“…41 IL-1 induced the production of collagenase, 45 cycloxygenase-2 (COX-2 46 ), prostaglandin E2, 13,47 nitric oxide, 45,44 MMP-1, 48 total 46 and active 43 MMP-3, MMP-13, 20,44 the aggrecanase, a disintegrin and metalloproteinase with t hrombo s pondin motifs-4 (ADAMTS-4), 21,44 IL-6, 46 and monocyte chemoattractant protein-1 (MCP-1). 49,50 Recently, IL-1β was shown to increase the sensitivity of IVD cells to shear stress, 51 suggesting that this cytokine is involved in the acceleration of degradation processes in IVDs subjected to biomechanical stress. Although IL-1 affects both synthetic and degradative processes, it is worth noting that, at lower concentrations, IL-1 was much more effective in inhibiting the synthesis of aggrecan than in stimulating its degradation in articular cartilage.…”