RT info:eu-repo/semantics/preprint T1 Immunomodulation of mesenchymal stem cells in discogenic pain A1 Miguélez-Rivera, Laura A1 Pérez Castrillo, Saúl A1 González-Fernández, María Luisa A1 Prieto Fernández, Julio Gabriel A1 López-González, María Elisa A1 García-Cosamalón, José A1 Villar Suárez, María Vega A2 Otros K1 Bioquímica K1 Conditioned medium K1 Cytokines K1 Discogenic pain K1 Immunomodulation K1 Mesenchymal stem cells K1 Rat model AB BACKGROUND CONTEXT: Back pain is a highly prevalent health problem in the world todayand has a great economic impact on health-care budgets. Intervertebral disc (IVD) degeneration hasbeen identified as a main cause of back pain. Inflammatory cytokines produced by macrophages ordisc cells in an inflammatory environment play an important role in painful progressive degenerationof IVD. Mesenchymal stem cells (MSCs) have shown to have immunosuppressive and antiinflammatoryproperties. Mesenchymal stem cells express a variety of chemokines and cytokinesreceptors having tropism to inflammation sites.PURPOSE: This study aimed to develop an in vitro controlled and standardized model of inflammationand degeneration of IVD with rat cells and to evaluate the protective and immunomodulatoryeffect of conditioned medium (CM) from the culture of MSCs to improve the conditions presentedin herniated disc and discogenic pain processes.STUDY DESIGN: This is an experimental study.METHODS: In this study, an in vitro model of inflammation and degeneration of IVD has beendeveloped, as well as the effectiveness of CM from the culture of MSCs.RESULTS: Conditioned medium from MSCs downregulated the expression of various proinflammatorycytokines produced in the pathogenesis of discogenic pain such as interleukin (IL)-1β, IL-6, IL-17,and tumor necrosis factor (TNF).CONCLUSION: Mesenchymal stem cells represent a promising alternative strategy in the treatmentof IVD degeneration inasmuch as there is currently no treatment which leads to a completeremission of long-term pain in the absence of drugs PB Elsevier YR 2017 FD 2017-12-22 LK http://hdl.handle.net/10612/7062 UL http://hdl.handle.net/10612/7062 NO The Spine Journal, 2017 NO 13 p. DS BULERIA. Repositorio Institucional de la Universidad de León RD 26-abr-2024