PMID- 27864283 OWN - NLM STAT- MEDLINE DCOM- 20170130 LR - 20170130 IS - 1745-7270 (Electronic) IS - 1672-9145 (Linking) VI - 49 IP - 1 DP - 2017 Jan TI - Tumor necrosis factor-alpha: a key contributor to intervertebral disc degeneration. PG - 1-13 LID - 10.1093/abbs/gmw112 [doi] AB - Intervertebral disc (IVD) degeneration (IDD) is the most common cause leading to low back pain (LBP), which is a highly prevalent, costly, and crippling condition worldwide. Current treatments for IDD are limited to treat the symptoms and do not target the pathophysiology. Tumor necrosis factor-alpha (TNF-alpha) is one of the most potent pro-inflammatory cytokines and signals through its receptors TNFR1 and TNFR2. TNF-alpha is highly expressed in degenerative IVD tissues, and it is deeply involved in multiple pathological processes of disc degeneration, including matrix destruction, inflammatory responses, apoptosis, autophagy, and cell proliferation. Importantly, anti-TNF-alpha therapy has shown promise for mitigating disc degeneration and relieving LBP. In this review, following a brief description of TNF-alpha signal transduction, we mainly focus on the expression pattern and roles of TNF-alpha in IDD, and summarize the emerging progress regarding its inhibition as a promising biological therapeutic approach to disc degeneration and associated LBP. A better understanding will help to develop novel TNF-alpha-centered therapeutic interventions for degenerative disc disease. CI - (c) The Author 2016. Published by Oxford University Press on behalf of the Institute of Biochemistry and Cell Biology, Shanghai Institutes for Biological Sciences, Chinese Academy of Sciences. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. FAU - Wang, Cheng AU - Wang C AD - Department of Spine Surgery, The First Affiliated Hospital, University of South China, Hengyang 421001, China. FAU - Yu, Xiaohua AU - Yu X AD - Medical Research Center, University of South China, Hengyang 421001, China. FAU - Yan, Yiguo AU - Yan Y AD - Department of Spine Surgery, The First Affiliated Hospital, University of South China, Hengyang 421001, China. FAU - Yang, Wei AU - Yang W AD - Department of Hand and Micro-surgery, The First Affiliated Hospital, University of South China, Hengyang 421001, China. FAU - Zhang, Shujun AU - Zhang S AD - Department of Spine Surgery, The First Affiliated Hospital, University of South China, Hengyang 421001, China. FAU - Xiang, Yongxiao AU - Xiang Y AD - Department of Hand and Micro-surgery, The First Affiliated Hospital, University of South China, Hengyang 421001, China. FAU - Zhang, Jian AU - Zhang J AD - Department of Hand and Micro-surgery, The First Affiliated Hospital, University of South China, Hengyang 421001, China. FAU - Wang, Wenjun AU - Wang W AD - Department of Spine Surgery, The First Affiliated Hospital, University of South China, Hengyang 421001, China wwwwjj167@qq.com. LA - eng PT - Journal Article PT - Review DEP - 20161117 PL - China TA - Acta Biochim Biophys Sin (Shanghai) JT - Acta biochimica et biophysica Sinica JID - 101206716 RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Humans MH - Intervertebral Disc Degeneration/*physiopathology MH - Protein Conformation MH - Signal Transduction MH - Tumor Necrosis Factor-alpha/chemistry/*physiology OTO - NOTNLM OT - ECM OT - IDD OT - TNF-alpha OT - TNFR1 OT - TNFR2 EDAT- 2016/11/20 06:00 MHDA- 2017/01/31 06:00 CRDT- 2016/11/20 06:00 PHST- 2016/07/05 00:00 [received] PHST- 2016/10/13 00:00 [revised] PHST- 2016/11/20 06:00 [pubmed] PHST- 2017/01/31 06:00 [medline] PHST- 2016/11/20 06:00 [entrez] AID - gmw112 [pii] AID - 10.1093/abbs/gmw112 [doi] PST - ppublish SO - Acta Biochim Biophys Sin (Shanghai). 2017 Jan;49(1):1-13. doi: 10.1093/abbs/gmw112. Epub 2016 Nov 17.