Abstract
Intervertebral disk degeneration is a progressive and debilitating disease with multifactorial causes. Nitric oxide (NO) might contribute to the cell death pathway. We evaluated the presence of the constitutive form of the neuronal NOS (nNOS) in both health and degenerated intervertebral disk through qPCR and immunohistochemistry. We also analyzed the potential role of nNOS modulation in the tail needle puncture model of intervertebral disk degeneration. Male Wistar rats were submitted to percutaneous disk puncture with a 21-gauge needle of coccygeal vertebras. The selective nNOS pharmacological inhibitor N (ω)-propyl-l-arginine (NPLA) or a nNOS-target siRNA (siRNAnNOShum_4400) was injected immediately after the intervertebral disk puncture with a 30-gauge needle. Signs of disk degeneration were analyzed by in vivo magnetic resonance imaging and histological score. We found that intact intervertebral disks express low levels of nNOS mRNA. Disk injury caused a 4 fold increase in nNOS mRNA content at 5 h post disk lesion. However, NPLA or nNOS-target siRNA slight mitigate the intervertebral disk degenerative progress. Our data show evidence of the nNOS presence in the intervertebral disk and its upregulation during degeneration. Further studies would disclose the nNOS role and its potential therapeutical value in the intervertebral disk degeneration.
Similar content being viewed by others
References
Blanco FJ, Lotz M (1995) IL-1-induced nitric oxide inhibits chondrocyte proliferation via PGE2. Exp Cell Res 218:319–325
Blanco FJ, Geng Y, Lotz M (1995) Differentiation-dependent effects of IL-1 and TGF-beta on human articular chondrocyte proliferation are related to inducible nitric oxide synthase expression. J Immunol 154:4018–4026
Burnett JC, Rossi JJ (2012) RNA-based therapeutics: current progress and future prospects. Chem Biol 19:60–71
Carreon LY, Ito T, Yamada M, Uchiyama S, Takahashi HE (1997) Neovascularization induced by annulus and its inhibition by cartilage endplate. Its role in disc absorption. Spine 22:1429–1434
Denda H, Kimura S, Yamazaki A, Hosaka N, Takano Y, Imura K, Yajiri Y, Endo N (2011) Clinical significance of cerebrospinal fluid nitric oxide concentrations in degenerative cervical and lumbar diseases. Eur Spine J 20:604–611
Dotsch J, Harmjanz A, Christiansen H, Hanze J, Lampert F, Rascher W (2000) Gene expression of neuronal nitric oxide synthase and adrenomedullin in human neuroblastoma using real-time PCR. Int J Cancer 8:172–175
Freemont AJ (2009) The cellular pathobiology of the degenerate intervertebral disc and discogenic back pain. Rheumatology (Oxford) 48:5–10
Furusawa N, Baba H, Miyoshi N, Maezawa Y, Uchida K, Kokubo Y, Fukuda M (2001) Herniation of cervical intervertebral disc: immunohistochemical examination and measurement of nitric oxide production. Spine (Phila Pa 1976) 26:1110–1116
Garthwaite J, Boulton CL (1995) Nitric oxide signaling in the central nervous system. Annu Rev Physiol 57:683–706
Grang L, Gaudin P, Trocme C, Phelip X, Morel F, Juvin R (2001) Intervertebral disk degeneration and herniation: the role of metalloproteinases and cytokines. Joint Bone Spine 68:547–553
Han B, Zhu K, Li FC, Xiao YX, Feng J, Shi ZL, Lin M, Wang J, Chen QX (2008) A simple disc degeneration model induced by percutaneous needle puncture in the rat tail. Spine (Phila Pa 1976) 33:1925–1934
Hauselmann HJ, Oppliger L, Michel BA, Stefanovic-Racic M, Evans CH (1994) Nitric oxide and proteoglycan biosynthesis by human articular chondrocytes in alginate culture. FEBS Lett 352:361–364
Hobbs AJ, Higgs A, Moncada S (1999) Inhibition of nitric oxide synthase as a potential therapeutic target. Annu Rev Pharmacol Toxicol 39:191–220
Huesken D, Lange J, Mickanin C, Weiler J, Asselbergs F, Warner J, Meloon B, Engel S, Rosenberg A, Cohen D, Labow M, Reinhardt M, Natt F, Hall J (2005) Design of a genome-wide siRNA library using an artificial neural network. Nat Biotechnol 23:995–1001
Issy AC, Castania V, Castania M, Salmon CE, Nogueira-Barbosa MH, Del Bel E, Defino HL (2013) Experimental model of intervertebral disc degeneration by needle puncture in Wistar rats. Braz J Med Biol Res 46:235–244
Kang JD, Georgescu HI, McIntyre-Larkin L, Stefanovic-Racic M, Evans CH (1995) Herniated cervical intervertebral discs spontaneously produce matrix metalloproteinases, nitric oxide, interleukin-6, and prostaglandin E2. Spine (Phila Pa 1976) 20:2373–2378
