Abstract:Intervertebral disc degeneration (IDD) is the primary cause of low back pain, imposing a significant burden on both human society and the economy. A review of relevant literature on mitochondria, endoplasmic reticulum, and IDD reveals that calcium ions play a crucial role in mediating the interactions among these three components. The imbalance of calcium ion homeostasis is one of the key factors contributing to IDD. This imbalance disrupts the functions of mitochondria, the endoplasmic reticulum, and their structural coupling, thereby influencing various cellular processes such as proliferation, differentiation, apoptosis, and energy metabolism. This review focuses on the role of calcium-related proteins located on mitochondrial and endoplasmic reticulum membranes in IDD, aiming to provide insights for future research on the underlying mechanisms, the construction of regulatory networks, and the development of calcium-related protein-targeted therapies.