“…In humans, 10 TLRs have been described. Gene expression of TLRs 1, 2, 3, 4, 5, 6, 9, and 10 have been detected in human disc cells where expression of TLRs 1, 2, 4, and 6 are correlated with an increasing degree of degeneration (11). Alarmins include proteolysisgenerated ECM fragments, such as fragmented hyaluronic acid, fibronectin, biglycan, tenacin C, versican, heparan sulfate, and aggrecan and high mobility group B1 and the heat shock proteins 60 and 70 (10,30,31).…”