Yuan Ye, Zhou Zezhu, Jiao Yucheng, Li Changwei, Zheng Yuehuan, Lin Yazhou, Xiao Jiaqi, Chen Zhe, Cao Peng
Department of Orthopedics, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China; Shanghai Key Laboratory for Prevention and Treatment of Bone and Joint Diseases with Integrated Chinese-Western Medicine, Shanghai Institute of Traumatology and Orthopedics, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Department of Orthopedic Surgery, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Biomed Res Int. 2017;2017:6192935. doi: 10.1155/2017/6192935. Epub 2017 Mar 19.
. Low-virulence anaerobic bacteria, especially the , have been thought to be a new pathogeny for a series of disc diseases. However, until now, there has been no histological evidence to confirm this link. The purpose of this study was to confirm the presence of in nonpyogenic intervertebral discs via histological observation. . Degenerated intervertebral discs were harvested from 76 patients with low back pain and/or sciatica but without any symptoms of discitis or spondylodiscitis. The samples were cultured under anaerobic conditions and then examined using 16S rDNA PCR to screen for . Samples found to be positive for were stained with hematoxylin-eosin (HE) and modified Brown-Brenn staining and observed under a microscope. . Here, 16 intervertebral discs were found to be positive for via 16S rDNA PCR and the prevalence was 21.05% (16/76). Among them, 7 samples had visible microbes stained with HE and modified Brown-Brenn staining. Morphological examination showed the bacteria to be Gram-positive and rod-shaped, so they were considered . . is capable of colonizing some degenerated intervertebral discs without causing discitis, and its presence could be further confirmed by histological evidence. Targeting these bacteria may be a promising therapy method for some disc diseases.
低毒力厌氧菌,尤其是[具体细菌名称未给出],被认为是一系列椎间盘疾病的新致病原。然而,迄今为止,尚无组织学证据证实这种关联。本研究的目的是通过组织学观察证实非化脓性椎间盘中[具体细菌名称未给出]的存在。从76例有腰痛和/或坐骨神经痛但无任何椎间盘炎或脊椎椎间盘炎症状的患者中采集退变的椎间盘。将样本在厌氧条件下培养,然后使用16S rDNA PCR进行检测以筛选[具体细菌名称未给出]。对16S rDNA PCR检测呈阳性的样本进行苏木精-伊红(HE)染色和改良布朗-布伦染色,并在显微镜下观察。在此,通过16S rDNA PCR发现16个椎间盘对[具体细菌名称未给出]呈阳性,患病率为21.05%(16/76)。其中,7个样本经HE染色和改良布朗-布伦染色可见微生物。形态学检查显示这些细菌为革兰氏阳性且呈杆状,因此被认为是[具体细菌名称未给出]。[具体细菌名称未给出]能够在一些退变的椎间盘中定植而不引起椎间盘炎,其存在可通过组织学证据进一步证实。针对这些细菌可能是某些椎间盘疾病的一种有前景的治疗方法。