New Hope for Treating Intervertebral Disc Degeneration: Microsphere-Based Delivery System

Intervertebral disc (IVD) degeneration (IVDD) has been considered the dominant factor in low back pain (LBP), and its etiological mechanisms are complex and not yet fully elucidated. To date, the treatment of IVDD has mainly focused on relieving clinical symptoms and cannot fundamentally solve the p...

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Main Authors: Taowen Guo, Xiaobo Zhang, Yicun Hu, Maoqiang Lin, Ruihao Zhang, Xiangyi Chen, Dechen Yu, Xin Yao, Peng Wang, Haiyu Zhou
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-07-01
Series:Frontiers in Bioengineering and Biotechnology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fbioe.2022.933901/full
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author Taowen Guo
Taowen Guo
Xiaobo Zhang
Yicun Hu
Yicun Hu
Maoqiang Lin
Maoqiang Lin
Ruihao Zhang
Ruihao Zhang
Xiangyi Chen
Xiangyi Chen
Dechen Yu
Dechen Yu
Xin Yao
Xin Yao
Peng Wang
Peng Wang
Haiyu Zhou
Haiyu Zhou
Haiyu Zhou
author_facet Taowen Guo
Taowen Guo
Xiaobo Zhang
Yicun Hu
Yicun Hu
Maoqiang Lin
Maoqiang Lin
Ruihao Zhang
Ruihao Zhang
Xiangyi Chen
Xiangyi Chen
Dechen Yu
Dechen Yu
Xin Yao
Xin Yao
Peng Wang
Peng Wang
Haiyu Zhou
Haiyu Zhou
Haiyu Zhou
author_sort Taowen Guo
collection DOAJ
description Intervertebral disc (IVD) degeneration (IVDD) has been considered the dominant factor in low back pain (LBP), and its etiological mechanisms are complex and not yet fully elucidated. To date, the treatment of IVDD has mainly focused on relieving clinical symptoms and cannot fundamentally solve the problem. Recently, a novel microsphere-based therapeutic strategy has held promise for IVD regeneration and has yielded encouraging results with in vitro experiments and animal models. With excellent injectability, biocompatibility, and biodegradability, this microsphere carrier allows for targeted delivery and controlled release of drugs, gene regulatory sequences, and other bioactive substances and supports cell implantation and directed differentiation, aiming to improve the disease state of IVD at the source. This review discusses the possible mechanisms of IVDD and the limitations of current therapies, focusing on the application of microsphere delivery systems in IVDD, including targeted delivery of active substances and drugs, cellular therapy, and gene therapy, and attempts to provide a new understanding for the treatment of IVDD.
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spelling doaj.art-c0a72f20f87441e799e95e59ac9e82602022-12-22T03:42:34ZengFrontiers Media S.A.Frontiers in Bioengineering and Biotechnology2296-41852022-07-011010.3389/fbioe.2022.933901933901New Hope for Treating Intervertebral Disc Degeneration: Microsphere-Based Delivery SystemTaowen Guo0Taowen Guo1Xiaobo Zhang2Yicun Hu3Yicun Hu4Maoqiang Lin5Maoqiang Lin6Ruihao Zhang7Ruihao Zhang8Xiangyi Chen9Xiangyi Chen10Dechen Yu11Dechen Yu12Xin Yao13Xin Yao14Peng Wang15Peng Wang16Haiyu Zhou17Haiyu Zhou18Haiyu Zhou19Department of Orthopedics, Lanzhou University Second Hospital, Lanzhou, ChinaKey Laboratory of Bone and Joint Disease Research of Gansu Province, Lanzhou, ChinaDepartment of Spine Surgery, Honghui Hospital, Xi’an Jiaotong University, Xi’an, ChinaDepartment of Orthopedics, Lanzhou University Second Hospital, Lanzhou, ChinaKey Laboratory of Bone and Joint Disease Research of Gansu Province, Lanzhou, ChinaDepartment of Orthopedics, Lanzhou University Second Hospital, Lanzhou, ChinaKey Laboratory of Bone and Joint Disease Research of Gansu Province, Lanzhou, ChinaDepartment