Review Article

Regulatory Effect of Inflammatory Mediators in Intervertebral Disc Degeneration

Table 1

Inflammatory mediators associated with IDD progression.

NameSize (amino acids)Chromosomal locationGeneOriginsReceptorFunction in IDDSignaling pathways

IL-1α2712q14IL1A (IL1F1)Neutrophil; macrophage; monocyte; endothelial cell; epithelial cell; dendritic cellIL1R1; IL1R2Inhibit ECM synthesis; enhance inflammatory response; enhance bradykinin sensitivityTGF-β; MAPK; NF-κB; Wnt/β-catenin; PI3K/Akt/mTOR
IL-1β2692q14IL1B (IL1F2)Neutrophil; macrophage; monocyte; endothelial cell; epithelial cell; dendritic cellIL1R1; IL1R2Enhance inflammatory response; promote ECM degradation; accelerate cellular senescence; promote apoptosis and pyroptosis; regulate NP cell proliferation; increase intracellular ROS; increase angiogenesis and neoinnervationTGF-β; MAPK; NF-κB; Wnt/β-catenin; PI3K/Akt/mTOR
IL-21534q26-q27IL2Th1 cellIL2RA; IL2RB; IL2RGRegulate NP cell proliferation; promote apoptosis; promote ECM degradationPI3K/Akt/mTOR; MAPK; JAK-STAT
IL-41535q31.1IL4Th2 cell; NK cell; T cell; mast cellIL4RInhibit inflammatory processesJAK-STAT
IL-62127p21IL6 (IFNB2)Neutrophil; macrophage; T cell; B cell; monocyte; endothelial cell; epithelial cell; dendritic cellIL6REnhance inflammatory response; promote apoptosis of neurons in the dorsal root ganglion; promote chondrocyte ferrogenesisJAK-STAT; MAPK; PI3K/Akt/mTOR
IL-8994q13-q21CXCL8 (IL8)Neutrophil; NK cell; endothelial cell; monocyteCXCR1; CXCR2Enhance inflammatory response; regulate angiogenesisMAPK; JAK-STAT; NF-κB; PI3K/Akt/mTOR
IL-91445q31.1IL9Th2 cellIL9REnhance inflammatory responseMAPK; JAK-STAT
IL-101781q31-q32IL10Macrophage; T cell; B cell; NK cell; monocyte; dendritic cellIL10R1; IL10R2Enhance inflammatory responseMAPK; JAK-STAT; NF-κB
IL-17A1556p12IL17A (CTLA8, IL17)Th17 cell; NK cellIL17RA; IL17RCEnhance inflammatory response; promote ECM degradation; block autophagy in degenerating NP cellsMAPK; NF-κB; C/EBPβ/δ
TNF-α2336p21.33TNF (TNFA, TNFSF2)Endothelial cell; epithelial cell; macrophage; neutrophil; NK cell; dendritic; monocyte; B cell; T cellTNFR1; TNFR2Enhance inflammatory response;1 promote ECM degradation;1 accelerate cellular senescence;1 promote apoptosis;1 regulate NP cell proliferation;1 increase angiogenesis and neoinnervationMAPK; NF-κB; Notch; UPR/XBP1
Chemokines---Endothelial cell; epithelial cell; B cell; T cell; NK cellCR; CCR; CXCR; CX3CREnhance inflammatory response; promote ECM degradation; promote apoptosis; Increase angiogenesis and neoinnervationNF-κB; PI3K/Akt/mTOR
NLRP310361q44NLRP3 (C1orf7, CIAS1, NALP3, PYPAF1)Neutrophil; macrophage-Enhance inflammatory response; promote apoptosisNF-κB