Review Article

ROS: Crucial Intermediators in the Pathogenesis of Intervertebral Disc Degeneration

Table 2

Therapeutic effects of antioxidants on degenerative disc cells and intervertebral disc degeneration.

AntioxidantModel (administration route)Therapeutic effectsReference

NACRat AF cells (in vitro supplementation)Suppressing catabolic and proinflammatory phenotype induced by H2O2[14]
Rat discs (oral administration)Delaying IDD process induced by disc puncture[14]
Human NP cells (in vitro supplementation)Retarding premature senescence induced by H2O2[15]
Rabbit AF cells (in vitro supplementation)Restraining apoptosis induced by local anesthetics[23]
Rat NP cells (in vitro supplementation)Suppressing excessive autophagy induced by serum deprivation[24]
Rat NP cells (in vitro supplementation)Suppressing excessive autophagy induced by compression[25]

ResveratrolHuman NP cells (in vitro supplementation)Suppressing apoptosis[26, 27]
Bovine NP cells (in vitro supplementation)Inhibiting matrix catabolic phenotype and promoting matrix anabolism[28]
Mouse discs (oral administration)Delaying IDD process induced by disc puncture[29]
Human NP cells (in vitro supplementation)Inhibiting matrix catabolic phenotype and promoting matrix anabolism[30]
Rat NP cells (in vitro supplementation)Inhibiting apoptosis induced by IL-1[31]
Human NP cells (in vitro supplementation)Suppressing matrix catabolic phenotype induced by TNF-[32]
Human NP cells (in vitro supplementation)Suppressing proinflammatory phenotype induced by IL-1[33]

EGCGHuman NP cells (in vitro supplementation)Retarding premature senescence induced by H2O2[34]
Human NP cells (in vitro supplementation)Suppressing the proinflammatory and catabolic phenotype induced IL-1[35]

FullerolHuman NP cells (in vitro supplementation)Retarding matrix catabolism induced by H2O2 [36]
Rabbit discs (intradiscal injection)Delaying IDD process induced by disc puncture

CordycepinRat NP cells (in vitro supplementation)Suppressing matrix catabolic phenotype induced by LPS [37]
Rat organ cultured discs (ex vivo supplementation)Delaying IDD process induced by LPS

BMP7Human NP cells (in vitro supplementation)Suppressing apoptosis and matrix catabolic phenotype induced by H2O2[38]
IGF1Human AF cells (in vitro supplementation)Retarding premature senescence induced by H2O2[39]
HGFRabbit NP cells (in vitro supplementation)Suppressing apoptosis and matrix catabolic and proinflammatory phenotype induced by H2O2[40]
PQQRat NP cells (in vitro supplementation)Suppressing apoptosis and matrix catabolic phenotype induced by H2O2[41]
Ferulic acidRabbit NP cells (in vitro supplementation)Restraining apoptosis and matrix catabolic phenotype by H2O2[42, 43]
GSHHuman NP cells (in vitro supplementation)Suppressing apoptosis and matrix catabolic phenotype induced by H2O2[44]

NP: nucleus pulposus; AF: annulus fibrosus; GSH: glutathione; NAC: N-acetylcysteine; IDD: intervertebral disc degeneration; IL: interleukin; TNF: tumor necrosis factor; EGCG: epigallocatechin 3-gallate; PQQ: pyrroloquinoline quinone; LPS: lipopolysaccharide; BMP: bone morphogenetic protein; IGF: insulin-like growth factor; HGF: hepatocyte growth factor.