The mechanisms and functions of TNF-α in intervertebral disc degeneration

Low back pain (LBP) is one of the most common health problems in people's lives, which brings a massive burden to clinicians, and the leading cause of LBP is intervertebral disc degeneration (IDD). IDD is mainly caused by factors such as aging, mechanical stress, and lack of nutrition. The path...

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Main Authors: Hongyu Pan, Hongtao Li, Sheng Guo, Chenglong Wang, Longhai Long, Xiaoqiang Wang, Houyin Shi, Kaiquan Zhang, Hui Chen, Sen Li
Format: Article
Language:English
Published: Elsevier 2023-04-01
Series:Experimental Gerontology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0531556523000402
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author Hongyu Pan
Hongtao Li
Sheng Guo
Chenglong Wang
Longhai Long
Xiaoqiang Wang
Houyin Shi
Kaiquan Zhang
Hui Chen
Sen Li
author_facet Hongyu Pan
Hongtao Li
Sheng Guo
Chenglong Wang
Longhai Long
Xiaoqiang Wang
Houyin Shi
Kaiquan Zhang
Hui Chen
Sen Li
author_sort Hongyu Pan
collection DOAJ
description Low back pain (LBP) is one of the most common health problems in people's lives, which brings a massive burden to clinicians, and the leading cause of LBP is intervertebral disc degeneration (IDD). IDD is mainly caused by factors such as aging, mechanical stress, and lack of nutrition. The pathological mechanism of IDD is very complex, involving inflammatory response, cell metabolism disorder, and so on. Unfortunately, in the current treatment of IDD, only relieving symptoms as the primary means of relieving a patient's pain cannot effectively inhibit or reverse the progression of IDD. Tumor necrosis factor-α (TNF-α) is a multifunctional pro-inflammatory factor involved in many diseases' pathological processes. With the in-depth study of the pathological mechanism of IDD, more and more evidence has shown that TNF-α is an essential activator of IDD, which is related to the metabolic disorder, inflammatory responses, apoptosis, and other pathological processes of extracellular dissociation in the intervertebral disc. Therefore, anti-TNF-α therapy is an effective therapeutic target for alleviating IDD, especially in inhibiting extracellular matrix degradation and reducing inflammatory responses. This article reviews the pathological role of TNF-α in IDD and the latest research progress of TNF-α inhibitors in treating IDD.
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spelling doaj.art-6f684a334c594277bd9ab7fdf258568d2023-07-21T04:58:55ZengElsevierExperimental Gerontology1873-68152023-04-01174112119The mechanisms and functions of TNF-α in intervertebral disc degenerationHongyu Pan0Hongtao Li1Sheng Guo2Chenglong Wang3Longhai Long4Xiaoqiang Wang5Houyin Shi6Kaiquan Zhang7Hui Chen8Sen Li9Department of Spinal Surgery, The Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Luzhou, Sichuan, ChinaDepartment of Spinal Surgery, The Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Luzhou, Sichuan, ChinaDepartment of Spinal Surgery, The Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Luzhou, Sichuan, ChinaDepartment of Spinal Surgery, The Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Luzhou, Sichuan, ChinaDepartment of Spinal Surgery, The Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Luzhou, Sichuan, ChinaDepartment of Spinal Surgery, The Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Luzhou, Sichuan, ChinaDepartment of Spinal Surgery, The Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Luzhou, Sichuan, ChinaDepartment of Spinal Surgery, The Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Luzhou, Sichuan, ChinaCorrespondence to: H. Chen, Department of Geriatric, The Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Luzhou, Sichuan, China.; Department of Spinal Surgery, The Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Luzhou, Sichuan, ChinaCorresponding author.; Department of Spinal Surgery, The Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Luzhou, Sichuan, ChinaLow back pain (LBP) is one of the most common health problems in people's lives, which brings a massive burden to clinicians, and the leading cause of LBP is intervertebral disc degeneration (IDD). IDD is mainly caused by factors such as aging, mechanical stress, and lack of nutrition. The pathological mechanism of IDD is very complex, involving inflammatory response, cell metabolism disorder, and so on. Unfortunately, in the current treatment of IDD, only relieving symptoms as the primary means of relieving a patient's pain cannot effectively inhibit or reverse the progression of IDD. Tumor necrosis factor-α (TNF-α) is a multifunctional pro-inflammatory factor involved in many diseases' pathological processes. With the in-depth study of the pathological mechanism of IDD, more and more evidence has shown that TNF-α is an essential activator of IDD, which is related to the metabolic disorder, inflammatory responses, apoptosis, and other pathological processes of extracellular dissociation in the intervertebral disc. Therefore, anti-TNF-α therapy is an effective therapeutic target for alleviating IDD, especially in inhibiting extracellular matrix degradation and reducing inflammatory responses. This article reviews the pathological role of TNF-α in IDD and the latest research progress of TNF-α inhibitors in treating IDD.http://www.sciencedirect.com/science/article/pii/S0531556523000402TNF-αIntervertebral disc degenerationInflammatory responsePro-inflammatory factor
spellingShingle Hongyu Pan
Hongtao Li
Sheng Guo
Chenglong Wang
Longhai Long
Xiaoqiang Wang
Houyin Shi
Kaiquan Zhang
Hui Chen
Sen Li
The mechanisms and functions of TNF-α in intervertebral disc degeneration
Experimental Gerontology
TNF-α
Intervertebral disc degeneration
Inflammatory response
Pro-inflammatory factor
title The mechanisms and functions of TNF-α in intervertebral disc degeneration
title_full The mechanisms and functions of TNF-α in intervertebral disc degeneration
title_fullStr The mechanisms and functions of TNF-α in intervertebral disc degeneration
title_full_unstemmed The mechanisms and functions of TNF-α in intervertebral disc degeneration
title_short The mechanisms and functions of TNF-α in intervertebral disc degeneration
title_sort mechanisms and functions of tnf α in intervertebral disc degeneration
topic TNF-α
Intervertebral disc degeneration
Inflammatory response
Pro-inflammatory factor
url http://www.sciencedirect.com/science/article/pii/S0531556523000402
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