ArticleOsteoarthritis and cartilage open2025
M2a macrophages identified as a potential therapeutic candidate for intervertebral disc herniation regression.
Article in Osteoarthritis and cartilage open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: Lumbar disc herniation (LDH) is one of the most common spine pathologies and its spontaneous regression has been attributed to the activation of immune cells by inflammatory processes and extracellular matrix remodelling. This study aims to identify a macrophage candidate with potential for physiological treatment of LDH. Study design: Results: A total of 21 samples were included, patient's average age was 48.8 ± 12.9 years and the most common levels were L4-5 (42.9 %) and L5-S1 (33.3 %). After three days co-culture with monocyte-derived macrophages, explants maintained the structure and high proteoglycans/collagen ratio. Flow cytometry analysis revealed that the explants modified the immune profile of macrophages, increasing the proportion of pro-inflammatory CD86 Conclusions: M2a macrophages showed the highest potential towards the design of a macrophage-based therapy for LDH. This study holds great promise for translational medicine aimed at accelerating spontaneous LDH using a physiological treatment that could prevent need for surgical intervention.
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