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炎症细胞因子在黄韧带骨化发病机制中的作用。

The roles of inflammatory cytokines in the pathogenesis of ossification of ligamentum flavum.

机构信息

Department of Orthopaedics, Shijiazhuang No. 3 Hospital China.

出版信息

Am J Transl Res. 2013 Sep 25;5(6):582-5.

PMID:24093055
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3786265/
Abstract

Ossification of Ligamentum Flavum (OLF) is associated with serious neurologic symptoms including thoracic myelopathy and spinal stenosis. The pathogenesis of thoracic OLF is mainly due to the localized mechanical stress on the ligament induced enchondral ossification. However, despite numerous epidemiological and basic science studies, the mechanism of this process remains unclear. Studies have suggested that inflammatory cytokines, such as IL-6, TNF-α, seem to play a crucial role in OLF. In this review, we summarise the mechanistic information on the roles of inflammation cytokines in OLF and discuss about several therapeutic methods for OLF. Further studies on the role of cytokines in OLF should provide important insights into the designation of therapeutic strategies in preventing human spinal stenosis caused by OLF.

摘要

黄韧带骨化(OLF)与严重的神经症状有关,包括胸髓病和椎管狭窄。胸段 OLF 的发病机制主要是由于韧带的局部机械应力引起的软骨内成骨。然而,尽管进行了大量的流行病学和基础科学研究,但其机制仍不清楚。研究表明,炎症细胞因子,如 IL-6、TNF-α,似乎在 OLF 中发挥着关键作用。在这篇综述中,我们总结了炎症细胞因子在 OLF 中的作用的机制信息,并讨论了几种 OLF 的治疗方法。进一步研究细胞因子在 OLF 中的作用,应为预防 OLF 引起的人类椎管狭窄症的治疗策略设计提供重要的见解。

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本文引用的文献

1
Variables affecting postsurgical prognosis of thoracic myelopathy caused by ossification of the ligamentum flavum.影响黄韧带骨化所致胸椎管狭窄症术后预后的因素。
Spine J. 2013 Sep;13(9):1095-107. doi: 10.1016/j.spinee.2013.03.001. Epub 2013 Apr 17.
2
Inflammatory cytokines induce fibrosis and ossification of human ligamentum flavum cells.炎性细胞因子诱导人黄韧带细胞发生纤维化和骨化。
J Spinal Disord Tech. 2013 Feb;26(1):E6-12. doi: 10.1097/BSD.0b013e3182698501.
3
Cyclic tensile strain facilitates the ossification of ligamentum flavum through β-catenin signaling pathway: in vitro analysis.周期性张应变通过β-连环蛋白信号通路促进黄韧带骨化:体外分析。
Spine (Phila Pa 1976). 2012 May 15;37(11):E639-46. doi: 10.1097/BRS.0b013e318242a132.
4
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Arthritis Res Ther. 2011;13(5):R144. doi: 10.1186/ar3458. Epub 2011 Sep 13.
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Prevalence, distribution, and morphology of ossification of the ligamentum flavum: a population study of one thousand seven hundred thirty-six magnetic resonance imaging scans.黄韧带骨化的患病率、分布和形态:一项一千七百三十六例磁共振成像扫描的人群研究。
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Classification and management of the tandem ossification of the posterior longitudinal ligament and flaval ligament.后纵韧带与黄韧带联合骨化的分类与管理
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Thoracic ossification of the human ligamentum flavum: histopathological and immunohistochemical findings around the ossified lesion.人类黄韧带胸段骨化:骨化病变周围的组织病理学和免疫组织化学结果
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The aging spine: the role of inflammatory mediators in intervertebral disc degeneration.衰老的脊柱:炎症介质在椎间盘退变中的作用
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