PMID- 26978512 OWN - NLM STAT- MEDLINE DCOM- 20160428 LR - 20181023 IS - 1997-7298 (Print) IS - 1997-7298 (Linking) VI - 115 IP - 12 DP - 2015 TI - [Low back pain: possibilities of pathogenetic treatment]. PG - 162-168 LID - 10.17116/jnevro2015115112162-168 [doi] AB - Intervertebral disc (IVD) degeneration is one of the major causes of low back pain (LBP). Due to the complexity of spinal pain syndromes, it is often difficult to determine the extent of the IVD's contribution to the genesis of spinal pain. Inflammatory response to IVD' injury has been acknowledged to be important in the process of disc degeneration and may play an important role in pain generation. In this article, the inflammatory mechanisms of LBP will be discussed with special focus on interactions between inflammatory mediators and IVD biomechanics. Tumor necrosis factor-alpha (TNF-alpha) is a key mediator of inflammatory reactions in the pathogenesis of degenerative disk disease. The role of TNF-alpha inhibitors as a potential target of therapeutic interventions in prevention of neuronal damage and neuroprotection in LBP is discussed. FAU - Tabeeva, G R AU - Tabeeva GR AD - Sechenov First Moscow State Medical University, Moscow. LA - rus PT - English Abstract PT - Journal Article PT - Review PL - Russia (Federation) TA - Zh Nevrol Psikhiatr Im S S Korsakova JT - Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova JID - 9712194 RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Biomechanical Phenomena MH - Humans MH - Intervertebral Disc Degeneration/complications/*drug therapy MH - Low Back Pain/*drug therapy/*etiology/physiopathology MH - Tumor Necrosis Factor-alpha/*antagonists & inhibitors EDAT- 2015/01/01 00:00 MHDA- 2016/04/29 06:00 CRDT- 2016/03/16 06:00 PHST- 2016/03/16 06:00 [entrez] PHST- 2015/01/01 00:00 [pubmed] PHST- 2016/04/29 06:00 [medline] AID - 10.17116/jnevro2015115112162-168 [doi] PST - ppublish SO - Zh Nevrol Psikhiatr Im S S Korsakova. 2015;115(12):162-168. doi: 10.17116/jnevro2015115112162-168.