Mn3O4-Loaded Photothermal Hydrogel: A Triple-Enzyme Nanozyme that Reverses Oxidative Stress and ECM Imbalance in IVDD
Intervertebral disc degeneration (IVDD), a prevalent degenerative spinal disorder, is the leading cause of low back pain. Its incidence rises sharply with population aging, imposing not only severe pain, reduced quality of life, and disability on patients, but also an enormous economic burden on healthcare systems. The core pathological mechanisms include mechanical overload–induced annulus fibrosus (AF) rupture triggering nucleus pulposus (NP) herniation and nerve compression, as well as intradiscal oxidative stress (ROS) accumulation driving cell apoptosis, senescence, inflammation, and extracellular matrix (ECM) metabolic imbalance. Current conservative or surgical treatments are limited by high recurrence rates and lack targeted AF repair. The avascular nature of the disc restricts drug delivery, and repeated local injections may even accelerate degeneration. Therefore, developing a strategy that simultaneously targets oxidative stress and ECM imbalance is urgently needed.
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