“…Although all cells used in this study were isolated from degenerated discs, the difference in the expression of studied inflammation-related genes between the untreated control group and the EGCG-treated group is not significant, because basal expression of these genes decreases when cells are transferred to in vitro conditions (data not shown). While this is the first IVD-related study, protective effects of EGCG and green tea extract have been reported in inflammatory arthritis (Shen et al, 2012), where EGCG was shown to block IL-1β-induced expression of IL-6, IL-7, IL-8, IL-1β, TNF-α (Akhtar and Haqqi, 2011), MMP1 and MMP13 (Ahmed et al, 2004), iNOS (Singh et al, 2002) and COX-2 (Heinecke et al, 2010), and these effects were linked mostly to NF-κB and JNK signalling pathways Akhtar and Haqqi, 2011;Rasheed et al, 2009;Singh et al, 2002;Singh et al, 2003). In order to determine the underlying mechanisms in the IVD, potential pathways were identified from the literature Akhtar and Haqqi, 2011;Rasheed et al, 2009;Singh et al, 2002;Singh et al, 2003) and the effects of EGCG on IRAK-1 degradation as well as NFkB and MAPK activity in IVD cells were analysed.…”