Periodic mechanical stress induces the extracellular matrix expression and migration of rat nucleus pulposus cells by upregulating the expression of intergrin α1 and phosphorylation of downstream phospholipase Cγ1.

Intervertebral disk degeneration (IDD) is a major cause of low back pain and an important socioeconomic burden. Degradation of the extracellular matrix (ECM) of nucleus pulposus (NP) cells in the interverterbal disk is important for IDD. Stress of a suitable frequency and amplitude promotes the synthesis of the ECM of NP cells, however, the associated mechanisms remain to be fully elucidated The present study aimed to investigate the effect of integrin α1 on the migration and ECM synthesis of NP cells under soft periodic mechanical stress. Rat NP cells were isolated and plated onto slides, and were then treated with or without the use of a periodic mechanical stress system. The expression levels of integrin α1, α5 and αv, ECM collagen 2A1 (Col2A1) and aggrecan, and the phosphorylation of phospholipase C‑γ1 (PLCγ1) were measured using reverse transcription‑quantitative polymerase chain reaction and western blot analyses. Cell migration was assayed using a scratch experiment. The results showed that exposure to periodic mechanical stress significantly induced the mRNA expression levels of Col2A1 and aggrecan, cell migration, mRNA expression of integrin α1 and phosphorylation of PLC‑γ1 of the NP, compared with the control (P<0.05). Inhibition of the PLCγ1 protein by U73122 significantly decreased the ECM expression under periodic mechanical stress (P<0.05). Small interfering RNA‑mediated integrin α1 gene knockdown suppressed the mRNA expression levels of Col2A1 and aggrecan, and suppressed the migration and phosphorylation of PLCγ1 of the NP cells under periodic mechanical stress, compared with the control (P<0.05). In conclusion, periodic mechanical stress induced ECM expression and the migration of NP cells via upregulating the expression of integrin α1 and the phosphorylation of downstream PLCγ1. These findings provide novel information to aid the understanding of the pathogenesis and development of IDD.

Introduction

Intervertebral disc (IVD) degeneration (IDD) is the primary cause of low back pain, which is becoming an important socioeconomic burden. The IVD is composed of the nucleus pulposus (NP), annulus fibrosus and cartilage endplate, and contain extracellular matrix (ECM), which includes collagens (predominantly type-II collagen in NP) and proteoglycans (predominantly aggrecan) (1). Through the stimulation of various mechanical and biochemical signals, these ECM components may regulate cell morphology, phenotype, differentiation and ECM production of NP cells (2). The degradation of ECM in IVDs, particularly in the NP, is an important cause of IDD (1).

In the body, NP cells are in a complex mechanical environment, and their functions are affected by mechanical factors (3–5). Under physiological conditions, the stress in the human intervertebral space varies with postures between 0.1–1.1 MPa (6). Mechanical stress is important in the homeostasis of ECM in IVD cells. Periodic mechanical stress with low frequency and amplitude promotes the synthesis of ECM of NP cells and inhibits its degradation (7); whereas severe stress directly induces the dysfunction of energy metabolism and apoptosis of NP cells (8), possibly causing spinal diseases, including IDD. However, the mechanisms underlying the effects of mechanical stress on the behaviors of NP cells remains to be fully elucidated.

Integrins are a family of adhesion proteins on the cell surface, which are important for cell adhesion, proliferation, apoptosis and migration (9,10). Integrins transfer extracellular mechanical signals into intracellular chemical signals, regulating cellular metabolism via the downstream signaling pathways (11). Structurally, integrins are heterodimers containing α and β units, which jointly interact with various ligands. There are 18 types of α subunits and eight types of β subunits, constituting 24 types of integrins (12). Previous studies have shown the presence of various integrin subunits in NP regions, including α1, α2, α3, α5, α6, αV, β1 and β4 subunits (13–17). However, until now, which and how these integrins mediate the regulatory role of periodic mechanical stress in the synthesis and migration of ECM in NPs remain to be fully elucidated.