Kang JD, Stefanovic-Racic M, McIntyre LA, Georgescu HI, Evans CH (1997) Toward a biochemical understanding of human intervertebral disc degeneration and herniation. Contributions of nitric oxide, interleukins, prostaglandin E2, and matrix metalloproteinases. Spine 22:1065–1073
Keorochana G, Johnson JS, Taghavi CE, Liao JC, Lee KB, Yoo JH et al (2010) The effect of needle size inducing degeneration in the rat caudal disc: evaluation using radiograph, magnetic resonance imaging, histology, and immunohistochemistry. Spine J 10:1014–1023
Kohyama K, Saura R, Doita M, Mizuno K (2000) Intervertebral disc cell apoptosis by nitric oxide: biological understanding of intervertebral disc degeneration. Kobe J Med Sci 46:283–285
Kwon MJ, Oh E, Lee S, Roh MR, Kim SE, Lee Y, Choi YL, In YH, Park T, Koh SS, Shin YK (2009) Identification of novel reference genes using multiplatform expression data and their validation for quantitative gene expression analysis. PLoS One 4:61–62
Lau KS, Grange RW, Isotani E, Sarelius IH, Kamm KE, Huang PL, Stull JT (2000) nNOS and eNOS modulate cGMP formation and vascular response in contracting fast-twitch skeletal muscle. Physiol Genomics 2:21–27
Lee SJ, Kim TU, Park JS, Ra JY (2013) Inhibition of nitric oxide mediated protein nitration: therapeutic implications in experimental radiculopathy. Spine 15:1749–1753
Liu GZ, Ishihara H, Osada R, Kimura T, Tsuji H (2001) Nitric oxide mediates the change of proteoglycan synthesis in the human lumbar intervertebral disc in response to hydrostatic pressure. Spine (Phila Pa 1976) 26:134–141
Livak KJ, Schmittgen TD (2001) Analysis of relative gene expression data using real-time quantitative PCR and the 2(-Delta Delta C(T)) method. Methods 25:402–408
Mao H, Chen Q, Han B, Li F, Feng J, Shi Z, Lin M, Wang J (2011) The effect of injection volume on disc degeneration in a rat tail model. Spine 16:1062–1069
Mattson DL, Wu F (2000) Nitric oxide synthase activity and isoforms in rat renal vasculature. Hypertension 35:337–341
Melrose J, Shu C, Young C, Ho R, Smith MM, Young AA, Smith SS, Gooden B, Dart A, Podadera J, Appleyard RC, Little CB (2012) Mechanical destabilization induced by controlled annular incision of the intervertebral disc dysregulates metalloproteinase expression and induces disc degeneration. Spine 37:18–25
Moore PK, Handy RL (1997) Selective inhibitors of neuronal nitric oxide synthasis (NOS). Is NOS really good for the nervous system? Trends Pharmacol Sci 18:204–211
Mungrue IN, Bredt DS, Stewart DJ, Husain M (2003) From molecules to mammals: what’s NOS got to do with it? Acta Physiol 179:123–135
Murrell GA, Jang D, Williams RJ (1995) Nitric oxide activates metalloprotease enzymes in articular cartilage. Biochem Biophys Res Commun 206:15–21
Nishida K, Suzuki T, Kakutani K, Yurube T, Maeno K, Kurosaka M, Doita M (2008) Gene therapy approach for disc degeneration and associated spinal disorders. Eur Spine J 17:459–466
Norcross JP, Lester GE, Weinhold P, Dahners LE (2003) An in vivo model of degenerative disc disease. J Orthop Res 21:183–188
Pattison ST, Melrose J, Ghosh P, Taylor TK (2001) Regulation of gelatinase-A (MMP-2) production by ovine intervertebral disc nucleus pulposus cells grown in alginate bead culture by Transforming Growth Factor-beta(1)and insulin like growth factor-I. Cell Biol Int 25:679–689
Pitsillides AA, Rawlinson SC, Suswillo RF, Bourrin S, Zaman G, Lanyon LE (1995) Mechanical strain-induced NO production by bone cells: a possible role in adaptive bone (re)modeling? FASEB J 9:1614–1622
Podichetty VK (2007) The aging spine: the role of inflammatory mediators in intervertebral disc degeneration. Cell Mol Biol 53:4–18
Rannou F, Richette P, Benallaoua M, François M, Genries V, Korwin-Zmijowska C, Revel M, Corvol M, Poiraudeau S (2003) Cyclic tensile stretch modulates proteoglycan production by intervertebral disc annulus fibrosus cells through production of nitrite oxide. J Cell Biochem 90:148–157
Sakurai H, Kohsaka H, Liu MF, Higashiyama H, Hirata Y, Kanno K, Saito I, Miyasaka N (1995) Nitric oxide production and inducible nitric oxide synthase expression in inflammatory arthritides. J Clin Invest 96:2357–2363
Santizo R, Baughman VL, Pelligrino DA (2000) Relative contributions from neuronal and endothelial nitric oxide synthases to regional cerebral blood flow changes during forebrain ischemia in rats. NeuroReport 11:1549–1553
