Table 3 Cellular senescence and other age-related mechanisms in IVDD

From: Cellular senescence and other age-related mechanisms in skeletal diseases

Cell types

Molecules or signals

Variation

Effect

References

NPCs

SASP

Up

Accelerates inflammation and degradation of the disc matrix

147,148

CTGF/CCN2

Down

Increases matrix metalloproteinases and ECM breakdown

150,151

Piezo1

Up

Promotes mitochondrial dysfunction and inflammatory infiltration

153

CircERCC2

Down

Regulates NPCs’ aging through the miR-182-5p/SIRT1 cascade

155

Keap1/Nrf2/Wnt5a

Down

Protects NPCs from senescence

156

cGAS/STING

Up

Promotes inflammation and cellular senescence

157

ROS

Up

Promotes mitochondrial dysfunction

142

p53/p21

Up

Promotes disc degeneration

142

GLRX3

Down

Disrupts redox homeostasis and contributes to cellular senescence

158

NLRX1

Down

Promotes mitochondrial rupture and excessive mitochondrial autophagy

159

TNF

Up

Triggers calcium overload-induced cellular senescence

160

SHH

Down

Promotes AFCs losing their polarity and characteristic hierarchical structure

162

AFCs

Keap1/Nrf2/Wnt5a

Down

Promotes senescence and extracellular matrix breakdown

156

ROS

Up

Promotes cellular senescence

165

CD133/Notch1/Jagged1/C-KIT/CD166

Down

Reduces stem cell pluripotency markers

166,167

CEPCs

Proteoglycan

Down

Accelerates ECM calcification

170

Type X collagen

Up

Accelerates ECM calcification

171

Nutrients/Oxygen

Down

Accumulates harmful metabolites

138

OCs

Netrin-1

Up

Mediates the gradual growth of sensory nerves into aged endplate tissue

174,175

PGE2

Up

Activates PKA/CREB and induces low back pain in elderly individuals

175

Hippo

Up

Initiates cartilage endplate remodeling through activation of the OCs differentiation gene CCL3

146

MACs

IL-10

Up

Leads to endplate sclerosis by affecting STAT3 signaling pathways

176