Zhu Pengfei, Kong Fanchen, Wu Xiexing, Dong Zhongchen, Du Jiacheng, Mao Yubo, Zhou Hong, Liu Yijie, Mao Haiqin, Gu Ye, Yang Huilin, Geng Dechun
Department of Orthopaedics, The First Affiliated Hospital of Soochow University, Suzhou, China.
Department of Orthopaedics, Changshu Hospital Affiliated to Soochow University, First People's Hospital of Changshu City, Changshu, Jiangsu, China.
World Neurosurg. 2023 Jan;169:e1-e8. doi: 10.1016/j.wneu.2022.09.062. Epub 2022 Oct 22.
The needle puncture model in rats has been accepted as an ordinary model to induce intervertebral disc degeneration (IVDD). However, the model primarily penetrated the whole intervertebral disc, resulting in injury to the nucleus pulposus (NP) and annulus fibrosus (AF). The intention of this research was to explore a minimally invasive approach through needle puncture of the AF percutaneously in rats.
Twenty SD rats underwent puncture at Co8/9 via a 20 G percutaneous needle. The needle was slowly advanced perpendicular to the tail skin to penetrate the whole AF without damaging the NP limited by a hand-made sheath. The X-rays and magnetic resonance imaging T2 relaxation was evaluated at 1, 2, and 3 weeks to assess the disc height index and signal changes. Histological and immunohistochemical staining of the IVD were obtained under a light microscope.
X-rays showed that the disc height had progressively narrowed to 49% of baseline 3 weeks after injury. magnetic resonance imaging evaluation demonstrated that the mean T2-weighted signal intensity at 3 weeks was 43% of that in the uninjured control group at the Co8/9 level. Histological staining demonstrated disorganized lamellae in the AF and decreased proteoglycan content and cellularity within the NP in the injured discs.
The present research demonstrates a reliable and convenient approach to induce an AF tear in rats through percutaneous needle puncture. This model reduces harm to the experimental animals significantly while imitating the progressive degeneration process. More importantly, the model confirmed that AF damage alone could lead to IVDD and provided a research method for AF degeneration in IVDD.
大鼠针刺模型已被公认为诱导椎间盘退变(IVDD)的常用模型。然而,该模型主要是穿透整个椎间盘,导致髓核(NP)和纤维环(AF)损伤。本研究的目的是探索一种通过经皮针刺大鼠AF的微创方法。
20只SD大鼠通过20G经皮穿刺针在Co8/9处进行穿刺。穿刺针垂直于尾部皮肤缓慢推进,在自制护套的限制下穿透整个AF而不损伤NP。在第1、2和3周进行X线和磁共振成像T2弛豫评估,以评估椎间盘高度指数和信号变化。在光学显微镜下对IVD进行组织学和免疫组织化学染色。
X线显示,损伤后3周椎间盘高度逐渐缩小至基线的49%。磁共振成像评估显示,在Co8/9水平,3周时平均T2加权信号强度为未损伤对照组的43%。组织学染色显示,损伤椎间盘的AF中板层紊乱,NP中蛋白聚糖含量和细胞数量减少。
本研究证明了一种通过经皮针刺在大鼠中诱导AF撕裂的可靠且便捷的方法。该模型在模拟渐进性退变过程的同时,显著减少了对实验动物的伤害。更重要的是,该模型证实了单独的AF损伤可导致IVDD,并为IVDD中AF退变提供了一种研究方法。