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. 2021 Jan 29;9:7. doi: 10.1038/s41413-020-00125-x

Fig. 1.

Fig. 1

Illustration of degenerative changes in painful intervertebral discs. During IVD degeneration, proteoglycans and collagen II are decreased, while collagen I and III are increased in the extracellular matrix. Emerging cytokines, chemokines, and pain-related factors synergistically contribute to discogenic pain development. IVD intervertebral disc, NP nucleus pulposus, AF annulus fibrosus