Journal of Orthopaedic Surgery and Research, 2022 · DOI: https://doi.org/10.1186/s13018-022-03438-1 · Published: December 5, 2022
This research investigates the potential of Astragaloside IV (AS IV), a traditional Chinese medicine, in treating intervertebral disc degeneration (IDD), a major cause of low back pain. The study examines AS IV's effects on nucleus pulposus (NP) cells, which are crucial for maintaining the structure and function of intervertebral discs. The experiments involved using NP cells from patients with IDD and a rat model to mimic the condition. The researchers analyzed how AS IV affected inflammation, cell death (apoptosis), and the breakdown of the extracellular matrix (ECM) in these cells. The study found that AS IV effectively reduced inflammation, apoptosis, and ECM degeneration in NP cells. It also showed that AS IV inhibits the NF-κB pathway, which is involved in inflammation. In rats with induced IDD, AS IV had a protective effect, suggesting its potential as a treatment for IDD.
AS IV could be developed as a therapeutic agent for intervertebral disc degeneration (IDD), offering a new approach to manage low back pain and related complications.
The study identifies the NF-κB pathway as a key target for AS IV's protective effects, suggesting that future treatments could focus on modulating this pathway to alleviate IDD.
Further studies are needed to evaluate the long-term efficacy and safety of AS IV in treating IDD, as well as to explore its effects on other relevant pathways and using more representative models of IDD.