Abstract:[Objective] To investigate the protective effect of 4-octyl itaconate (4OI) on oxidative damage of mouse nucleus pulposus cells induced by IL-1 and its mechanism. [Methods] Mouse nucleus pulposus cells were isolated and cultured, while CCK8 method was used to detect the viability of the cells. The effects of 4OI and IL-1 on Nrf2 pathway were detected by luciferase reporter gene method, immunoprecipitation, RT-qPCR and WB method. In addition, JC-1 assay, ssDNA ELISA and TBAR were used to detect oxidative damage, LDH ELISA, Trypan blue staining, TUNEL assay and Annexin V flow cytometry were used to detect apoptosis. The effect of silencing Nrf2 and Keap1 on apoptosis inhibition by 4OI was studied by lentiviral shRNA transfection and CRISPR/Cas9 technique. [Results] The 4OI promoted the dissociation of KEap1-NRF2 in mouse nucleus pulposus cells, and Nrf2 re-entered the nucleus to regulate downstream gene transcription. The 4OI significantly inhibited ROS levels and improved IL-1-induced oxidative damage of mouse nucleus pulposus cells. 4OI reversed IL-1-induced decline in nucleus pulposus cell viability, increased LDH and increased dead cells. Furthermore, 4OI significantly inhibited IL-1-induced nucleus pulposus cell death, inhibited the increase of IL-1-induced Caspase-3 and Caspase-9 activities, as well as the increase of protease PARP1 cleavage fragment and cytochrome C content, and significantly inhibited IL1-induced apoptosis. However, silencing the expression of Nrf2 and Keap1 in mouse nucleus pulposus cells negated the protective effect of 4OI on IL-1-induced cell damage. [Conclusion] 4OI protects nucleus pulposus cells from IL-1-induced oxidative damage by activating the Nrf2 pathway, providing a new strategy for the treatment of intervertebral disc degeneration.