Evidence map›Paper›PMID 41155233›Full record

ReviewInternational journal of molecular sciences2025

Understanding the Microenvironment of Intervertebral Disc Degeneration: A Comprehensive Review of Pathophysiological Insights and Therapeutic Implications.

Zuzanna Ząbek, Aleksandra Wyczałkowska-Tomasik, Kamil Poboży, Jakub Piotr Adamus, Grzegorz Turek, Mirosław Ząbek, Leszek Pączek

Abstract readReview
In one paragraph

Review in International journal of molecular sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
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  6. Review
  7. Proteomic signature of human annulus fibrosus and cartilage endplate: divergent matrisomal architectures reveal complementary roles in intervertebral disc homeostasis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
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  10. Article
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  12. Article
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  14. Article
  15. TRPC6-Mediated CaCells · 2026
    Article
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  18. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Zuzanna ZąbekClinical Immunology Student Scientific Association, Medical University of Warsaw, 02-006 Warsaw, Poland.ORCID 0009-0001-3855-6632
Aleksandra Wyczałkowska-TomasikDepartment of Clinical Immunology, Medical University of Warsaw, 02-006 Warsaw, Poland.
Kamil PobożyDepartment of Neurosurgery, Brodnowski Masovian Hospital, 03-242 Warsaw, Poland.ORCID 0000-0003-1260-1738
Jakub Piotr AdamusClinical Immunology Student Scientific Association, Medical University of Warsaw, 02-006 Warsaw, Poland.ORCID 0009-0001-3142-9892
Grzegorz TurekDepartment of Neurosurgery, Brodnowski Masovian Hospital, 03-242 Warsaw, Poland.ORCID 0000-0002-0609-5819
Mirosław ZąbekDepartment of Neurosurgery, Brodnowski Masovian Hospital, 03-242 Warsaw, Poland.
Leszek PączekDepartment of Clinical Immunology, Medical University of Warsaw, 02-006 Warsaw, Poland.ORCID 0000-0003-0160-3009

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intervertebral disc degeneration is a leading contributor to chronic back pain and disability worldwide. This review comprehensively explores the complex interplay of cellular, molecular, and biomechanical alterations within the disc microenvironment that underlie intervertebral disc degeneration pathophysiology. Emphasis is placed on extracellular matrix degradation, cellular senescence, inflammation, oxidative stress, angiogenesis, and multiple forms of programmed cell death including apoptosis, pyroptosis, and ferroptosis. An in-depth analysis of key signaling pathways and regulatory molecules illustrates how these processes disrupt homeostasis and drive disease progression. Additionally, the review highlights emerging therapeutic approaches aimed at modifying the disc microenvironment, including mesenchymal and notochordal cell-based therapies, senolytics, ferroptosis inhibitors, gene therapy, and biomaterial innovations such as hydrogels, scaffolds, and nanocarriers. These strategies target degenerative cascades at the molecular level and represent a shift toward regenerative and disease-modifying interventions. While several approaches show promise in preclinical and early clinical studies, challenges related to safety, delivery, and long-term efficacy remain. This review underscores the importance of integrating molecular insights with translational innovations to develop targeted therapies for intervertebral disc degeneration and guide future research efforts.

Indexed as

Cellular MicroenvironmentIntervertebral Disc DegenerationAnimalsExtracellular MatrixHumansOxidative StressSignal Transductioncollagencytokineextracellular matrixferroptosisgene therapyinflammationintervertebral disc degenerationmicroenvironmentnanomedicineoxidative stress

Identifiers

PMID41155233
PMCPMC12564298

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.