Antidiabetic DPP4 inhibitor Attenuates Intervertebral Disc Degeneration via Macrophage‐Nucleus Pulposus Cell Crosstalk

DPP4 was a causal driver of IVDD, and its inhibition by sitagliptin mitigated degeneration by disrupting the pathogenic positive feedback loop between macrophages and NP cells. These findings reposition sitagliptin, a clinically approved antidiabetic drug, as a promising therapeutic candidate for IVDD, highlighting the translational potential of targeting DPP4 and its downstream inflammatory cascades.

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Publication Details

Journal
British Journal of Pharmacology
Published
2026-01-15
DOI
https://doi.org/10.1111/bph.70283
Primary Topic
Spine and Intervertebral Disc Pathology
Type
article
Field-Weighted Citation Impact
0.00
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article

Antidiabetic DPP4 inhibitor Attenuates Intervertebral Disc Degeneration via Macrophage‐Nucleus Pulposus Cell Crosstalk

Chen-Cheng Zhou, Zihan Dai, Yu‐rui Wu, Yi‐Feng Shi et al.
British Journal of Pharmacology
Spine and Intervertebral Disc Pathology
article

Antidiabetic DPP4 inhibitor Attenuates Intervertebral Disc Degeneration via Macrophage‐Nucleus Pulposus Cell Crosstalk

Chen-Cheng Zhou, Zihan Dai, Yu‐rui Wu, Yi‐Feng Shi, Chenglong Xie, Yi‐tian Yu, Xiangcheng Zhang, Wen‐Tian Cao, Su‐Yu Ying, Hai‐Wei Ma, Gang Zheng, Zhuo‐Fan Zeng
article en

Abstract

DPP4 was a causal driver of IVDD, and its inhibition by sitagliptin mitigated degeneration by disrupting the pathogenic positive feedback loop between macrophages and NP cells. These findings reposition sitagliptin, a clinically approved antidiabetic drug, as a promising therapeutic candidate for IVDD, highlighting the translational potential of targeting DPP4 and its downstream inflammatory cascades.

British Journal of Pharmacology
Wenzhou Medical University (CN), Second Affiliated Hospital & Yuying Children's Hospital of Wenzhou Medical University (CN), Lishui Central Hospital (CN)
Good health and well-being
Openalex Percentile: Top 87%
Spine and Intervertebral Disc Pathology
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