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ADGRG1-targeted hypoxia preconditioned extracellular vesicles ameliorate intervertebral disc degeneration by delivering taurine to disrupt the oxidative stress feedback loop-driven ferroptosis in nucl

5 hours ago
  • #Oxidative stress
  • #Ferroptosis
  • #ADGRG1
  • Intervertebral disc degeneration (IVDD) causes cervical spondylosis and low back pain, leading to clinical disability.
  • Excessive reactive oxygen species (ROS) drive IVDD, but mechanisms linking ROS to disc cell dysfunction remain unclear.
  • A 'ROS-Mitochondrial dysfunction-Ferritinophagy' oxidative stress feedback loop is identified as central to ROS-induced nucleus pulposus cell (NPC) ferroptosis in IVDD.
  • ADGRG1 is a biomarker of ROS-induced ferroptosis in injured NPCs.
  • ADGRG1-tethered peptide (A1TP)-modified hypoxia preconditioned extracellular vesicles (HX-EVs) were developed for targeted antioxidant therapy.
  • HX-EVs deliver taurine, which binds to LKB1 and MO25 residues, facilitating the assembly of the LKB1-STRAD-MO25 kinase complex.
  • This interaction activates the AMPK/NRF2 pathway, suppressing ferritinophagy, enhancing mitochondrial repair, and protecting NPCs from ferroptosis.
  • The A1TP-HX-EV system shows promise for IVDD treatment and provides insights into targeted HX-EV delivery and disc regeneration.