Department of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.
Int J Mol Sci. 2022 Feb 2;23(3):1715. doi: 10.3390/ijms23031715.
Intervertebral disc (IVD) degeneration (IDD) is a pathological process that commonly occurs throughout the human life span and is a major cause of lower back pain. Better elucidation of the molecular mechanisms involved in disc degeneration could provide a theoretical basis for the development of lumbar disc intervention strategies. In recent years, extracellular matrix (ECM) homeostasis has received much attention due to its relevance to the mechanical properties of IVDs. ECM proteolysis mediated by a variety of proteases is involved in the pathological process of disc degeneration. Here, we discuss in detail the relationship between the IVD as well as the ECM and the role of ECM proteolysis in the degenerative process of the IVD. Targeting ECM proteolysis-associated proteases may be an effective means of intervention in IDD.
椎间盘(IVD)退变(IDD)是一种常见于人类整个生命周期的病理过程,是导致下腰痛的主要原因。更好地阐明椎间盘退变所涉及的分子机制,可以为腰椎间盘干预策略的发展提供理论基础。近年来,细胞外基质(ECM)的动态平衡因其与 IVD 的机械特性有关而受到广泛关注。各种蛋白酶介导的 ECM 蛋白水解参与了椎间盘退变的病理过程。在这里,我们详细讨论了 IVD 与 ECM 之间的关系以及 ECM 蛋白水解在 IVD 退变过程中的作用。靶向 ECM 蛋白水解相关蛋白酶可能是干预 IDD 的有效手段。
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