Is platelet-derived growth factor-BB expression proportional to fibrosis in the hypertrophied lumber ligamentum flavum?

作者: Yu Zhang , Jianting Chen , Zhao-Ming Zhong , Dehong Yang , Qingan Zhu

DOI: 10.1097/BRS.0B013E3181F3D2DF

关键词: Lumbar spinal canal stenosisLumbar disc herniationMuscle hypertrophyImmunohistochemistryMagnetic resonance imagingWound healingFibrosisPathologyMedicineBlot

摘要: STUDY DESIGN A clinical and experimental assessment using human samples of lumbar ligamentum flavum (LF). OBJECTIVE To identify platelet-derived growth factor-BB (PDGF-BB) expression in hypertrophied LF patients with spinal canal stenosis (LSS) relate it to fibrosis. SUMMARY OF BACKGROUND DATA Recent studies showed that fibrosis hypertrophy was due accumulation inflammation-related scar tissue. PDGF-BB participates formation collagen development wound healing diseases. However, is unclear whether associated the LSS. METHODS In all, 10 LSS enrolled this study, while disc herniation (LDH) as a control group. thickness measured by axial T1-weighted magnetic resonance imaging. Fibrosis graded type identified. The location were analyzed immunohistochemical stains, real-time polymerase chain reaction, Western Blotting. Correlation among thickness, fibrosis, analyzed. RESULTS 5.3 ± 1.0 mm (range from 3.9 7.5 mm) group 2.8 0.7 1.69 3.8 LDH Obvious observed all group, correlated dural, middle, dorsal layers (P < 0.05), respectively. detected LF, particularly layer. higher than layer dural 0.05). mRNA significantly (r = 0.41) severity 0.69) CONCLUSION existed could be risk factor

参考文章(36)
Stephan Barrientos, Olivera Stojadinovic, Michael S. Golinko, Harold Brem, Marjana Tomic-Canic, Growth factors and cytokines in wound healing. Wound Repair and Regeneration. ,vol. 16, pp. 585- 601 ,(2008) , 10.1111/J.1524-475X.2008.00410.X
Teruaki Okuda, Itsushi Baba, Yoshinori Fujimoto, Nobuhiro Tanaka, Tadayoshi Sumida, Hideki Manabe, Yuzo Hayashi, Mitsuo Ochi, The Pathology of Ligamentum Flavum in Degenerative Lumbar Disease Spine. ,vol. 29, pp. 1689- 1697 ,(2004) , 10.1097/01.BRS.0000132510.25378.8C
Frank B. Niessen, Monique P. Andriessen, Joost Schalkwijk, Lydia Visser, Wim Timens, Keratinocyte-derived growth factors play a role in the formation of hypertrophic scars. The Journal of Pathology. ,vol. 194, pp. 207- 216 ,(2001) , 10.1002/PATH.853
Maho Sumiyoshi, Masahiro Sakanaka, Yoshiyuki Kimura, Chronic intake of a high-cholesterol diet resulted in hepatic steatosis, focal nodular hyperplasia and fibrosis in non-obese mice. British Journal of Nutrition. ,vol. 103, pp. 378- 385 ,(2010) , 10.1017/S0007114509991772
Devin K. Binder, Meic H. Schmidt, Philip R. Weinstein, Lumbar Spinal Stenosis Seminars in Neurology. ,vol. 22, pp. 157- 166 ,(2002) , 10.1055/S-2002-36539
Hirofumi Kosaka, Koichi Sairyo, Ashok Biyani, Ali Kiapour, Douglas Leaman, Richard Yeasting, Kosaku Higashino, Toshinori Sakai, Shinsuke Katoh, Toshiaki Sano, Vijay K Goel, Natsuo Yasui, Pathomechanism of loss of elasticity and hypertrophy of lumbar ligamentum flavum in elderly patients with lumbar spinal canal stenosis. Spine. ,vol. 32, pp. 2805- 2811 ,(2007) , 10.1097/BRS.0B013E31815B650F
Tadanori Sakamaki, Koichi Sairyo, Toshinori Sakai, Tatsuya Tamura, Yuji Okada, Hiroshi Mikami, Measurements of ligamentum flavum thickening at lumbar spine using MRI Archives of Orthopaedic and Trauma Surgery. ,vol. 129, pp. 1415- 1419 ,(2009) , 10.1007/S00402-009-0849-1
Shin Fukuyama, Takafumi Nakamura, Takashi Ikeda, Katsumasa Takagi, The effect of mechanical stress on hypertrophy of the lumbar ligamentum flavum. Journal of Spinal Disorders. ,vol. 8, pp. 126- 130 ,(1995) , 10.1097/00002517-199504000-00006