Table 1 Pyroptosis-based therapy in IDD.

From: Pyroptosis: mechanism and therapeutic strategies with intervertebral disc degeneration

Classification

Compound

Experimental models(stimuli)

Function

Signaling pathway

References

Natural molecules

KA

Rat NPC(TBHP); rat NPC(puncture)

PANoptosis ↓, catabolism ↓, ROS↓

TAK1 ↑, PI3K/AKT/NF-κB ↓

72

Morin

Rat NPC(TNF);mice NPC(spinous process resection)

pyroptosis ↓

TXNIP/NLRP3/caspase-1/IL-1β ↓

74

Paeoniflorin

Rat NPC(puncture)

pyroptosis ↓, catabolism ↓, intracellular calcium concentration ↓

NLRP3/ASC/caspase-1 P20/GSDMD-N ↓

76

Maltol

Rat NPC(IL-1β);mice NPC(spinal instability)

pyroptosis ↓, catabolism ↓, inflammation ↓

PI3K/AKT/NF-κB ↓, NLRP3 ↓

78

Endogenous small molecules

APN

Human NPC(LPS)

pyroptosis ↓, LDH ↓

miR-135a-5p ↑, TXNIP/NLRP3 ↓

80

Kindlin-2

Human NPC(Kindlin-2 deletion);rat NPC(puncture)

apoptosis ↓, catabolism ↓, inflammation ↓

NLRP3/IL-1β ↓

82

GDF-5

Human NPMSC(LPS)

pyroptosis ↓, chondroid differentiation ↑, inflammation ↓

RhoA ↑

84

MFG-E8

Human NPC(H2O2);rat NPC(H2O2, puncture)

pyroptosis ↓, catabolism ↓, ROS ↓, mitochondrial dysfunction ↓

PI3K/AKT/Nrf2 ↑, TXNIP/NLRP3 ↓

85

BMP7

Rat NPC(STZ)

pyroptosis ↓, inflammation ↓

NLRP3 ↓

87

SIRT1

Human NPC(IL-1β);rat NPC(puncture)

pyroptosis ↓, mitophagy ↑, ROS ↓

PINK1/Parkin ↑, NLRP3 ↓

88

PDGF-BB

Human NPC(IL-1β);rat NPC(LSI)

pyroptosis ↓, catabolism ↓, glycolytic enzymes ↑, mitochondrial function ↑

PDGFR-β/TXNIP/NLRP3 ↓

90

Melatonin

Human NPC(IL-1β, TNF, LPS);rat NPC(puncture)

pyroptosis ↓

IL-1β/NF-κB-NLRP3

92

Medicine

Verapamil

Rat NPC(TBHP, puncture)

pyroptosis ↓, apoptosis ↓, ROS ↓

Nrf2 ↑, TXNIP/NLRP3 ↓

94

Rosuvastatin

Rat NPC(TNF, puncture)

pyroptosis ↓, catabolism ↓, senescence ↓

HMGB1-NF-κB ↓

96

Stem cell and EVs

hASC-EV

Human NPC(LPS); rat NPC(puncture)

pyroptosis ↓, autophagy ↑, catabolism ↓

TGFβR2 ↓, Akt/mTOR↑

108

hESC-EV

Human NPC(H2O2);rat NPC(puncture)

pyroptosis ↓

miR-302c/NLRP3 ↓

109

PRP-EV

Human NPC(TBHP); rat NPC(H2O2, puncture)

pyroptosis ↓, catabolism ↓, inflammation ↓

MALAT1/microRNA-217/SIRT1 ↑, miR-141-3p/NRF2/KEAP1 ↑

110,111

hucMSC-EV

Human NPC(METTL14 overexpression)

pyroptosis ↓

miR-26a-5p/METTL14/NLRP3/caspase-1 ↓

112

Cavin-2-engineered BMSC-EV

Human NPC(TNF);rat NPC

pyroptosis ↓, ROS ↓

113

Bioactive materials

dECM@exo

Rat NPC(puncture)

pyroptosis ↓, catabolism ↓

116

dECM/M2-sEVs

Human NPC(H2O2);rat NPC(puncture)

pyroptosis ↓, ROS ↓

miR-221-3p/PTEN/NLRP3 ↓

117

siDDIT4@G5-P-HA

Rat NPC(H2O2, puncture)

pyroptosis ↓, ROS ↓

ROS/TXNIP/NLRP3↓

24

FG@PEV

Rat NPC(LPS + ATP, puncture)

pyroptosis ↓, ROS ↓, catabolism ↓, free fatty acid metabolism ↑

118

PEG-PIB

Human NPPC

pyroptosis ↓

COX2/NF-κB/caspase-1 ↓

119

PG@Cu-FP

Rat NPC(H2O2, puncture)

pyroptosis ↓, ROS ↓, apoptosis ↓, catabolism ↓

Nod-like receptor ↓

120

MCDs

Human NPC(H2O2);rat NPC(puncture)

pyroptosis ↓, ROS ↓, catabolism ↓, mitochondrial function ↑

122