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Extra Cellular Matrix Remodeling : An Adjunctive Target for Spinal Cord Injury and Intervertebral Disc Degeneration

Journal

NEUROSPINE
Volume 19, Issue 3, Pages 632-645

Publisher

KOREAN SPINAL NEUROSURGERY SOC
DOI: 10.14245/ns.2244366.183

Keywords

Extracellular matrix; Spinal cord injury; Intervertebral disc degeneration; Ex-tracellular matrix remodeling

Funding

  1. National Institute of Pharmaceutical Education and Research (NIPER) Ahmedabad
  2. Ministry of Chemicals and Fertilizers, Govt. of India

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The extracellular matrix (ECM) plays a crucial role in tissue development, spinal cord injury, and intervertebral disc degeneration. Targeting ECM remodeling may provide potential therapeutic approaches for these conditions.
The extracellular matrix (ECM) is a protein-and-carbohydrate meshwork that supports a variety of biological structures and processes, from tissue development and elasticity to the preservation of organ structures. ECM composition is different in each organ. It is a re-markably dynamic 3-dimensional structure that's constantly changing to maintain tissue homeostasis. This review aims to describe the involvement of ECM components in the re-modeling process of spinal cord injury (SCI) and intervertebral disc degeneration (IVDD). Here, we have also described the current ECM-based therapeutic targets, which can be ex-plored for ECM remodeling SCI is a neurological condition with intense influences result-ing from a trauma inflicted on the spinal cord. SCI leads to damage to the intact ECM that leads to regeneration failure. IVDD mainly occurs due to aging and trauma. Various ECM components enable fragmentation of the disc and are thereby involved in disc degeneration. ECM manipulation can be used as an adjunct treatment in SCI and IVDD. Current treat-ment approaches for SCI and IVDD are conservative and unsatisfactory. Targeting ECM remodeling as an adjunct therapy may result in better disease outcomes.

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