Bradford D S, Oegema T R, Brown D M
Clin Orthop Relat Res. 1977 Jul-Aug(126):111-8.
Previous examinations of skin biopsies suggested that connective tissue may be abnormal in patients with idiopathic scoliosis. The fibroblast culture system has proven a powerful technique for approaching many diseases of known connective origin, and therefore, seemed an appropriate method with which to study scoliosis. Present observations on collagen synthesis, skin collagen extractability, and glycosaminoglycan (GAG) synthesis and degradation appear normal. Idiopathic scoliosis does not prove to be a generalized connective tissue disorder. While factors other than collagen and GAG metabolism seem not to be at fault, other possibilities seem not to be taken into consideration by basic research on the spinal column: genetics, biochemistry, and physiology.
先前对皮肤活检的检查表明,特发性脊柱侧凸患者的结缔组织可能异常。成纤维细胞培养系统已被证明是一种研究许多已知结缔组织起源疾病的有力技术,因此,似乎是研究脊柱侧凸的一种合适方法。目前关于胶原蛋白合成、皮肤胶原蛋白可提取性以及糖胺聚糖(GAG)合成与降解的观察结果似乎正常。特发性脊柱侧凸并非全身性结缔组织疾病。虽然胶原蛋白和GAG代谢以外的因素似乎并无问题,但脊柱的基础研究似乎未考虑其他可能性:遗传学、生物化学和生理学。