The Role of TFEB-Regulated Autophagy in Intervertebral Disc Degeneration and Its Therapeutic Potential

Mar 31, 2026Journal of inflammation research

How Cell Recycling Controlled by TFEB May Affect Spinal Disc Degeneration and Treatment

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Abstract

(TFEB) is identified as a pivotal player in intervertebral disc degeneration (IVDD).

  • Intervertebral disc degeneration (IVDD) is associated with nucleus pulposus cell (NPC) senescence, extracellular matrix imbalance, and chronic inflammation.
  • TFEB regulates and lysosomal biogenesis, promoting the removal of damaged cellular components in NPCs.
  • Dysfunction of TFEB may impair autophagic processes, leading to increased cellular death, oxidative stress, and degradation of the extracellular matrix.
  • TFEB is positioned as a crucial therapeutic target for addressing the underlying mechanisms of IVDD.
  • The review evaluates potential TFEB-targeted strategies and highlights key challenges in translating these approaches into clinical therapy.

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