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通过MRI、X射线和组织学分析对酶处理和激光处理的椎间盘进行纵向比较,揭示椎间盘退变进展中的差异:一项兔子研究。

Longitudinal Comparison of Enzyme- and Laser-Treated Intervertebral Disc by MRI, X-Ray, and Histological Analyses Reveals Discrepancies in the Progression of Disc Degeneration: A Rabbit Study.

作者信息

Fusellier Marion, Colombier Pauline, Lesoeur Julie, Youl Samy, Madec Stéphane, Gauthier Olivier, Hamel Olivier, Guicheux Jérôme, Clouet Johann

机构信息

Institut National de la Santé et de la Recherche Médicale (INSERM) UMRS 791, Laboratoire d'Ingénierie Ostéo-Articulaire et Dentaire (LIOAD), Group STEP "Skeletal Tissue Engineering and Physiopathology", School of Dental Surgery, 44042 Nantes, France; Department of Diagnostic Imaging, CRIP, National Veterinary School (ONIRIS), 44307 Nantes, France.

Institut National de la Santé et de la Recherche Médicale (INSERM) UMRS 791, Laboratoire d'Ingénierie Ostéo-Articulaire et Dentaire (LIOAD), Group STEP "Skeletal Tissue Engineering and Physiopathology", School of Dental Surgery, 44042 Nantes, France; Odontology Faculty, University of Nantes, 44093 Nantes, France.

出版信息

Biomed Res Int. 2016;2016:5498271. doi: 10.1155/2016/5498271. Epub 2016 May 10.

Abstract

Regenerative medicine is considered an attractive prospect for the treatment of intervertebral disc (IVD) degeneration. To assess the efficacy of the regenerative approach, animal models of IVD degeneration are needed. Among these animal models, chemonucleolysis based on the enzymatic degradation of the Nucleus Pulposus (NP) is often used, but this technique remains far from the natural physiopathological process of IVD degeneration. Recently, we developed an innovative animal model of IVD degeneration based on the use of a laser beam. In the present study, this laser model was compared with the chemonucleolysis model in a longitudinal study in rabbits. The effects of the treatments were studied by MRI (T2-weighted signal intensity (T2wsi)), radiography (IVD height index), and histology (NP area and Boos' scoring). The results showed that both treatments induced a degeneration of the IVD with a decrease in IVD height and T2wsi as well as NP area and an increase in Boos' scoring. The enzyme treatment leads to a rapid and acute process of IVD degeneration. Conversely, laser radiation induced more progressive and less pronounced degeneration. It can be concluded that laser treatment provides an instrumental in vivo model of slowly evolving IVD degenerative disease that can be of preclinical relevance for assessing new prophylactic biological treatments of disc degeneration.

摘要

再生医学被认为是治疗椎间盘(IVD)退变的一个有吸引力的前景。为了评估再生方法的疗效,需要建立IVD退变的动物模型。在这些动物模型中,基于髓核(NP)酶解的化学髓核溶解术经常被使用,但该技术仍与IVD退变的自然生理病理过程相差甚远。最近,我们基于激光束的使用开发了一种创新的IVD退变动物模型。在本研究中,在一项对兔子的纵向研究中,将这种激光模型与化学髓核溶解术模型进行了比较。通过磁共振成像(T2加权信号强度(T2wsi))、X线摄影(IVD高度指数)和组织学(NP面积和布氏评分)来研究治疗效果。结果表明,两种治疗均导致IVD退变,IVD高度、T2wsi以及NP面积减小,布氏评分增加。酶治疗导致IVD退变的快速且急性的过程。相反,激光辐射诱导的退变更具渐进性且程度较轻。可以得出结论,激光治疗提供了一种体内工具模型,用于模拟缓慢进展的IVD退行性疾病,这对于评估椎间盘退变的新的预防性生物治疗可能具有临床前相关性。

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