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Reviews in the Neurosciences

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Genetic aspects of intervertebral disc degeneration

Sara Hanaei1 / Sina Abdollahzade2 / Alireza Khoshnevisan2 / Christopher K. Kepler3 / 1, 4, 5

1Molecular Immunology Research Center, and Department of Immunology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran

2Department of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran 14194, Iran

3Rothman Institute, Department of Orthopaedic Surgery, Thomas Jefferson University, 1015 Walnut Street, Philadelphia, PA 19107, USA

4Research Center for Immunodeficiencies, Children’s Medical Center, Tehran University of Medical Sciences, Dr. Qarib Street, Keshavarz Boulevard, Tehran 14194, Iran

5Universal Scientific Education and Research Network (USERN), Tehran 1494, Iran

Corresponding author: Nima Rezaei, Research Center for Immunodeficiencies, Children’s Medical Center, Tehran University of Medical Sciences, Dr. Qarib Street, Keshavarz Boulevard, Tehran 14194, Iran, e-mail: ; Molecular Immunology Research Center, and Department of Immunology, School of Medicine, Tehran University of Medical Sciences, Tehran 14194, Iran; and Universal Scientific Education and Research Network (USERN), Tehran 1494, Iran

Citation Information: Reviews in the Neurosciences. Volume 26, Issue 5, Pages 581–606, ISSN (Online) 2191-0200, ISSN (Print) 0334-1763, DOI: 10.1515/revneuro-2014-0077, May 2015

Publication History

Received:
2014-11-12
Accepted:
2015-04-01
Published Online:
2015-05-21

Abstract

Intervertebral disc degeneration (IVDD) is one of the common causes of low back pain. Similar to many other multifactorial diseases, it is affected by environmental and genetic factors. Although not completely understood, genetic factors include a wide spectrum of variations, such as single nucleotide polymorphisms, which could play a significant role in the etiology of this disease. Besides, the interactions with environmental factors could make the role of genetic factors more complicated. Genetic variations in disc components could participate in developing degenerative disc disease through altering the normal homeostasis of discs. Gene polymorphisms in disc proteins (collagens I, II, III, IX, and XI), proteoglycans (aggrecan), cytokines (interleukins I, VI, and X), enzymes (matrix metalloproteinases II, III, and IX), and vitamin D receptor seem to play considerable roles in the pathology of this disease. There are also many other investigated genes that could somehow take part in the process. However, it seems that more studies are needed to clarify the exact role of genetics in IVDD.

Keywords: collagen; genetics; intervertebral disc degeneration

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