The phosphorylation of phospholipase C-γ1 (PLCγ1) protein, a serine theronine kinase belonging to the phospholipase C family, is ubiquitous in various cells to regulate processes, including cell adhesion, migration and ECM synthesis (18–20). In our previous study, it was demonstrated that, in chondrocytes, periodic mechanical stress activated PLCγ1 by Src through phosphorylation at the site of Tyr783 (PLCγ1-Tyr783) to promote chondrocyte area expansion and migration, partially via the mitogen-activated protein kinase kinase 1/2-extracellular signal-regulated kinase 1/2 pathway (21,22). It was also reported that periodic mechanical stress induced the expression of ECM collagen II (Col-2) and proteoglycan, and induced the phosphorylation of PLCγ1 protein in NPs, whereas treatment with U73122, an inhibitor of PLCγ1, significantly suppressed the cyclic stress-induced expression of ECM (23). These results indicated that PLC-γ1 may mediate the regulatory role of periodic mechanical stress in the expression of ECM in NPs. However, how PLCγ1 is involved in this process remains to be fully elucidated.

The current study aimed to investigate whether integrins and PLCγ1 have regulatory roles in periodic mechanical stress in NP cells. The present study indicated that the periodic mechanical stress-induced expression of ECM and migration of NP cells was mediated by the expression of integrin α1 and phosphorylation of downstream PLCγ1. These findings provide novel clues for investigating the mechanisms underlying the effects of periodic mechanical stress on regulation of the behaviors of NP cells, and to understand the pathogenesis and development of IDD.

Materials and methods

Isolation and culturing of NP cells

NP cells were isolated and cultured, as described previously (24). A total of 60 male Sprague-Dawley rats (4-week-old) were obtained from the Animal Center of Nanjing Medical University (Nanjing, China), they were maintained in standard conditions of 24±1°C, with a relative humidity of 50%. They had access to food and water ad libitum and were kept under a 12-h light/dark cycle. The rats were sacrificed by cervical dislocation, following which the thoracic and lumbar spines were collected under sterile conditions. Following removal of the surrounded ligament and soft tissues, the IVDs were rapidly cut open from the ventral side and digested in 1.5% type II collagenase (Gibco; Thermo Fisher Scientific, Inc., Waltham, MA, USA) at 37°C for 2 h, followed by filtration through a 200 mesh strainer. The resultant cells were cultured in Dulbecco's modified Eagle's medium-F12 medium (Gibco; Thermo Fisher Scientific, Inc.) supplemented with 10% fetal bovine serum (FBS; GE Healthcare Life Sciences Hyclone Laboratories, Logan, UT, USA) in a BB5060 incubator (Heraeus, Hanau, German) at 37°C and 5% CO2. The cells were subcultured at a confluence of 80%, and cells in the second passage were used for the following experiments. The surgery on the animals was conducted by Hangzhou Hibio Technology Co., Ltd. (Hangzhou, China) and approved by their Institutional Animal Care and Use Committee.

Cell treatment

A periodic mechanical stress system was used, as previously described (21). The periodic mechanical stress culturing system (Taixing Experimental Instrument Factory, Jiangsu, China), comprised a reciprocating boost pump and a culture chamber, which provided a periodic mechanical stress with a pressure of 0–0.3 MPa and frequency of 0–1 Hz. The cells (1×105 cells/ml) were plated on slides (25×25 mm), and then underwent periodic mechanical stress treatment of 0–0.2 MPa and 0.1 Hz for 6 h (stress group) or were not exposed to stress (control group). The cells were then collected for detection of the expression levels of integrin α1, α5, αV, collagen 2A1 (Col2A1) and aggrecan, the phosphorylation of PLCγ1 at Tyr783 (PLCγ1-Tyr783) and cell migration of the NPs.

In certain experiments, NPs were transfected with either integrin α1 small interfering (si)RNA (siRNA group) or negative control siRNA (NC group), or remained untransfected (control group) prior to the administration of periodic mechanical stress (0–0.2 MPa; 0.1 Hz; 6 h). NPs were also pretreated with U73122 (Gibco; Thermo Fisher Scientific, Inc.), an inhibitor of PLCγ1, in DMSO at a concentration of 10 µM (U73122 group) or with DMSO alone (control group) prior to the administration of periodic mechanical stress. After 6 h of stress, the cells were collected for various assays.

Cell transfection

The siRNA for integrin α1 was as follows: Sense 5′-GGUCGGGAUUGUACAGUAUGGTT-3′ and anti-sense 5′-CCAUACUGUACAAUCCCGACCTT-3′; The NC siRNA was as follows: Sense 5′-UUCUCCGAACGUGUCACGUTT-3′ and antisense 5′-ACGUGACACGUUCGGAGAATT-3′. The siRNA and the negative control were synthesized by Shanghai GenePharma Co., Ltd. (Shanghai, China).

