Sox9 deletion causes severe intervertebral disc degeneration characterized by apoptosis, matrix remodeling, and compartment-specific transcriptomic changes
Matrix Biology, 2020•Elsevier
SOX9 plays an important role in chondrocyte differentiation and, in the developing axial
skeleton, maintains the notochord and the demarcation of intervertebral disc compartments.
Diminished expression is linked to campomelic dysplasia, resulting in severe scoliosis and
progressive disc degeneration. However, the specific functions of SOX9 in the adult spinal
column and disc are largely unknown. Accordingly, employing a strategy to conditionally
delete Sox9 in Acan-expressing cells (Acan CreERT2 Sox9 fl/fl), we delineated these …
skeleton, maintains the notochord and the demarcation of intervertebral disc compartments.
Diminished expression is linked to campomelic dysplasia, resulting in severe scoliosis and
progressive disc degeneration. However, the specific functions of SOX9 in the adult spinal
column and disc are largely unknown. Accordingly, employing a strategy to conditionally
delete Sox9 in Acan-expressing cells (Acan CreERT2 Sox9 fl/fl), we delineated these …
Abstract
SOX9 plays an important role in chondrocyte differentiation and, in the developing axial skeleton, maintains the notochord and the demarcation of intervertebral disc compartments. Diminished expression is linked to campomelic dysplasia, resulting in severe scoliosis and progressive disc degeneration. However, the specific functions of SOX9 in the adult spinal column and disc are largely unknown. Accordingly, employing a strategy to conditionally delete Sox9 in Acan-expressing cells (AcanCreERT2Sox9fl/fl), we delineated these functions in the adult intervertebral disc. AcanCreERT2Sox9fl/fl mice (Sox9cKO) showed extensive and progressive remodeling of the extracellular matrix in nucleus pulposus (NP) and annulus fibrosus (AF), consistent with human disc degeneration. Progressive degeneration of the cartilaginous endplates (EP) was also evident in Sox9cKO mice, and it preceded morphological changes seen in the NP and AF compartments. Fate mapping using tdTomato reporter, EdU chase, and quantitative immunohistological studies demonstrated that SOX9 is crucial for disc cell survival and phenotype maintenance. Microarray analysis showed that Sox9 regulated distinct compartment-specific transcriptomic landscapes, with prominent contributions to the ECM, cytoskeleton-related, and metabolic pathways in the NP and ion transport, the cell cycle, and signaling pathways in the AF. In summary, our work provides new insights into disc degeneration in Sox9cKO mice at the cellular, molecular, and transcriptional levels, underscoring tissue-specific roles of this transcription factor. Our findings may direct future cell therapies targeting SOX9 to mitigate disc degeneration.
Elsevier