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  4. Role of oxidative stress in mitochondrial dysfunction and their implications in intervertebral disc degeneration: Mechanisms and therapeutic strategies

Role of oxidative stress in mitochondrial dysfunction and their implications in intervertebral disc degeneration: Mechanisms and therapeutic strategies

Journal of Orthopaedic Translation, 2024 · DOI: https://doi.org/10.1016/j.jot.2024.08.016 · Published: August 22, 2024

GeneticsOrthopedicsSpinal Disorders

Simple Explanation

This review discusses how oxidative stress damages the intervertebral discs, leading to lower back pain. It focuses on the role of mitochondria, the cell's energy source, and how their dysfunction contributes to this degeneration. The review explores potential therapeutic targets, suggesting that antioxidants and mitochondrial-specific treatments could alleviate symptoms and improve patients' quality of life. The article emphasizes personalized treatment plans based on assessing a patient's oxidative stress and mitochondrial function to develop targeted and effective IVDD management strategies.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Not specified

Key Findings

  • 1
    Excessive ROS causes oxidative damage to DNA, proteins, and lipids within IVD cells, disrupting normal cell signaling and regulation pathways.
  • 2
    Oxidative stress in IVD cells leads to collagen oxidation, proteoglycan degradation, and modulation of proteases associated with the ECM, affecting its structural integrity.
  • 3
    Excessive ROS actively participate in the regulation and maintenance of inflammatory reactions and drive the progression of inflammation in IVD tissues.

Research Summary

This review comprehensively examines the complex relationship between oxidative stress, mitochondrial dysfunction, and IVDD, highlighting potential therapeutic targets and concepts for future research. Targeted therapeutic strategies for oxidative stress and mitochondrial dysfunction are critical in IVDD treatment; antioxidants and mitochondrial therapeutic agents can reduce symptoms and improve quality of life. Preventive measures like customized lifestyle changes and medications, based on understanding IVDD development, aim to slow down the disease and reduce recurrence.

Practical Implications

Personalized Treatment Plans

In-depth assessment of a patient's degree of oxidative stress and mitochondrial functional status is crucial for developing a targeted and effective treatment plan for more precise and effective IVDD management.

Preventive Measures

Customized lifestyle changes and medications based on understanding how IVDD develops aim to slow down the disease and reduce the chances of it coming back.

Clinical Trials & Evaluation

Actively promoting clinical trials and evaluating the safety and efficacy of new therapies helps translate cutting-edge treatment concepts into clinical practice.

Study Limitations

  • 1
    The long-term safety and efficacy of existing mitochondrial antioxidants and protectants require further clinical validation.
  • 2
    Stem cell therapy faces challenges related to cell survival, differentiation efficiency, and long-term outcomes.
  • 3
    Most of the research has focused only on surface-level investigations, such as in vitro studies, lacking in vivo experiments on animal models

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