For transfection, 75 pM of siRNA or NC, and 7.5 µl lipofectamine 2000 reagent (Invitrogen; Thermo Fisher Scientific, Inc.) were resolved in 50 µl opti-MEM medium (Gibco; Thermo Fisher Scientific, Inc.), respectively, mixed for 5 min and added to the cells on slides (100 µl for each slide; 1×105 cells/ml). After 6 hours at 37°C, the medium was replaced. The cells were collected for western blot analysis to confirm successful transfection, and then underwent periodic mechanical stress treatment.

Western blot analysis

The cells were collected and washed with phosphate-buffered saline (PBS), and added to RIPA lysis buffer (Beyotime Institute of Biotechnology, Nantong, China) on ice for 5 min. The cell lysate was centrifuged at 14,000 g for 5 min at 4°C, and the supernatant was collected. The concentration of the resultant total protein was determined using a bicinchoninic acid assay (Beyotime Institute of Biotechnology), and the protein was denatured and samples (50 µg) were separated by sodium dodecyl sulfate polyacrylamide gel electrophoresis with an equal quantity of total protein for each sample. The proteins in the gel were transferred onto polyvinylidene fluoride membranes, blocked and incubated with primary antibodies as follows: Goat polyclonal anti-integrin α1 (1:1,000; cat. no. sc-6584, Santa Cruz Biotechnology, Inc., Dallas, TX, USA), mouse polyclonal anti-PLCγ1 (1:1,000; cat. no. ab16955; Abcam, Cambridge, MA, USA), rabbit polyclonal anti-PLCγ1-Tyr783 (1:1,000; cat. no. 2821; Cell Signaling Technology, Inc., Danvers, MA, USA) and rabbit polyclonal anti-GAPDH (1:5,000; cat. no. AP0063; Bioworld Technology, Inc., Louis park, MN, USA) at 4°C overnight. Following washing of the membrane PBS with Tween 20, the goat anti-rabbit IgG-horseradish peroxidase (HRP; cat. no. BS13278; Bioworld Technology, Inc.), goat anti-mouse IgG-HRP (cat. no. BS12478; Bioworld Technology, Inc.) or rabbit anti-goat IgG-HRP (cat. no. sc-2768; Santa Cruz Biotechnology, Inc.) secondary antibodies were then added at room temperature for 1 h. Following washing, the membrane was visualized using Immobilon™ Western Chemiluminescent HRP substrate reagent (EMD Millipore, Billerica, MA, USA). The blots were scanned using a Bio-Rad Gel Doc Imaging System (Bio-Rad Laboratories, Inc., Hercules, CA, USA), and the band densities were quantified and compared using QuantityOne software (Bio-Rad Laboratories, Inc.). Expression of the target protein was calculated as the band density of the target protein normalized to that of GAPDH.

Reverse transcription-quantitative polymerase chain reaction (RT-qPCR) analysis

The total RNA was extracted from the cells using TRIzol regent (Invitrogen; Thermo Fisher Scientific, Inc.), and transcribed into cDNA using a PrimeScript RT Master Mix kit (Takara Bio, Inc., Shiga, Japan). The primers for integrin α1, integrin α5, integrin αV, aggrecan and Col2a1 were as follows: sense 5′-GGGCTACTGCTGCTAATGCT-3′ and antisense 5′-GGCCTTTTGAAGAATCCAATC-3′ for integrin α1; sense 5′-AGCTGCATTTCCGAGTCTG-3′ and antisense 5′-CTCACACTGAAGGCTGAACG-3′ for integrin α5; sense 5′-GGTGTGGATCGAGCTGTCTT-3′ and antisense CAAGGCCAGCATTTACAGTG-3′ for integrin αV; sense 5′-CCCTACCCTTGCTTCTCCA-3′ and antisense 5′-CTTGAGAGGCACTCATCAATGT-3′ for aggrecan; sense 5′-GACCCCCAGGTTCTAATGG-3′ and antisense 5′-GCACCTTTGGGACCATCTT-3′ for Col2A1; and sense 5′-GCAGAAGGAGATTACTGCCCT-3′ and antisense 5′-GCTGATCCACATCTGCTGGAA-3′ for β-actin. The primers were synthesized by Shanghai GenePharma Co., Ltd. RT-qPCR analysis was performed using a SYBR Premix Ex Taq II kit (Takara Bio, Inc.) and a StepOnePlus Real-Time PCR system (Thermo Fisher Scientific, Inc.). The reaction system (20 µl) contained 10 µl 2X SYBR Premix Ex Taq II, 0.4 µl forward primer (10 µM), 0.4 µl reverse primer (10 µM), 0.4 µl 50X ROX Reference Dye, 2 µl DNA sample, and 6.8 µl distilled water. Thermocycling conditions were as follows: 95°C for 30 sec; 40 cycles of 95°C for 5 sec and 60°C for 30 sec. The results were quantified using the 2−ΔΔCq method (19).

