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The Role of Oxidative Stress in Intervertebral Disc Degeneration

Oxidative Medicine and Cellular Longevity 2022 106 citations ? Citation count from OpenAlex, updated daily. May differ slightly from the publisher's own count. Score: 60 ? 0–100 AI score estimating relevance to the microplastics field. Papers below 30 are filtered from public browse.
Guoshuai Cao, Sidong Yang, Jianye Cao, Zixuan Tan, Linyu Wu, Fang Dong, Wenyuan Ding, Feng Zhang

Summary

This review examined how oxidative stress contributes to the breakdown of intervertebral discs, a common condition that causes back pain. Researchers found that reactive oxygen and nitrogen species damage disc cells by promoting inflammation, cell death, and aging of the tissue. The study highlights that antioxidant therapies show promise for slowing disc degeneration, though proven treatment strategies remain limited.

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Intervertebral disc degeneration is a very common type of degenerative disease causing severe socioeconomic impact, as well as a major cause of discogenic low back pain and herniated discs, placing a heavy burden on patients and the clinicians who treat them. IDD is known to be associating with a complex process involving in extracellular matrix and cellular damage, and in recent years, there is increasing evidence that oxidative stress is an important activation mechanism of IDD and that reactive oxygen and reactive nitrogen species regulate matrix metabolism, proinflammatory phenotype, autophagy and senescence in intervertebral disc cells, apoptosis, autophagy, and senescence. Despite the tremendous efforts of researchers within the field of IDD pathogenesis, the proven strategies to prevent and treat this disease are still very limited. Up to now, several antioxidants have been proved to be effective for alleviating IDD. In this article, we discussed that oxidative stress accelerates disc degeneration by influencing aging, inflammation, autophagy, and DNA methylation, and summarize some antioxidant therapeutic measures for IDD, indicating that antioxidant therapy for disc degeneration holds excellent promise.

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