2017
DOI: 10.1093/abbs/gmw112
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Tumor necrosis factor-α: a key contributor to intervertebral disc degeneration

Abstract: Intervertebral disc (IVD) degeneration (IDD) is the most common cause leading to low back pain (LBP), which is a highly prevalent, costly, and crippling condition worldwide. Current treatments for IDD are limited to treat the symptoms and do not target the pathophysiology. Tumor necrosis factor-α (TNF-α) is one of the most potent pro-inflammatory cytokines and signals through its receptors TNFR1 and TNFR2. TNF-α is highly expressed in degenerative IVD tissues, and it is deeply involved in multiple pathological… Show more

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Cited by 92 publications
(75 citation statements)
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References 168 publications
(160 reference statements)
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“…Notably, the number of NP cells continues to decrease during disc degeneration because certain pathological factors, such as mechanical overloading, limited nutrient supply and increased inflammation processes, induce NP cell apoptosis [5, 36-38]. When the number of NP cells decreases to an adequately low level, NP matrix homeostasis is obviously destroyed, and the disc degeneration process is initiated and further exacerbated [24].…”
Section: Discussionmentioning
confidence: 99%
“…Notably, the number of NP cells continues to decrease during disc degeneration because certain pathological factors, such as mechanical overloading, limited nutrient supply and increased inflammation processes, induce NP cell apoptosis [5, 36-38]. When the number of NP cells decreases to an adequately low level, NP matrix homeostasis is obviously destroyed, and the disc degeneration process is initiated and further exacerbated [24].…”
Section: Discussionmentioning
confidence: 99%
“…IVDD is a multifactorial process characterized by intracellular and biochemical changes in intervertebral discs (IVD) cells which lead to structural deterioration of IVDs. Although the pathogenesis of IVDD is not fully understood, tumour necrosis factor (TNF)‐α is reported to play a crucial role in the development of IVDD …”
Section: Introductionmentioning
confidence: 99%
“…Resident cell apoptosis and ECM degeneration is the main pathological phenomenon in IDD progression, and inflammatory mediators play an important role in the process . In line with other studies, we previously mimicked the inflammatory environment using TNF‐α to promote cell apoptosis and ECM catabolism . Moreover, to clarify the protective effect of RADA‐KPSS peptide scaffolds on TNF‐α‐treated NPCs, we compared cells with or without TNF‐α treatment on RADA16‐I peptide scaffolds.…”
Section: Discussionmentioning
confidence: 99%
“…In particular, TNF‐α, a typical inflammatory cytokine, can increase cell apoptosis and inhibit cell physiological properties in many degenerative processes . TNF‐α can enhance matrix‐degrading enzyme activity and increase excessive apoptosis in nucleus pulposus cells (NPCs) . In addition, the nuclear factor‐κB (NF‐κB) signaling pathway, which plays a crucial role in the activity of catabolic proteins and inflammatory mediators, is upregulated in human degenerated disks and has an important role in matrix catabolism .…”
Section: Introductionmentioning
confidence: 99%