Inflammation, extracellular
matrix metabolic dysfunction,
and oxidative
stress are key pathogenic characteristics of intervertebral disk degeneration
(IVDD), a major pathogenic cause of low back pain. Esculetin possesses
anti-injury, anti-inflammation, and antinociceptive properties. This
study aimed to explore its role in IVDD. In this research, esculetin
exhibited little cytotoxicity to human nucleus pulposus cells (NPCs).
Moreover, esculetin increased cell viability under IL-1β stimulation
but attenuated IL-1β-induced cell apoptosis and caspase-3 activity.
Furthermore, IL-1β-evoked increases in intracellular reactive
oxygen species and malondialdehyde (MDA) levels, and decreases in
superoxide dismutase (SOD) activity were reversed after esculetin
treatment, indicating the antioxidative stress efficacy of esculetin.
Esculetin alleviated the inhibitory effects of IL-1β on the
transcription and protein expression of anabolic biomarkers (collagen
II and aggrecan), accompanied by decreases in expression and release
of catabolic biomarkers MMP-3 and MMP-13 from NPCs. Moreover, IL-1β
exposure enhanced the expression levels of the inflammatory mediator
nitric oxide and inflammatory cytokine IL-6 and TNF-α, which
were overturned after esculetin treatment. Additionally, esculetin
activated the nuclear factor-erythroid 2-related factor 2 (Nrf2)/heme
oxygenase 1 (HO-1) to inhibit the activation of nuclear factor κB
(NF-κB) signaling in NPCs. Importantly, suppression of Nrf2
signaling reversed the protective efficacy of esculetin against IL-1β-mediated
oxidative injury, matrix metabolism disruption, and inflammatory response
in NPCs. Together, esculetin may alleviate IL-1β-induced dysfunction
in NPCs by regulating the Nrf2/HO-1/NF-kb signaling, indicating its
potential as a promising therapeutic agent against IVDD.