Single-nucleus transcriptomics decodes the link between aging and lumbar disc herniation
Higher Education PressLow back pain (LBP) is the leading cause of musculoskeletal disability worldwide, affecting approximately 70% of the global population (Global Burden of Disease Study 2021). Aging is an independent risk factor for LBP, with nearly 40% of individuals over 65 developing LBP and exhibiting heightened susceptibility to lumbar disc herniation. Through single-nucleus RNA sequencing of human lumbar disc specimens, this study systematically compares cellular heterogeneity between aging and herniated discs. We identified senescence-associated secretory phenotype (SASP) in aged disc cells and IL-17-mediated immune activation in herniation, revealing distinct therapeutic targets. These findings advance mechanistic understanding of disc degeneration and offer mechanistically-informed strategies, such as SASP inhibition and IL-17 pathway modulation, for precision treatment of age-related LBP in elderly populations.
- Journal
- Protein & Cell
- Funder
- National Natural Science Foundation of China, National Key Research and Development Program of China, National Natural Science Foundation of China, Program of the Beijing Natural Science Foundation, Shenzhen Medical Research Fund, CAS Project for Young Scientists in Basic Research, Strategic Priority Research Program of the Chinese Academy of Sciences, Informatization Plan of Chinese Academy of Sciences, New Cornerstone Science Foundation through the XPLORER PRIZE, Beijing Municipal Public Welfare Development and Reform Pilot Project for Medical Research Institutes, CAS Youth Interdisciplinary Team, Space Medical Experiment Project of CMSP, Key Laboratory of Alzheimer’s Disease of Zhejiang Province, CAS, Excellent Young Talents Program of Capital Medical University, Excellent Young Talents Training Program for the Construction of Beijing Municipal University Teacher Team, Young Elite Scientists Sponsorship Program by CAST, Youth Innovation Promotion Association of CAS