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A CREB5-NR4A1 checkpoint protects against disc degeneration by controlling ferroptosis - PubMed

5 hours ago
  • #disc degeneration
  • #CREB5-NR4A1
  • #ferroptosis
  • CREB5-NR4A1 checkpoint protects against intervertebral disc degeneration (IDD) by controlling ferroptosis.
  • CREB5 expression is significantly reduced in human degenerative discs.
  • CREB5 overexpression restores anti-ferroptotic enzyme GPX4 and suppresses ACSL4 induction in oxidatively stressed nucleus pulposus (NP) cells.
  • CREB5 activates NR4A1, promoting NR4A1-dependent transcription of PGC-1α and restoring mitochondrial antioxidant capacity.
  • In vivo, CREB5 delivery preserves disc height and reduces lipid peroxidation.
  • CREB5 functions as a transcriptional checkpoint limiting ferroptosis via the NR4A1-PGC-1α axis.