Cell migration assay

A scratch test is an effective means for the assessment of the migration capacities of NP cells (25). Following treatment, scratches were introduced vertically on the bottom of the slides, with the fine end of 200 µl tips. The medium was then removed, and the slides were washed with PBS three times to remove the detached cells. Serum-free medium was then added for culturing in an incubator at 37°C, 5% CO2 for 4 h. The slides were observed under a CKX31 microscope (Olympus, Tokyo, Japan), and images were captured under three optimal fields at 0 and 4 h following introduction of the scratch with the tips. Cell migration was analyzed using ImageJ 1.43 software (imagej.nih.gov). The cell migration distance (µm) was calculated as the scratch width (shown as the distance between the two dotted lines in Fig. 1) at 0 h minus the scratch width 4 h following the introduction of scratch injury.

Figure 1

Periodic mechanical stress significantly induces the mRNA expression of Col2A1 and aggrecan, and promotes nucleus pulposus cell migration. Cells were exposed to periodic mechanical stress (stress) or remained untreated (control). (A) mRNA expression levels of Col2A1 and aggrecan were analyzed by reverse transcription-quantitative polymerase chain reaction analysis. (B) Migration was determined by scratch experiments. Dotted lines indicate scratch widths (magnification, ×200). Data are expressed as the mean ± standard deviation. *P<0.05, compared with the control (n=3). Col2A1, collagen 2A1.

Statistical analysis

Data are expressed as the mean ± standard deviation and analyzed using SPSS 13.0 software (SPSS Inc., Chicago, IL, USA). The data between groups were analyzed using an unpaired t-test. P<0.05 was considered to indicate a statistically significant difference.

Results

Periodic mechanical stress significantly induces the mRNA expression of ECM Col-2A1 and aggrecan, and promotes the migration of NP cells

Compared with the control, which was not exposed to stress treatment, periodic mechanical stress (0.2 MPa; 0.1 Hz; 6 h) significantly induced the mRNA expression of ECM Col2A1 and aggrecan, as determined using RT-qPCR analysis (P<0.05, Fig. 1A), and promoted the migration of NP cells, determined in scratch experiments (P<0.05, Fig. 1B).

Periodic mechanical stress significantly upregulates the mRNA expression of integrin α1 and induces the phosphorylation of PLCγ1 in NP cells

The RT-qPCR analysis showed that periodic mechanical stress significantly induced the mRNA expression of integrin α1, but inhibited the expression levels of intergrin α5 and αV, compared with the control (P<0.05; Fig. 2A). Periodic mechanical stress also significantly induced the phosphorylation of PLC-γ1 (P<0.05; Fig. 2B).

Figure 2

Periodic mechanical stress significantly induces the mRNA expression of integrin α1 and phosphorylation of PLCγ1 in nucleus pulposus cells. Cells exposed to periodic mechanical stress (stress) or not (control) were analyzed for the (A) mRNA levels of integrin α1, α5 and αV by reverse transcription-quantitative polymerase chain reaction analysis. (B) Phosphorylation of PLCγ1 was analyzed by western blot analysis. Data are expressed as the mean ± standard deviation. *P<0.05, compared with the control (n=3). PLCγ1, phospholipase C-γ1; p-PLCγ1, phosphorylated PLCγ1.

Phosphorylation of PLCγ1 is required for the periodic mechanical stress-induced expression of ECM

To examine whether the phosphorylation of PLCγ1 is involved in the periodic mechanical stress-induced expression of ECM, the NP cells were pretreated with U73122 prior to the administration of periodic mechanical stress. Pretreatment with U73122 significantly inhibited the phosphorylation of PLCγ1 in the NP cells (P<0.05; Fig. 3A), and suppressed the mRNA expression levels of Col2A1 and aggrecan in the NP cells under periodic mechanical stress (P<0.05; Fig. 3B).

