“…IL-1β and TNF-α are secreted by cells of the immune system, such as macrophages, and by a variety of other cells types, including chondrocytes, annulus fibrosus (AF) and nucleus pulposus (NP) cells, regulating host responses to stress, inflammation, infection or trauma (Berenbaum, 2013;Johnson et al, 2015;Oda et al, 2004;Vo et al, 2016). IL-1β and TNF-α are known to activate nuclear factor κB (NF-κB), c-Jun N-terminal protein kinase (JNK) and/ or p38 mitogen-activated protein kinase (MAPK) (Hoyland et al, 2008;McNulty et al, 2009;Vo et al, 2013;Wang et al, 2015;Wilusz et al, 2008). Activation of these kinases results in the transcription of inflammatory and catabolic genes, such as interleukins, collagenases [matrix metalloproteinases (MMPs)], aggrecanases (ADAMTS) and molecules that promote pain, including cyclooxygenase 2 (COX-2), nerve growth factor (NGF) and inducible nitric oxide synthase (iNOS) (Johnson et al, 2015;Ricciotti and FitzGerald, 2011;Vo et al, 2013;Wuertz and Haglund, 2013).…”