Table 1 Mechanisms of cell communications between macrophages and IVD cells

From: Role of macrophage in intervertebral disc degeneration

Source

Component

Target cell

Mechanism

Outcomes

References

M1

IL-1β

NPC

Stimulate NF-κB signaling pathway

Promote the expression of inflammatory cytokines and chemokines

40,56

NPC

Stimulate MAPK signaling pathway

Promote the expression of inflammatory cytokines

133

NPC

Suppress PI3K/Akt signaling pathway

Inhibit cell proliferation, promote apoptosis and senescence

92

NPC

Stimulate JAK/STAT3 signaling pathway

Promote apoptosis and ECM degradation

253

AFC

Stimulate ERK pathway

Induces apoptosis

254

AFC

Stimulate NF-κB signaling pathway

Promote inflammation and ECM degradation

93

CEPC

Stimulate PI3K/Akt signaling pathway

Inhibit cell proliferation and induce apoptosis, inhibited the synthesis and metabolism of CEPC

255

CEPC

Stimulate Wnt/β‐catenin signaling pathway

Inhibit the expression of Collagen II, ACAN and Sox-9. Promote the expression of ADTAMTS5 and MMP13

256

TNF-α

NPCs

Stimulate MAPK signaling pathway

Promote the expression of CHOP and promote apoptosis

99

NPCs

Stimulate NF-κB signaling pathway

Promote the expression of inflammatory cytokines and chemokines, Promote pyroptosis and cell senescence

56,98,257

NPCs

Stimulate JAK/STAT3 signaling pathway

Promote cell senescence

115

NPCs

Stimulate UPR signaling pathway

TNF-α stimulus upregulated ER stress markers and initiated unfolded protein response (UPR), promoting cell proliferation

126

AFC

Stimulate NF-κB signaling pathway

Inhibit cell proliferation, promote cell senescence and the expression of ROS

258

IL-18

NPC

Stimulate Caspase-3/9 signaling pathway

Promote apoptosis and ECM degradation

60

IL-6

NPC

Stimulate JAK/STAT3 signaling pathway

Promote the expression of COX-2, MMP-13 and catabolic activity

45,259

NPC

Stimulate YAP1/β-catenin signaling pathway

Inhibit the expression of Sox-9, Col-II and ACAN, and promote the expression of MMP 13

138

CXCL8

NPC

Stimulate NF-κB pathway signaling pathway

Promote apoptosis, oxidative stress, inflammation and ECM degradation

260

Exosome

NPC

Stimulate LCN2/NF-κB signaling axis

Promote cell senescence

261

ROS

NPC

Stimulate MAPK signaling pathway

Promote cell senescence

262

NPC

Stimulate NF- κ B signaling pathway

Promote cell senescence

262

NPC

Stimulate Hippo-p53 signaling pathway

Promote cell senescence

263

M2

IL-10

NPC

Suppress MAPK signaling pathway

Induce anti-inflammatory response and delay IVDD

75

EC

Stimulate pSTAT3 signaling

Promote endplate vascularization and sclerosis

18

TGF-β

NPC

Suppress MAPK signaling pathway

Inhibit catabolic activity and inflammation

264

NPC

Stimulate TGF-β/Smad signaling pathway

Inhibit ECM degradation and promote ECM synthesis

78

NPC

Suppress NF-κB signaling pathway

Promote cell proliferation, inhibit inflammation and oxidative stress

86

Exosome

NPC

Stimulate TGF-β/smad3 signaling pathway

Promote the expression of Col-II and ACAN, inhibit the expression of MMP13 and ADAMTs5 by delivering miR-124-3p

139

Small EV

NPC

Suppress PTEN/NLRP3 signaling pathway

Inhibit pyroptosis by delivering miR-221-3p

265

NPC

CCL2/7

Macrophage

CCL2/7-CCR2 axis

Promote macrophage infiltration

266,267,268

CX3CL1

Macrophage

CX3CL1-CX3CR1

Promote M2 polarization

25

CCL3

Macrophage

CCL3-CCR1

Promote macrophage infiltration

51

CCL4

Macrophage

CCL4-CCR1

Promote macrophage infiltration

269

Exosome

Macrophage

Stimulate PPARγ/NFκB/PI3K/AKT signaling pathway

Promote M1 polarization

22

  1. M1 M1 macrophage, M2 M2 macrophage, NPC Nucleus pulposus cell, AFC Annulus fibrosus cell, CEPC Cartilage endplate cell, MMP matrix metalloproteinase, TNF-α tumor necrosis factor-alpha, IL interleukin, MAPK Mitogen-activated protein kinase, NF-κB Nuclear factor kappa-light-chain-enhancer of activated B cells, JAK Janus kinase, STAT Signal transducer and activator of transcription, PI3K Phosphoinositide 3-kinase, Akt Protein kinase B, ERK Extracellular signal-regulated kinase, COX Cyclooxygenase, YAP Yes-associated protein, TGF-β Transforming growth factor-beta, Smad Sma and mad-related protein, PTEN Phosphatase and tensin homolog, NLRP3 NOD-like receptor pyrin ___domain containing 3, PPARγ Peroxisome proliferator-activated receptor gamma, ROS reactive oxygen species, IVDD intervertebral disc degeneration, LCN2 Lipocalin 2, pSTAT3 Phosphorylated signal transducer and activator of transcription 3, CCL C-C motif chemokine ligand, CCR C-C chemokine receptor, CX3CR1 C-X3-C motif chemokine receptor 1, Small EV small extracellular vesicle, UPR unfolded protein response, ECM extracellular matrix