Mechanism of FTO-mediated m6A demethylation regulation of YAP1 in nucleus pulposus cell senescence

Nucleus pulposus (NP) cell senescence is a critical factor in the progression of intervertebral disc degeneration (IVDD). Our analysis demonstrates that FTO and YAP1 expression levels are significantly diminished in degenerative NP tissues from both human and rat models, which correlates with increased m6A modification of YAP1 transcripts. To investigate the underlying mechanisms, we utilized IL-1β to induce senescence in cultured NP cells. Our findings reveal that FTO knockdown leads to a decrease in YAP1 levels while simultaneously increasing senescence markers. In contrast, the overexpression of YAP1 alleviates the senescence phenotype in FTO-deficient cells, underscoring the protective role of YAP1 in NP cells. This study proposes a novel regulatory pathway in which FTO modulates YAP1 through m6A demethylation, suggesting potential therapeutic targets for mitigating NP cell senescence and IVDD.