Sasaki K, Hattori T, Fujisawa T, Takahashi K, Inoue H, Takigawa M (1998) Nitric oxide mediates interleukin-1-induced gene expression of matrix metalloproteinases and basic fibroblast growth factor in cultured rabbit articular chondrocytes. J Biochem 123:431–439
Schiebler ML, Camerino VJ, Fallon MD, Zlatkin MB, Grenier N, Kressel HY (1991) In vivo and ex vivo magnetic resonance imaging evaluation of early disc degeneration with histopathologic correlation. Spine 16:635–640
Shen B, Melrose J, Ghosh P, Taylor F (2003) Induction of matrix metalloproteinase-2 and -3 activity in ovine nucleus pulposus cells grown in three-dimensional agarose gel culture by interleukin-1beta: a potential pathway of disc degeneration. Eur Spine J 12:66–75
Silveira JW, Issy AC, Castania VA, Salmon CE, Nogueira-Barbosa MH, Guimarães FS, Defino HL, Del Bel E (2014) Protective effects of cannabidiol on lesion-induced intervertebral disc degeneration. PLoS One 9:1–13
Stamler JS, Meissner G (2001) Physiology of nitric oxide in skeletal muscle. Physiol Rev 81:209–237
Van de Loo FA, Arntz OJ, Van den Berg WB (1997) Effect of interleukin 1 and leukaemia inhibitory factor on chondrocyte metabolism in articular cartilage from normal and interleukin-6-deficient mice: role of nitric oxide and IL-6 in the suppression of proteoglycan synthesis. Cytokine 9:453–462
Villalobo A (2006) Nitric oxide and cell proliferation. FEBS J 273:2329–2344
Xu KY, Huso DL, Dawson TM, Bredt DS, Becker LC (1999) Nitric oxide synthase in cardiac sarcoplasmic reticulum. Proc Natl Acad Sci USA 96:657–662
Yang X, Jin L, Yao L, Shen FH, Shimer AL, Li X (2014) Antioxidative nanofullerol prevents intervertebral disk degeneration. Int J Nanomedicine 15:2419–2430
Zhang HQ, Fast W, Marletta MA, Martasek P, Silverman RB (1997) Potent and selective inhibition of neuronal nitric oxide synthase by N omega-propyl-l-arginine. J Med Chem 40:3869–3870
Zhang H, La Marca F, Hollister SJ, Goldstein SA, Lin CY (2009) Developing consistently reproducible intervertebral disc degeneration at rat caudal spine by using needle puncture. J Neurosurg Spine 10:522–530
Zhang H, Yang S, Wang L, Park P, La Marca F, Hollister SJ et al (2011) Time course investigation of intervertebral disc degeneration produced by needle-stab injury of the rat caudal spine: laboratory investigation. J Neurosurg Spine 15:404–413
Acknowledgments
We thank Célia Ap. da Silva (FORP, USP) and Vani Maria Alves (FMRP, USP) for their excellent technical assistance. This research was supported by CAPES/PNPD, Brazil. The equipment and drugs used in this work were acquired from FAPESP, CNPq, and CAPES, Brazil. The funders had no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflicts of interest
The authors have declared that no competing interests exist.
Electronic Supplementary Material
Below is the link to the electronic supplementary material.
12640_2016_9676_MOESM1_ESM.tif
Supplementary material 1 (TIFF 5633 kb). Figure 1 Representative histological specimens of rat intervertebral disc 2 days after 21-gauge needle puncture stained with Alcian Blue. A Intact control (×2.5) showing preserved nucleus pulposus, which cells are presented in detail in panel A′ (×10), and well organized annulus fibrosus fibers. B Lesioned disc showing absence of nucleus pulposus cells, and a fragmentation of annulus fibrosus collagen fibers, showed in detail in B′ (×10). C Lesioned disc injected with NPLA also showing an obliteration of nucleus pulposus central cavity through a disorganized annulus fibrosus fibers, showed in C′ (×10)
12640_2016_9676_MOESM2_ESM.tif
Supplementary material 2 (TIFF 3787 kb). Figure 2 Representative histologic specimens of rat intervertebral disc (×2.5) 2 days after 21-gauge needle puncture. Normal control (A), lesioned disc treated with vehicle (B), and lesioned disc treated with NPLA (300 nmol; C). Note, in C, that annulus fibrosus seems more regular, and the increased cellularity of nucleus pulposus compared with B
Rights and permissions
About this article
Cite this article
Castania, V., Issy, A.C., Silveira, J.W. et al. The Presence of the Neuronal Nitric Oxide Synthase Isoform in the Intervertebral Disk. Neurotox Res 31, 148–161 (2017). https://doi.org/10.1007/s12640-016-9676-7
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12640-016-9676-7