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medRxiv PreprintsInternational11 November 2026

Gamma delta T cells are expanded in the blood of chronic low back pain patients with lumbar Modic changes

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Objectives Modic changes (MC) are vertebral endplate and bone marrow lesions strongly associated with chronic low back pain. Type 1 MC (MC1, oedema-like) and type 2 or 3 MC (MC2or3, fat- and sclerosis-like) are commonly regarded as different stages of the same pathological process, yet their underlying biology remains poorly defined. In particular, it remains unclear whether MC are confined to the spine or accompanied by distinct systemic immune alterations. Here, we provide the first comprehensive characterisation of the circulating immune landscape in patients with lumbar MC. Methods Periphe
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