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Updated: Nov 1, 2025

Optical Sectioning and Visualization of the Intervertebral Disc from Embryonic Development to Degeneration
Published on: July 8, 2021
Role of microRNAs in intervertebral disc degeneration (Review)
Fengguang Yang1, Jizu Wang1, Zhixin Chen1
1Department of Orthopedics, Gansu Provincial Hospital, Lanzhou, Gansu 730000, P.R. China.
Abstract:
The incidence of lower back pain caused by intervertebral disc degeneration (IDD) is gradually increasing. IDD not only affects the quality of life of the patients, but also poses a major socioeconomic burden. There is currently no optimal method for delaying or reversing IDD, mainly due to its unknown pathogenesis. MicroRNAs (miRNAs/miRs) participate in the development of a number of diseases, including IDD. Abnormal expression of miRNAs in the intervertebral disc is implicated in various pathological processes underlying the development of IDD, including nucleus pulposus (NP) cell (NPC) proliferation, NPC apoptosis, extracellular matrix remodeling, inflammation and cartilaginous endplate changes, among others. The focus of the present review was the advances in research on the involvement of miRNAs in the mechanism underlying IDD. Further research is expected to identify markers for early diagnosis of IDD and new targets for delaying or reversing IDD.
Insights
MicroRNAs (miRNAs) are increasingly linked to intervertebral disc degeneration (IDD), a common cause of lower back pain. Understanding miRNA roles may lead to early diagnosis and new treatments for IDD.
Area of Science:
- Biomedical Science
- Molecular Biology
- Regenerative Medicine
Background:
- Intervertebral disc degeneration (IDD) is a growing cause of lower back pain, significantly impacting quality of life and incurring socioeconomic costs.
- Current treatments for IDD are limited due to poorly understood underlying mechanisms.
- MicroRNAs (miRNAs) are implicated in the pathogenesis of various diseases, including IDD.
Purpose of the Study:
- To review recent advances in understanding the role of miRNAs in the mechanisms of intervertebral disc degeneration (IDD).
- To explore how abnormal miRNA expression contributes to pathological processes in IDD.
- To highlight the potential of miRNAs as diagnostic markers and therapeutic targets for IDD.
Main Methods:
- Literature review focusing on studies investigating miRNA involvement in IDD pathogenesis.
- Analysis of research on miRNA dysregulation in nucleus pulposus (NP) cells (NPCs) and extracellular matrix.
- Examination of studies on miRNA influence on NPC proliferation, apoptosis, and inflammation.
Main Results:
- Abnormal miRNA expression is associated with key pathological changes in IDD.
- miRNAs regulate critical processes such as NPC proliferation, apoptosis, extracellular matrix remodeling, and inflammation.
- Specific miRNAs are implicated in changes within the cartilaginous endplate, a hallmark of IDD.
Conclusions:
- MicroRNAs play a significant role in the molecular mechanisms driving intervertebral disc degeneration (IDD).
- Further research into miRNA functions is crucial for developing early diagnostic markers for IDD.
- Targeting miRNAs presents a promising avenue for novel therapeutic strategies to delay or reverse IDD.
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