Kubaszewski Łukasz, Zioła-Frankowska Anetta, Frankowski Marcin, Nowakowski Andrzej, Czabak-Garbacz Róża, Kaczmarczyk Jacek, Gasik Robert
Department of Orthopaedic and Traumatology, W. Dega University Hospital, University of Medical Sciences, Poznań, Poland.
Department of Water and Soil Analysis, Faculty of Chemistry, Adam Mickiewicz University in Poznań, Poznań, Poland.
Med Sci Monit. 2014 Nov 4;20:2157-64. doi: 10.12659/MSM.890654.
Few studies have investigated trace elements (TE) in human intervertebral disc (IVD) tissue. Trace element presence can have diverse meanings: essential TE show the metabolic modalities of the tissue, while environmentally-related TE indicate pollution and tissue-specific absorption and accumulation. IVD is a highly specific compartment with impaired communication with adjacent bone. Analysis of TE in IVD provides new insights regarding tissue metabolism and IVD communication with other tissues.
MATERIAL/METHODS: Thirty intervertebral discs were acquired from 22 patients during surgical treatment for degenerative disease. Atomic absorption spectrometry was used to evaluate the concentrations of Al, Cd, Pb, Cu, Ni, Mo, Mg, and Zn.
Al, Pb, Cu, Mg, and Zn were detected in all samples. Pb was significantly positively correlated with age, and Ni concentration was weakly correlated with population count in the patient's place of residence. Only Cu was observed in higher concentrations in IVD compared to in other tissues. Significant positive correlations were observed between the following pairs: Mg/Zn, Mg/Al, Mg/Pb, Zn/Al, Zn/Pb, and Al/Pb. Negative correlations were observed between Mg/Cd, Zn/Cd, Mg/Mo, and Mo/Pb.
This study is one of few to profile the elements in intervertebral discs in patients with degenerative changes. We report significant differences between trace element concentrations in intervertebral discs compared to in other tissues. Knowledge of the TE accumulation pattern is vital for better understanding intervertebral disc nutrition and metabolism.
很少有研究调查人体椎间盘(IVD)组织中的微量元素(TE)。微量元素的存在可能具有多种意义:必需微量元素显示组织的代谢方式,而与环境相关的微量元素则表明污染以及组织特异性吸收和积累。椎间盘是一个高度特殊的腔室,与相邻骨骼的交流受损。对椎间盘中微量元素的分析为了解组织代谢以及椎间盘与其他组织的交流提供了新的见解。
材料/方法:在对22例退行性疾病患者进行手术治疗期间获取了30个椎间盘。采用原子吸收光谱法评估铝(Al)、镉(Cd)、铅(Pb)、铜(Cu)、镍(Ni)、钼(Mo)、镁(Mg)和锌(Zn)的浓度。
在所有样本中均检测到了铝、铅、铜、镁和锌。铅与年龄呈显著正相关,镍浓度与患者居住地的人口数量呈弱相关。与其他组织相比,仅在椎间盘中观察到铜的浓度较高。在以下几组元素之间观察到显著正相关:镁/锌、镁/铝、镁/铅、锌/铝、锌/铅和铝/铅。在镁/镉、锌/镉、镁/钼和钼/铅之间观察到负相关。
本研究是少数对退变患者椎间盘中元素进行分析的研究之一。我们报告了椎间盘中微量元素浓度与其他组织相比存在显著差异。了解微量元素的积累模式对于更好地理解椎间盘营养和代谢至关重要。