“…Downstream targets of NF-κB include numerous matrix-degrading enzymes ( MMP-1/-2/-3/-13, ADAMTS-4/-5 ), ECM proteins ( asporin ), inflammatory mediators ( iNOS, COX-2, prostaglandin E ), and chemokines ( MCP-1 ), supporting the crucial role of this pathway in IVD and inflammation and degeneration [ 153 , 250 , 274 , 275 , 276 , 277 , 278 , 279 ]. In addition to specific NF-κB inhibitors such as ACHP (2-amino-6-[2-(cyclopropylmethoxy)-6-hydroxyphenyl]-4-(4-piperidinyl)-3-pyridinecarbonitrile) or the NF-κB essential modulator (NEMO) binding domain peptide (NBD) [ 275 , 280 ], several natural drugs (e.g., curcumin [ 281 ], epigallocatechin gallate [ 255 ], or resveratrol [ 282 ]) have been described to modulate NF-κB activity. Furthermore, NF-κB signaling can be altered by specific miRNAs (e.g., miR-150 [ 283 ]), but NF-κB activation can also affect expression of numerous miRNAs (e.g., miR-640 [ 284 ]).…”