Diabetes mellitus- (DM-) associated
hyperglycemia promotes apoptosis of disc nucleus pulposus (NP) cells, which is a contributor to
intervertebral disc degeneration (IDD).
Melatonin is able to protect against cell apoptosis. However, its effects on apoptosis of NP cell in a high-
glucose culture remain unclear. The purpose of the present study was to investigate the effects and molecular mechanism of
melatonin on NP cell apoptosis in a high-
glucose culture. NP cells were cultured in the baseline medium supplemented with a high-
glucose concentration (0.2 M) for 3 days. The control cells were only cultured in the baseline medium. Additionally, the
pharmaceutical inhibitor
LY294002 was added along with the culture medium to investigate the possible role of the PI3K/Akt pathway. Apoptosis, autophagy, and activity of the PI3K/Akt pathway of NP cells among these groups were evaluated. Compared with the control NP cells, high
glucose significantly increased cell apoptosis ratio and
caspase-3/
caspase-9 activity and decreased
mRNA expression of Bcl-2, whereas it increased
mRNA or
protein expression of Bax,
caspase-3, cleaved
caspase-3, cleaved PARP, and autophagy-related molecules (Atg3, Atg5,
Beclin-1, and LC3-II) and decreased
protein expression of p-Akt compared with the control cells. Additionally,
melatonin partly inhibited the effects of high
glucose on those parameters of cell apoptosis, autophagy, and activation of PI3K/Akt. In conclusion,
melatonin attenuates apoptosis of NP cells through inhibiting the excessive autophagy via the PI3K/Akt pathway in a high-
glucose culture. This study provides new theoretical basis of the protective effects of
melatonin against
disc degeneration in a DM patient.