Is Type 2 Diabetes Mellitus Associated with Spinal Degenerative Disorders?: Evidence from Observational and 2-Sample Mendelian Randomization Analyses.

BACKGROUND: Type 2 diabetes mellitus (T2DM) and spinal degenerative disorders (SDD) are common diseases that frequently coexist. However, both traditional observational studies and recent Mendelian randomization (MR) studies have demonstrated conflicting evidence on the association between T2DM and SDD. This comparative study explored and compared the association between T2DM and SDD using observational and MR analyses. METHODS: For observational analyses, cross-sectional studies (44,972 participants with T2DM and 403,095 participants without T2DM), case-control studies (38,234 participants with SDD and 409,833 participants without SDD), and prospective studies (35,550 participants with T2DM and 392,046 participants without T2DM with follow-up information until 2022) were performed to test the relationship between T2DM and SDD using individual-level data from the U.K. Biobank from 2006 to 2022. For MR analyses, the associations between single-nucleotide polymorphisms with SDD susceptibility obtained using participant data from the U.K. Biobank, which had 407,938 participants from 2006 to 2022, and the FinnGen Consortium, which had 227,388 participants from 2017 to 2022, and genetic predisposition to T2DM obtained using summary statistics from a pooled genome-wide association study involving 1,407,282 individuals were examined. The onset and severity of T2DM are not available in the databases being used. RESULTS: Participants with T2DM were more likely to have SDD than their counterparts. Logistic regression analysis identified T2DM as an independent risk factor for SDD, which was confirmed by the Cox proportional hazard model results. However, using single-nucleotide polymorphisms as instruments, the MR analyses demonstrated no causal relationship between T2DM and SDD. The lack of such an association was robust in the sensitivity analysis, and no pleiotropy was seen. CONCLUSIONS: Our results suggest that the association between T2DM and SDD may be method-dependent. Researchers and clinicians should be cautious in interpreting the association, especially the causal association, between T2DM and SDD. Our findings provide fresh insights into the association between T2DM and SDD by various analysis methods and guide future research and clinical efforts in the effective prevention and management of T2DM and SDD. LEVEL OF EVIDENCE: Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence.

Single-cell RNA sequencing reveals the MIF/ACKR3 receptor-ligand interaction between neutrophils and nucleus pulposus cells in intervertebral disc degeneration.

OBJECTIVES: To unravel the heterogeneity and function of microenvironmental neutrophils during intervertebral disc degeneration (IDD). METHODS: Single-cell RNA sequencing (scRNA-seq) was utilized to dissect the cellular landscape of neutrophils in intervertebral disc (IVD) tissues and their crosstalk with nucleus pulposus cells (NPCs). The expression levels of macrophage migration inhibitory factor (MIF) and ACKR3 in IVD tissues were detected. The MIF/ACKR3 axis was identified and its effects on IDD were investigated in vitro and in vivo. RESULTS: We sequenced here 71520 single cells from 5 control and 9 degenerated IVD samples using scRNA-seq. We identified a unique cluster of neutrophils abundant in degenerated IVD tissues that highly expressed MIF and was functionally enriched in extracellular matrix organization (ECMO). Cell-to-cell communication analyses showed that this ECMO-neutrophil subpopulation was closely interacted with an effector NPCs subtype, which displayed high expression of ACKR3. Further analyses revealed that MIF was positively correlated with ACKR3 and functioned via directly binding to ACKR3 on effector NPCs. MIF inhibition attenuated degenerative changes of NPCs and extracellular matrix, which could be partially reversed by ACKR3 overexpression. Clinically, a significant correlation of high MIF/ACKR3 expression with advanced IDD grade was observed. Furthermore, we also found a positive association between MIF+ ECMO-neutrophil counts and ACKR3+ effector NPCs density as well as higher expression of the MIF/ACKR3 signaling in areas where these two cell types were neighbors. CONCLUSIONS: These data suggest that ECMO-neutrophil promotes IDD progression by their communication with NPCs via the MIF/ACKR3 axis, which may shed light on therapeutic strategies.

Integrating single-cell and spatial transcriptomics reveals endoplasmic reticulum stress-related CAF subpopulations associated with chordoma progression.

