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. 2020 Jul 10;21(14):4889. doi: 10.3390/ijms21144889

Figure 6.

Figure 6

Cell-based regenerative strategy seems the most reliable method for annulus fibrosus (AF) regeneration in mildly degeneratedintervertebral discs (IVDs). Two mechanisms are believed to regenerate the AF effectively. The first mechanism (I) is a direct pathway, where the proliferated (or un-proliferated) stem cells contribute to producing extracellular matrix and collagen. The second mechanism (II) involves the injection of the stem cells to encourage resident components (mainly cells) to produce extracellular matrix, indirectly.