Turgut Mehmet, Başaloğlu Hatice K, Yenisey Ciğdem, Ozsunar Yelda
Department of Neurosurgery, School of Medicine, Adnan Menderes University, Aydin, Turkey.
Eur Spine J. 2006 May;15(5):605-12. doi: 10.1007/s00586-005-0972-9. Epub 2005 Sep 7.
Despite the importance of intervertebral disc (IVD) degeneration both in research and clinical practice, the underlying biological mechanism of this phenomenon remains obscure. The current study investigated the effects of neonatal pinealectomy on the development of IVD degeneration process in chicken. Thirty chicks (3 days of age) were divided into two equal groups: unoperated controls (Group X) and pinealectomized chicks (Group Y). Pinealectomies were performed at the age of 3 days. At the age of 8 weeks, magnetic resonance imaging examination of one animal in each experimental group was taken. At the end of the study, serum melatonin level was determined by using ELISA method and histopathological or biochemical examination of specimens from all subjects was done. The results of biochemical analyses were compared using Mann-Whitney U test, whereas The Chi-square test was adopted for the histological findings. In this study, the serum melatonin levels in Group Y were significantly lower than those in Group X (P < 0.001). Similarly, scoliosis was developed in 14 out of 15 (93%) in Group Y. Hydroxyproline content of IVD tissue was high in Group Y compared with the values in Group X, although there was no significant difference. Histologically, an appearance of normal IVD was observed in Group X, while the presence of a degenerated IVD was observed in Group Y. From the results of the current study, it is evident that surgical pinealectomy in new-hatched Hybro Broiler chicks has a significant effect on serum melatonin level as well as on the development of IVD degeneration and spinal malformation. In the light of these results from present animal study, melatonin may play a role in the development of IVD degeneration in human beings, but this suggestion need to be validated in the human setting.
尽管椎间盘(IVD)退变在研究和临床实践中都很重要,但其潜在的生物学机制仍不清楚。本研究调查了新生雏鸡松果体切除对IVD退变过程发展的影响。30只雏鸡(3日龄)被分为两组,每组数量相等:未手术的对照组(X组)和松果体切除的雏鸡(Y组)。在3日龄时进行松果体切除。8周龄时,对每个实验组的一只动物进行磁共振成像检查。在研究结束时,采用酶联免疫吸附测定(ELISA)法测定血清褪黑素水平,并对所有受试者的标本进行组织病理学或生化检查。生化分析结果采用曼-惠特尼U检验进行比较,而组织学结果采用卡方检验。在本研究中,Y组的血清褪黑素水平显著低于X组(P<0.001)。同样,Y组15只中有14只(93%)出现脊柱侧弯。Y组IVD组织的羟脯氨酸含量高于X组,尽管差异无统计学意义。组织学上,X组观察到IVD外观正常,而Y组观察到IVD退变。从本研究结果来看,新孵化的海波罗肉鸡雏鸡进行手术松果体切除对血清褪黑素水平以及IVD退变和脊柱畸形的发展有显著影响。根据目前动物研究的这些结果,褪黑素可能在人类IVD退变的发展中起作用,但这一观点需要在人体研究中得到验证。