Table 1.
Degenerative Changes in the NP | Goals for Effective Treatment as Measured in This Study |
---|---|
Loss of cells5 and increase in senescence6 | Increase in metabolic activity/DNA content |
Cells with degenerative phenotype | Cells with nondegenerated phenotype |
Decrease in collagen II and aggrecan production3 | Production of GAG, increase in ACAN and COL2A1 gene expression |
Decrease in SOX97 | Increase in SOX9 |
Increase in catabolic enzymes8 | Decrease in ADAMTS, MMPs |
Increase in fibrotic collagens (collagen I and collagen III)9 | Decrease in fibrotic collagens (COL1A1 and COL3A1) |