Figure 3

Phosphorylation of PLCγ1 is required for periodic mechanical stress-induced extracellular matrix expression. Nucleus pulposus cells were pretreated with U73122 or DMSO (control) prior to the administration of periodic mechanical stress. The (A) ratio of p-PLCγ1 to PLCγ1, and (B) mRNA expression levels of Col2A1 and aggrecan were analyzed. Data are expressed as the mean ± standard deviation. *P<0.05, compared with the control (n=3). PLCγ1, phospholipase C-γ1; p-PLCγ1, phosphorylated PLCγ1; Col2A1, collagen 2A1.

siRNA-based inhibition of integrin α1 suppresses the mRNA expression of Col2A1 and aggrecan, the migration of NPs and the phosphorylation of PLCγ1 under periodic mechanical stress

As the results of the present study showed that periodic mechanical stress induced the mRNA expression of integrin α1 in NP cells under periodic mechanical stress, to determine whether integrin α1 is involved in the regulatory effect of periodic mechanical stress on NP cells, integrin α1 siRNA was transfected into the NP cells. As shown in Fig. 4A, transfection with integrin α1 siRNA resulted in a significant decrease in the protein expression of integrin α1, as detected using western blot analysis (P<0.05), confirming the inhibition of integrin α1 in the NP cells of the siRNA group. Compared with the untransfected NP cells or the cells transfected with NC siRNA, transfection with integrin α1 siRNA suppressed the mRNA expression levels of Col2A1 and aggrecan (Fig. 4B), and the migration (Fig. 4C) of NP cells under periodic mechanical stress (P<0.05).

Figure 4

siRNA-based inhibition of the expression of integrin α1 suppresses the mRNA expression levels of Col2A1 and aggrecan, migration of NPs and phosphorylation of PLC-γ1 under periodic mechanical stress. NP cells transfected with integrin α1 siRNA (siRNA), NC siRNA or untransfected cells (control) were collected. (A) Protein expression of integrin α1 was analyzed using western blot analysis. The NP cells from the siRNA, NC and control groups were collected to measure the (B) mRNA expression levels of Col2A1 and aggrecan, (C) migration (dotted lines indicate scratch widths; magnification, ×200) and (D) phosphorylation of PLC-γ1 under periodic mechanical stress. Data are expressed as the mean ± standard deviation. *P<0.05, compared with the control or NC group (n=3). siRNA, small interfering RNA; Col2A1, collagen 2A1; PLCγ1, phospholipase C-γ1; p-PLCγ1, phosphorylated PLCγ1; NP, nucleus pulposus; NC, negative control.

As shown in Fig. 4D, compared with the untransfected cells or the cells transfected with NC, transfection with integrin α1, siRNA led to a significant decrease in the phosphorylation of PLCγ1 in the NPs under periodic mechanical stress (P<0.05).

Discussion

In NP cells, the ECM comprises predominantly Col-2 and proteoglycan, and the content gradually decreases with IDD (26). Cell migration is important for tissue reconstruction and repair (27). Anabolic ECM, predominantly Col2A1 and aggrecan, and the migration of NP cells are required for the elasticity and functions of IVD; therefore, the present study combined assessment of the expression levels of Col2A1 and proteoglycan with cell migration to investigate the regulatory effect of periodic mechanical stress on the functions of NP cells. The present study aimed to investigate the mechanisms underlying how periodic mechanical stress regulates the biological effects of NP cells.

Depending on the magnitude, frequency and duration of stress, NP cells exhibit diverse biological responses. Matsumoto et al (28) found that mechanical periodic stretch stress increased collagenous protein synthesis in rabbit NP cells. Neidlinger-Wilke et al (29) reported that low hydrostatic pressure (0.25 MPa; 0.1 Hz; 30 min) promoted and high pressure (2.5 MPa; 0.1 Hz; 30 min) decreased the expression levels of Col-2 and aggrecan in NP cells (29). Similarly, Hee et al (30) showed that the collagen and glycosaminoglycan contents were significantly higher in inner NP cells cultured under 0.2 MPa of compressive stress, compared with untreated control cells, but were significantly lower under 0.4 MPa of compressive stress. In our previous study, it was found that periodic mechanical stress of 0–0.2 MPa and 0.1 Hz not only significantly promoted the migration of chondrocytes (21), but also promoted the expression of ECM in the NP cells (23). Therefore, this condition was selected for investigation in the present study. The results demonstrated that soft periodic mechanical stress (0–0.2 Mpa; 0.1 Hz; 6 h) significantly induced the synthesis of ECM and the migration of NP cells, which were consistent with previous results (23,28–30). Therefore, the results of the present and previous studies indicated that soft stress can improve the biological functions of NPs.

