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In more severe stages, intervertebral disc degeneration is accompanied by loss of joint space, subchondral sclerosis, and osteophytes, similar to osteoarthritis (OA) in the articular joint. Inspired by this resemblance, we investigated the analogy between human intervertebral discs and articular joints. Although embryonic origin and anatomy suggest substantial differences between the two types of joint, some features of cell physiology and extracellular matrix in the nucleus pulposus and articular cartilage share numerous parallels. Moreover, there are great similarities in the response to mechanical loading and the matrix\u2010degrading factors involved in the cascade of degeneration in both tissues. This suggests that the local environment of the cell is more important to its behavior than embryonic origin. Nevertheless, OA is widely regarded as a true disease, while intervertebral disc degeneration is often regarded as a radiological finding and DDD is undervalued as a cause of chronic low\u2010back pain by clinicians, patients and society. Emphasizing the similarities rather than the differences between the two diseases may create more awareness in the clinic, improve diagnostics in DDD, and provide cross\u2010fertilization of clinicians and scientists involved in both intervertebral disc degeneration and OA.<\/jats:p>","DOI":"10.1002\/jsp2.1033","type":"journal-article","created":{"date-parts":[[2018,8,30]],"date-time":"2018-08-30T05:31:06Z","timestamp":1535607066000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":93,"title":["Osteoarthritis and intervertebral disc degeneration: Quite different, quite similar"],"prefix":"10.1002","volume":"1","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1779-2641","authenticated-orcid":false,"given":"Christine M.E.","family":"Rustenburg","sequence":"first","affiliation":[{"name":"Department or Orthopaedic Surgery Amsterdam Movement Sciences, Amsterdam UMC, University of Amsterdam  Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaj S.","family":"Emanuel","sequence":"additional","affiliation":[{"name":"Department or Orthopaedic Surgery Amsterdam Movement Sciences, Amsterdam UMC, University of Amsterdam  Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mirte","family":"Peeters","sequence":"additional","affiliation":[{"name":"Department or Orthopaedic Surgery Amsterdam Movement Sciences, Amsterdam UMC, University of Amsterdam  Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Willem F.","family":"Lems","sequence":"additional","affiliation":[{"name":"Department of Rheumatology Amsterdam Movement Sciences, Amsterdam UMC, Vrije Universiteit Amsterdam  Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pieter\u2010Paul A.","family":"Vergroesen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Noord\u2010West Ziekenhuisgroep  Alkmaar The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theodoor H.","family":"Smit","sequence":"additional","affiliation":[{"name":"Department or Orthopaedic Surgery Amsterdam Movement Sciences, Amsterdam UMC, University of Amsterdam  Amsterdam The Netherlands"},{"name":"Department of Medical Biology Amsterdam UMC, University of Amsterdam  Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,10,19]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.34347"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)30488-4"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)32154-2"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3181aa5b33"},{"issue":"4","key":"e_1_2_8_6_1","first-page":"753","article-title":"Radiographic features of lumbar disc degeneration and self\u2010reported back pain","volume":"31","author":"Pye SR","year":"2004","journal-title":"J Rheumatol"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199702150-00015"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.semarthrit.2014.10.006"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0034-89102008000400008"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.berh.2009.11.002"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2015.03.028"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrrheum.2012.59"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199506000-00022"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2012.05.011"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1163\/156856004773121347"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0033-8389(03)00169-6"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2006.052522"},{"key":"e_1_2_8_18_1","volume-title":"Die Halbegelenke des Menschlichen Korpers. 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