“…Inflammation is a crucial initiator that regulates IVDD pathophysiology, weakens anabolism, and enhances catabolism in NP cells [ 15 ]. The pathogenesis of inflammation in IVDD includes recruitment of inflammatory cells, secretion of inflammatory mediators and activation of inflammatory signaling pathways, which contribute to the NP cells degeneration [ 16 , 17 ]. Moreover, inflammation is associated with attenuated autophagy and enhanced fibrosis in process of degeneration [ 18 , 19 ].…”