of Orthopedics, Lanzhou University Second Hospital, Lanzhou, ChinaKey Laboratory of Bone and Joint Disease Research of Gansu Province, Lanzhou, ChinaDepartment of Orthopedics, Lanzhou University Second Hospital, Lanzhou, ChinaKey Laboratory of Bone and Joint Disease Research of Gansu Province, Lanzhou, ChinaDepartment of Orthopedics, Lanzhou University Second Hospital, Lanzhou, ChinaKey Laboratory of Bone and Joint Disease Research of Gansu Province, Lanzhou, ChinaDepartment of Orthopedics, Lanzhou University Second Hospital, Lanzhou, ChinaKey Laboratory of Bone and Joint Disease Research of Gansu Province, Lanzhou, ChinaDepartment of Orthopedics, Lanzhou University Second Hospital, Lanzhou, ChinaKey Laboratory of Bone and Joint Disease Research of Gansu Province, Lanzhou, ChinaDepartment of Orthopedics, Lanzhou University Second Hospital, Lanzhou, ChinaKey Laboratory of Bone and Joint Disease Research of Gansu Province, Lanzhou, ChinaXigu District People’s Hospital, Lanzhou, ChinaIntervertebral disc (IVD) degeneration (IVDD) has been considered the dominant factor in low back pain (LBP), and its etiological mechanisms are complex and not yet fully elucidated. To date, the treatment of IVDD has mainly focused on relieving clinical symptoms and cannot fundamentally solve the problem. Recently, a novel microsphere-based therapeutic strategy has held promise for IVD regeneration and has yielded encouraging results with in vitro experiments and animal models. With excellent injectability, biocompatibility, and biodegradability, this microsphere carrier allows for targeted delivery and controlled release of drugs, gene regulatory sequences, and other bioactive substances and supports cell implantation and directed differentiation, aiming to improve the disease state of IVD at the source. This review discusses the possible mechanisms of IVDD and the limitations of current therapies, focusing on the application of microsphere delivery systems in IVDD, including targeted delivery of active substances and drugs, cellular therapy, and gene therapy, and attempts to provide a new understanding for the treatment of IVDD.https://www.frontiersin.org/articles/10.3389/fbioe.2022.933901/fullintervertebral disc degenerationmechanismmicrospheresdelivery systeminflammationregeneration
spellingShingle Taowen Guo
Taowen Guo
Xiaobo Zhang
Yicun Hu
Yicun Hu
Maoqiang Lin
Maoqiang Lin
Ruihao Zhang
Ruihao Zhang
Xiangyi Chen
Xiangyi Chen
Dechen Yu
Dechen Yu
Xin Yao
Xin Yao
Peng Wang
Peng Wang
Haiyu Zhou
Haiyu Zhou
Haiyu Zhou
New Hope for Treating Intervertebral Disc Degeneration: Microsphere-Based Delivery System
Frontiers in Bioengineering and Biotechnology
intervertebral disc degeneration
mechanism
microspheres
delivery system
inflammation
regeneration
title New Hope for Treating Intervertebral Disc Degeneration: Microsphere-Based Delivery System
title_full New Hope for Treating Intervertebral Disc Degeneration: Microsphere-Based Delivery System
title_fullStr New Hope for Treating Intervertebral Disc Degeneration: Microsphere-Based Delivery System
title_full_unstemmed New Hope for Treating Intervertebral Disc Degeneration: Microsphere-Based Delivery System
title_short New Hope for Treating Intervertebral Disc Degeneration: Microsphere-Based Delivery System
title_sort new hope for treating intervertebral disc degeneration microsphere based delivery system
topic intervertebral disc degeneration
mechanism
microspheres
delivery system
inflammation
regeneration
url https://www.frontiersin.org/articles/10.3389/fbioe.2022.933901/full
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