“…The anti-in ammatory, anti-cancer, anti-aging, and chondrocyteprotective effects of RSV have been demonstrated previously by many studies (10)(11)(12)(13). Recently, various researchers have shown that RSV can attenuate the deleterious effects on the intervertebral disc caused by external pathological factors, such as high glucose, IL-1β, and TNF-α (9,(14)(15)(16). It has been demonstrated that RSV can effectively mitigate cell senescence and apoptosis, and can even alleviate the in ammation response caused by the aforementioned factors by regulating different signaling pathways, such as the PI3K/AKT, extracellular regulated protein kinases 1/2 (ERK1/2), and reactive oxygen species/nuclear factor kappa beta (ROS/NF-κB) pathways (8,14,17,18), thus impeding IDD.…”