“…To date, 25 circRNAs associated with IVDD have been reported, including 12 circRNAs that promote IVDD progression and 13 circRNAs that inhibit IVDD progression. Furthermore, 23 circRNAs are reported to be involved in the regulation of ECM metabolism, including 10 circRNAs which promote ECM catabolism (Circ_0004354 [ 63 ], circ_0040039 [ 63 ], circITCH [ 64 ], Circ_0083756 [ 65 ], Circ-FAM169A [ 66 ], circRNA_0000253 [ 67 ], circRNA TIMP2 [ 68 ], cirC_001653 [ 69 ], circRNA_104670 [ 70 ], and circ_0075062 [ 71 ]) and 12 circRNAs that promote ECM synthesis (circ_0022382 [ 72 ], circSPG21 [ 73 ], circSNHG5 [ 74 ], circPKNOX1 [ 75 ], circGLCE [ 76 ], circRNA VMA21 [ 77 ], Circ-grb10 [ 78 , 79 ], circRNA-CIDN [ 80 ], circERCC2 [ 81 ], circSEMA4B [ 82 ], circ-4099 [ 83 ], and circ-FAM169A [ 84 ]) ( Table 1 and Fig. 2 ).…”