Pathogenesis and Novel Therapeutics in Musculoskeletal Conditions, 3rd Edition

A special issue of Biomedicines (ISSN 2227-9059). This special issue belongs to the section "Molecular and Translational Medicine".

Deadline for manuscript submissions: 31 October 2025 | Viewed by 272

Special Issue Editors


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Guest Editor
VALTRADOFI Research Group, Department of Physiotherapy, Faculty of Health, Universidad Camilo José Cela, Villanueva de la Cañada, 28692 Madrid, Spain
Interests: ultrasound imaging; neck pain; low back pain; myofascial pain syndromes; elastography; science education; physiotherapy; undergraduate education; health occupations students
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Special Issue Information

Dear Colleagues,

Musculoskeletal disorders are the leading contributor to disability around the world. Although most musculoskeletal conditions are commonly characterized by pain, there are more than 150 different conditions affecting the joints (e.g., osteoarthritis and rheumatoid arthritis), bones (e.g., osteoporosis and fractures), and muscles (e.g., myofascial pain syndromes and sarcopenia). Basic and clinical research studies currently aim to understand the pathogenetic peculiarities of each musculoskeletal condition to provide clinicians with evidence-based diagnosis and management recommendations.

This Special Issue, centered around musculoskeletal disorders, aims to collate high-quality research articles on the pathogenesis of different musculoskeletal conditions (e.g., molecular mechanisms and the identification of risk factors associated with specific conditions) and novel effective multidisciplinary therapeutics to provide clinicians with novel and evidence-supported recommendations. 

Dr. Juan Antonio Valera-Calero
Prof. Dr. Gustavo Plaza-Manzano
Guest Editors

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Keywords

  • neck pain
  • low back pain
  • myofascial pain syndromes
  • chronic pain
  • musculoskeletal disorders
  • disability
  • pain treatment

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Published Papers (1 paper)

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Research

15 pages, 1752 KiB  
Article
Modulation of Neurturin Expression by Lumbosacral Spinal Stenosis, Lifestyle Factors, and Glycemic Dysregulation
by Małgorzata Sobańska, Dawid Sobański, Rafał Staszkiewicz, Paweł Gogol, Damian Strojny, Tomasz Pawłaszek, Werner Dammerman and Beniamin Oskar Grabarek
Biomedicines 2025, 13(5), 1102; https://doi.org/10.3390/biomedicines13051102 - 1 May 2025
Viewed by 161
Abstract
Background/Objectives: Lumbosacral spinal stenosis (LSS) is a degenerative condition characterized by narrowing of the spinal canal and associated neuropathic pain. While mechanical compression is well-characterized, the molecular mechanisms contributing to symptom severity remain poorly understood. Neurturin (NRTN), a member of the glial [...] Read more.
Background/Objectives: Lumbosacral spinal stenosis (LSS) is a degenerative condition characterized by narrowing of the spinal canal and associated neuropathic pain. While mechanical compression is well-characterized, the molecular mechanisms contributing to symptom severity remain poorly understood. Neurturin (NRTN), a member of the glial cell line-derived neurotrophic factor family, has emerged as a potential mediator of neural plasticity and nociception, but its role in spinal stenosis is largely unexplored. Methods: We analyzed NRTN mRNA and protein expression in ligamentum flavum samples from 96 patients undergoing surgery for LSS and 85 non-degenerative postmortem controls. Quantification was performed using real-time quantitative polymerase chain reaction (RT-qPCR), enzyme-linked immunosorbent assay (ELISA), Western blotting, and immunohistochemistry. Pain severity Visual Analog Scale (VAS), body mass index (BMI), diabetes, smoking, and alcohol use were assessed as modulators of NRTN expression. Results: NRTN expression was significantly elevated in LSS patients versus controls at both transcript and protein levels (p < 0.05). NRTN levels positively correlated with pain intensity (VAS; ANOVA p = 0.032 for mRNA, p = 0.041 for protein). Multivariate regression identified BMI (β = 0.50, p = 0.015) and diabetes (β = 0.39, p = 0.017) as independent predictors of increased NRTN expression. Alcohol use also showed a positive association (p = 0.046), while smoking showed no significant independent effect. Conclusions: Neurturin is upregulated in ligamentum flavum tissue from LSS patients and correlates with pain severity and metabolic risk factors. These findings suggest NRTN as a potential biomarker and therapeutic target in degenerative spine disease. Further longitudinal and mechanistic studies are warranted to elucidate its role in chronic pain and neuroinflammation. Full article
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