“…MSCs can differentiate into various cell lineages, including adipocyte, osteoblast, chondrocyte, myoblast, and tenocyte [15,91]; it may thus be likely that MSCs can be differentiated into IVD-like cells for tissue engineering applications. MSC differentiation can be directed by different factors, such as growth factors, or more importantly by mechanical factors, including shear, tension, compressive strain and hydrostatic pressure, all depending on the local environment such as matrix stiffness and structural arrangement, and the resulting cell shape and morphology differences, pH, oxygen and nutrient supply [52,93]. [45,58,70,72,122,123] MSCs in the IVD environment…”