BACKGROUND: With cancer-associated fibroblasts (CAFs) as the main cell type, the rich myxoid stromal components in chordoma tissues may likely contribute to its development and progression. METHODS: Single-cell RNA sequencing (scRNA-seq), spatial transcriptomics, bulk RNA-seq, and multiplexed quantitative immunofluorescence (QIF) were used to dissect the heterogeneity, spatial distribution, and clinical implication of CAFs in chordoma. RESULTS: We sequenced here 72 097 single cells from 3 primary and 3 recurrent tumor samples, as well as 3 nucleus pulposus samples as controls using scRNA-seq. We identified a unique cluster of CAF in recurrent tumors that highly expressed hypoxic genes and was functionally enriched in endoplasmic reticulum stress (ERS). Pseudotime trajectory and cell communication analyses showed that this ERS-CAF subpopulation originated from normal fibroblasts and widely interacted with tumoral and immune cells. Analyzing the bulk RNA-seq data from 126 patients, we found that the ERS-CAF signature score was associated with the invasion and poor prognosis of chordoma. By integrating the results of scRNA-seq with spatial transcriptomics, we demonstrated the existence of ERS-CAF in chordoma tissues and revealed that this CAF subtype displayed the most proximity to its surrounding tumor cells. In subsequent QIF validation involving 105 additional patients, we confirmed that ERS-CAF was abundant in the chordoma microenvironment and located close to tumor cells. Furthermore, both ERS-CAF density and its distance to tumor cells were correlated with tumor malignant phenotype and adverse patient outcomes. CONCLUSIONS: These findings depict the CAF landscape for chordoma and may provide insights into the development of novel treatment approaches.

Surface behavior, aggregation and phase separation of aqueous mixtures of dodecyl trimethylammonium bromide and sodium oligoarene sulfonates: the transition to polyelectrolyte/surfactant behavior.

The properties and phase diagrams of aqueous mixtures of dodecyltrimethylammonium bromide (C(12)TAB) with the sodium oligoarene sulphonates (POSn), POS2, POS3, POS4, and POS6 have been studied using surface tension and neutron reflectometry to study the surface, and neutron small angle scattering and fluorescence to study the bulk solution. The behavior of POS2 and POS3 is reasonably consistent with mixed micelles of C(12)TAB and POSn-(C(12)TA)(n). These systems exhibit a single critical micelle concentration (CMC) at which the surface tension reaches the usual plateau. This is contrary to a recent report which suggests that the onset of the surface tension plateau does not coincide with the CMC. In the POS3 system, the micelles conform to the core-shell model, are slightly ellipsoidal, and have aggregation numbers in the range 70-100. In addition, the dissociation constant for ionization of the micelles is significantly lower than for free C(12)TAB micelles, indicating binding of the POS3 ion to the micelles. Estimation of the CMCs of the POSn-(C(12)TA)(n) from n = 1-3 assuming ideal mixing of the two component surfactants and the observed values of the mixed CMC gives values that are consistent with the nearest related gemini surfactant. The POS4 and POS6 systems are different. They both phase separate slowly to form a dilute and a concentrated (dense) phase. Fluorescence of POS4 has been used to show that the onset of aggregation of surfactant (critical aggregation concentration, CAC) occurs at the onset of the surface tension plateau and that, at the slightly higher concentration of the phase separation, the concentration of POS4 and C(12)TAB in the dilute phase is at or below its concentration at the CAC, that is, this is a clear case of complex coacervation. The surface layer of the C(12)TA ion in the surface tension plateau region, studied directly by neutron reflectometry, was found to be higher than a simple monolayer (observed for POS2 and POS3) for both the POS4 and POS6 systems. In POS6 this evolved after a few hours to a structure consisting of a monolayer with an attached subsurface bilayer, closely resembling that observed for one class of polyelectrolyte/surfactant mixtures. It is suggested that this structured layer, which must be present on the surface of the dilute phase of the coacervated system, is a thin wetting film of the dense phase. The close resemblance of the properties of the POS6 system to that of one large group of polyelectrolyte/surfactant mixtures shows that the surface behavior of oligoion/surfactant mixtures can quickly become representative of that of true polyelectrolyte/surfactant mixtures. In addition, the more precise characterization possible for the POS6 system identifies an unusual feature of the surface behavior of some polyelectrolyte/surfactant systems and that is that the surface tension can remain low and constant through a precipitation/coacervation region because of the characteristics of two phase wetting. The well-defined fixed charge distribution in POS6 also suggests that rigidity and charge separation are the factors that control whether a given system will exhibit a flat surface tension plateau or the alternative of a peak on the surface tension plateau.