2019
DOI: 10.1016/j.addr.2019.08.007
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Lessons learned from intervertebral disc pathophysiology to guide rational design of sequential delivery systems for therapeutic biological factors

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Cited by 73 publications
(79 citation statements)
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“…Degenerated disc shows an imbalance of anabolic and catabolic factors that leads to ECM degradation and chronic neck or back pain. 1 To modify decreased anabolism and increased anabolism in IVD degeneration, biological approaches including growth factor injection and cell and gene therapy began to receive considerably more attention over the past 20 years due to limitation of current treatments. 2 Over the past 2 decades, there has been a decisive shift towards large molecules, or biopharmaceuticals, and away from chemically synthesized small molecular weight drugs.…”
Section: Moving Forward: Gene Therapy For Intervertebral Disc Degenermentioning
confidence: 99%
“…Degenerated disc shows an imbalance of anabolic and catabolic factors that leads to ECM degradation and chronic neck or back pain. 1 To modify decreased anabolism and increased anabolism in IVD degeneration, biological approaches including growth factor injection and cell and gene therapy began to receive considerably more attention over the past 20 years due to limitation of current treatments. 2 Over the past 2 decades, there has been a decisive shift towards large molecules, or biopharmaceuticals, and away from chemically synthesized small molecular weight drugs.…”
Section: Moving Forward: Gene Therapy For Intervertebral Disc Degenermentioning
confidence: 99%
“…In the United States, the annual cost of LBP is over $100 billion, which is even more than the total cost of stroke, coronary artery disease, diabetes, rheumatoid disease and respiratory infection (Katz, 2006). Intervertebral disk degeneration is considered to be the main cause of LBP (Frapin et al, 2019), thus, it is of great importance to understand the pathophysiology of IVD.…”
Section: Introductionmentioning
confidence: 99%
“…Intervertebral disc (IVD) degeneration is accepted as the most important reason for low back pain. Many in vitro and in vivo studies evidenced that several pathological changes appear in the degenerated discs, including local inflammation, imbalance in the extracellular matrix metabolism, and sensitizing innervation into the disc [3][4][5].…”
Section: Introductionmentioning
confidence: 99%