“…The treatments for DLBP include physiotherapy, nonsteroidal anti-inflammatory drugs, hormones and surgical interventions, all of which can only relieve LBP symptoms and cannot effectively delay the progression of IDD. [12][13][14][15] Although biological therapies, such as gene therapy, growth factor therapy, and cell therapy, have shown efficacy in the treatment of IDD, [16][17][18][19] the inflammatory and hypoxic environment within the disc results in low cell survival; 20 moreover, growth factors have a short half-life and require multiple injections, and the instability of growth factors makes injection into the disc difficult. 21 Most gene therapy requires viral vectors, which are expensive and may cause insertional mutations, produce replication-competent viruses, and induce cancer.…”