Molecular Mechanisms of Intervertebral Disc Degeneration
| Autor: | Shuichi Mizuno, Sean M Rider, James D. Kang |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
DNA damage
lcsh:Surgery degeneration Inflammation Degeneration (medical) Review Article Extracellular matrix Back pain Medicine annulus fibrosus cellular senescence oxidative stress Orthopedics and Sports Medicine business.industry Regeneration (biology) nucleus pulposus Intervertebral disc lcsh:RD1-811 medicine.anatomical_structure inflammation Surgery Neurology (clinical) medicine.symptom business Neuroscience Intracellular |
| Zdroj: | Spine Surgery and Related Research, Vol 3, Iss 1, Pp 1-11 (2019) Spine Surgery and Related Research |
| Popis: | Intervertebral disc degeneration is a well-known cause of disability, the result of which includes neck and back pain with associated mobility limitations. The purpose of this article is to provide an overview of the known molecular mechanisms through which intervertebral disc degeneration occurs as a result of complex interactions of exogenous and endogenous stressors. This review will focus on some of the identified molecular changes leading to the deterioration of the extracellular matrix of both the annulus fibrosus and nucleus pulposus. In addition, we will provide a summation of our current knowledge supporting the role of associated DNA and intracellular damage, cellular senescence's catabolic effects, oxidative stress, and the cell's inappropriate response to damage in contributing to intervertebral disc degeneration. Our current understanding of the molecular mechanisms through which intervertebral disc degeneration occurs provides us with abundant insight into how physical and chemical changes exacerbate the degenerative process of the entire spine. Furthermore, we will describe some of the related molecular targets and therapies that may contribute to intervertebral repair and regeneration. |
| Databáze: | OpenAIRE |
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