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Extracellular matrix in intervertebral disc: basic and translational implications

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Abstract

Intervertebral disc (IVD) degeneration (IVDD) is the most common spinal disorder, which can lead to the symptoms of neck pain or low back pain. In healthy mature IVD tissues, extracellular matrix (ECM) complex possesses favorable biochemical and biomechanical properties, withstanding compression and torsion forces. IVD cells and ECM associate with each other to form a coordinated functional system. IVD cells are the main producers of ECM components, while ECM could modulate the viability and phenotype of IVD cells via direct interactions or indirect regulations. However, with the process of IVDD and ageing, ECM of IVD undergoes content loss and structure degeneration. Moreover, the accumulation of catabolic products may further deteriorate the IVD microenvironment. A better understanding of the physiology and the pathology of ECM within the IVD provides new insight into potential IVD regeneration strategies. Natural ECM components, functional motifs, or mimetic peptides are widely used in IVD repair by not only restoring structural support but also regulating cell fate and tissue microenvironment. Herein, we reviewed recent advances in the involvement of ECM in IVD health and disease, with an emphasis on ECM composition and organization, cell–matrix interactions, pathological ECM degradation, and promising matrix-based biomaterials for IVD regeneration.

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Abbreviations

IVD:

Intervertebral disc

IVDD:

IVD degeneration

AF:

Annulus fibrosus

NP:

Nucleus pulposus

CEP:

Cartilage endplate

IAF:

Inner AF

OAF:

Outer AF

VB:

Vertebral body

ECM:

Extracellular matrix

PCM:

Pericellular matrix

PG:

Proteoglycan

SLRP:

Small leucine-rich proteoglycan

GAG:

Glycosaminoglycan

HA:

Hyaluronic acid

COMP:

Cartilage oligomeric matrix protein

MMP:

Matrix metalloproteinase

ADAMTS:

A disintegrin and metalloproteinase with thrombospondin motifs

TIMP:

Tissue inhibitors of metalloproteinase

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Acknowledgements

Figure 2 was created with BioRender (https://biorender.com/).

Funding

This study was funded by the Major Research Plan of National Natural Science Foundation of China (91649204), the National Natural Science Foundation of China (81974352), the Natural Science Foundation of Hubei Province (2020CFB778), and the National Key Research and Development Program of China (2016YFC1100100).

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Authors

Contributions

Zengwu Shao and Xiao Lv contributed to the conception and design of this review. Shuo Zhang, Weijian Liu, and Songfeng Chen performed searches, analyses, and interpretations. Peng Wang and Binwu Hu created the tables and figures. Baichuan Wang substantially revised the manuscript. All authors approved the version to be submitted. Shuo Zhang, Weijian Liu, and Songfeng Chen contributed equally to this work.

Corresponding authors

Correspondence to Xiao Lv or Zengwu Shao.

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This article does not contain any studies with human participants or animals performed by any of the authors.

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The authors declare no competing interests.

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Zhang, S., Liu, W., Chen, S. et al. Extracellular matrix in intervertebral disc: basic and translational implications. Cell Tissue Res 390, 1–22 (2022). https://doi.org/10.1007/s00441-022-03662-5

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  • DOI: https://doi.org/10.1007/s00441-022-03662-5

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