“…Therefore, inflammation of the herniated disc tissue is thought to be important in the pathologic analysis of herniated disc disease. Herniated disc tissues express a variety of inflammatory factors such as interleukin-1␣ (IL-1␣) (8), IL-1 (8), IL-6 (9-15), IL-8 (8)(9)(10)13,16), IL-10 (8), leukotriene B 4 (14), monocyte chemotactic protein 1 (MCP-1) (16), nitric oxide (11,12), prostaglandin E 2 (PGE 2 ) (9,10,15,17,18), RANTES (13), transforming growth factor  (8), thromboxane  2 (14), and tumor necrosis factor ␣ (TNF␣) (11,12,19,20). Among these, TNF␣, IL-6, IL-8, and PGE 2 have unique pathologic characteristics in herniated disc disease.…”