Integrins mediate interactions with the ECM of NPs, which can promote cell attachment, survival and the biosynthesis of NPs. Inhibiting the β1 subunit inhibits NP cell attachment to all substrates, whereas inhibiting subunits α1, α2, α3 and α5 simultaneously inhibit NP cell attachment to laminins (14). Fibronectin fragments or dynamic load (1.3 MPa; 1.0 Hz) induce the degeneration of NP cells and expression of integrin α5β1, which is reversed by silencing the expression of integrin α5β1 or by inhibiting its activity using the Arg-Gly-Asp peptide, indicating that integrin α5β1 mediates the fibronectin fragment- or severe dynamic load-induced degeneration of NP cells and catabolic gene expression (17,31). However, until now, the effects of integrin α1 on the behaviors of NP cells under periodic mechanical stress, and the associated mechanisms, have not been previously reported.

The present study examined the variation in the expression of α1, α5 and αv, the most important α subunits in NP cells (13), following periodic mechanical stress treatment. It was found that soft periodic mechanical stress increased the expression of integrin α1, decreased the expression of integrins α5 and αv, induced the expression of ECM Col2A1 and aggrecan, and promoted the migration of NP cells. The siRNA-based inhibition of the expression of integrin α1 or treatment with the PLCγ1 inhibitor, U73122, suppressed the ECM expression and the cell migration of the NPs under periodic mechanical stress, indicating that integrin α1 and PLCγ1 are necessary for the effect of periodic mechanical stress on the NP cells. In addition, transfection of the NP cells with integrin α1 decreased the phosphorylation of PLCγ1 at Tyr783, indicating that PLCγ1 functions downstream of integrin α1. These results suggested that the integrin α1-mediated phosphorylation of PLC-γ1 protein is involved in inducing the expression of ECM and migration of NP cells under soft cyclic stress. In addition, the decrease in the expression of α5 and αv in NP cells in response to the periodic mechanical stress suggested that the α5 and αv subunits function negatively in the behavior of the NP cells under periodic mechanical stress, consistent with previous reports (17,31).

Various studies have shown that integrins regulate the functions of PLCγ1. The activation of PLCγ1 occurs following α5β1 integrin activation in fibroblasts, which is required for integrin-dependent adhesion (18). The inhibition of PLCγ reduces α1β1 integrin-mediated cell adhesion, indicating that PLCγ is required for α1β1-dependent signaling (32). It has also been shown that PLCγ1 modulated β1 integrin-dependent T lymphocyte migration on fibronectin (19). However, the interaction between integrin α1 and PLCγ1 in NP cells has not been reported. On the basis of our previous investigation, which revealed that periodic mechanical stress induces the phosphorylation of PLCγ1 in NP cells and the expression of ECM (23), the present study showed that PLCγ1 phosphorylation (at Tyr783) was essential for the periodic mechanical stress-induced expression of ECM and the migration of NP cells, functioning downstream of integrin α1. How they interact to induce the expression of ECM and migration of NP cells under periodic mechanical stress requires further investigation.

Calcium is an important secondary messenger for cellular signal transduction in various physiological processes. It has been reported that stress induces the concentration of cellular calcium (33). Of note, PLCγ1 is also involved in the regulation of cellular calcium concentrations (34,35). Therefore, the regulation of cellular calcium concentrations may involve a mechanism by which PLCγ1 mediates the periodic mechanical stress-induced expression of ECM and migration of NP cells. Further investigations are required to clarify this.

In conclusion, the present study demonstrated that periodic mechanical stress increased the expression of integrin α1 on the cell surface to induce the ECM expression and migration of NP cells, which was mediated by the expression of integrin α1 and the phosphorylation of downstream PLCγ1. These results provide novel clues for further investigating the mechanisms underlying the effects of periodic mechanical stress on the behavior of NP cells, and understanding the pathogenesis and development of IDD.