by BMAL1 overexpression in NP cells. The Rho/ROCK pathway was demonstrated to mediate the effect of mechanical stimulation on CR. Prolonged mechanical loading for 12 months affected intrinsic CR genes and induced IDD in a model of upright posture in a normal environment. Unexpectedly, mechanical loading further accelerated the IDD in an Light-Dark (LD) cycle-disrupted environment. These results indicated that intrinsic CR disruption might be a mechanism involved in overloading-induced IDD and a potential drug target for night shift workers.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Age Factors
  • Animals
  • Biomarkers
  • Cell Survival
  • Cellular Senescence
  • Circadian Clocks / genetics
  • Circadian Rhythm* / genetics
  • Disease Models, Animal
  • Disease Susceptibility*
  • Extracellular Matrix / metabolism
  • Intervertebral Disc Degeneration / diagnostic imaging
  • Intervertebral Disc Degeneration / etiology*
  • Intervertebral Disc Degeneration / metabolism*
  • Intervertebral Disc Degeneration / pathology
  • Magnetic Resonance Imaging
  • Male
  • Radiography
  • Rats
  • Stress, Mechanical*
  • Tensile Strength

Substances

  • Biomarkers