Alini Mauro, Eisenstein Stephen M, Ito Keita, Little Christopher, Kettler A Annette, Masuda Koichi, Melrose James, Ralphs Jim, Stokes Ian, Wilke Hans Joachim
AO Research Institute, Clavadelerstrasse, 7270, Davos, Switzerland.
Eur Spine J. 2008 Jan;17(1):2-19. doi: 10.1007/s00586-007-0414-y. Epub 2007 Jul 14.
Intervertebral disc (IVD) degeneration is an often investigated pathophysiological condition because of its implication in causing low back pain. As human material for such studies is difficult to obtain because of ethical and government regulatory restriction, animal tissue, organs and in vivo models have often been used for this purpose. However, there are many differences in cell population, tissue composition, disc and spine anatomy, development, physiology and mechanical properties, between animal species and human. Both naturally occurring and induced degenerative changes may differ significantly from those seen in humans. This paper reviews the many animal models developed for the study of IVD degeneration aetiopathogenesis and treatments thereof. In particular, the limitations and relevance of these models to the human condition are examined, and some general consensus guidelines are presented. Although animal models are invaluable to increase our understanding of disc biology, because of the differences between species, care must be taken when used to study human disc degeneration and much more effort is needed to facilitate research on human disc material.
椎间盘(IVD)退变是一种常被研究的病理生理状况,因为它与下腰痛的发生有关。由于伦理和政府监管限制,获取用于此类研究的人体材料很困难,动物组织、器官和体内模型常被用于此目的。然而,动物物种与人类在细胞群体、组织组成、椎间盘和脊柱解剖结构、发育、生理和力学特性等方面存在许多差异。自然发生的和诱导的退变变化可能与人类所见的有显著不同。本文综述了为研究IVD退变的病因发病机制及其治疗而开发的多种动物模型。特别探讨了这些模型的局限性及其与人类情况的相关性,并提出了一些普遍认可的指导原则。尽管动物模型对于增进我们对椎间盘生物学的理解非常宝贵,但由于物种间的差异,在用于研究人类椎间盘退变时必须谨慎,并且需要付出更多努力来促进对人体椎间盘材料的研究。