A selective inhibition of c-Fos/activator protein-1 as a potential therapeutic target for intervertebral disc degeneration and associated pain

Sci Rep. 2017 Dec 5;7(1):16983. doi: 10.1038/s41598-017-17289-y.

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 human nucleus pulposus cells and in a mouse explant culture model of IVD degeneration. We used a tail disc percutaneous needle puncture method to further assess the effects of oral administration of T-5224 on IVD degeneration. Analysis of disc height, T2-magnetic resonance imaging (MRI) findings, and histology revealed that IVD degeneration was significantly mitigated by T-5224. Further, oral administration of T-5224 ameliorated pain as indicated by the extended tail-flick latency in response to heat stimulation of rats with needle-puncture-induced IVD degeneration. These findings suggest that the inhibition of c-Fos/AP-1 prevents disc degeneration and its associated pain and that T-5224 may serve as a drug for the prevention of IVD degeneration.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Benzophenones / pharmacology*
  • Cells, Cultured
  • Disease Models, Animal
  • Gene Expression Regulation / drug effects
  • Humans
  • Interleukin-1beta / pharmacology
  • Intervertebral Disc Degeneration / drug therapy*
  • Intervertebral Disc Degeneration / genetics
  • Intervertebral Disc Degeneration / pathology
  • Isoxazoles / pharmacology*
  • Mice, Inbred C57BL
  • Molecular Targeted Therapy / methods
  • Nucleus Pulposus / cytology
  • Pain / drug therapy*
  • Pain / etiology
  • Proto-Oncogene Proteins c-fos / antagonists & inhibitors*
  • Proto-Oncogene Proteins c-fos / genetics
  • Proto-Oncogene Proteins c-fos / metabolism
  • Rats, Sprague-Dawley
  • Transcription Factor AP-1 / antagonists & inhibitors
  • Transcription Factor AP-1 / genetics
  • Transcription Factor AP-1 / metabolism

Substances

  • 3-(5-(4-(cyclopentyloxy)-2-hydroxybenzoyl)-2-((3-hydroxy-1,2-benzisoxazol-6-yl)methoxy)phenyl)propionic acid
  • Benzophenones
  • Interleukin-1beta
  • Isoxazoles
  • Proto-Oncogene Proteins c-fos
  • Transcription Factor AP-1