Morisu M
Department of Orthopedic Surgery, Toho University School of Medicine, Tokyo, Japan.
Nihon Seikeigeka Gakkai Zasshi. 1994 Dec;68(12):1056-67.
To investigate the involvement of sex hormones as a potential cause of ossification in the posterior longitudinal ligament (OPLL) of the cervical spine, we experimentally examined the influence of ingested foods on the serum levels of sex hormones and changes in the spinal ligament. Castrated rabbits were administered a sex hormone and raised with special feed. Assay of the serum sex hormone levels, analysis of the carbon and nitrogen isotope ratios in body hairs, and histological studies were carried out. In the group administered soybeans and highly concentrated saline solution, the serum estrogen level was high, the serum testosterone level was low and the delta 15N value of the body hairs was also low. Histologically, a group of newly formed chondroblasts was seen in the posterior longitudinal ligament in the angular region of a narrowed intervertebral disc, and many fibroblasts were detected by assay using a microspectrophotometer (MSP) in this group. These findings suggested that a diet high in vegetable protein, consisting mainly of beans, and foods high in salt may lead to an unbalanced state for sex hormones and cause histological changes in the spinal ligament. This, as well as other general ossifying factors of ligament, may play a role in the etiology of ossification.
为了研究性激素作为颈椎后纵韧带骨化(OPLL)潜在病因的作用,我们通过实验研究了摄入食物对性激素血清水平及脊柱韧带变化的影响。对去势兔给予性激素并采用特殊饲料饲养。进行了血清性激素水平测定、体毛发碳氮同位素比值分析以及组织学研究。在给予大豆和高浓度盐溶液的组中,血清雌激素水平较高,血清睾酮水平较低,体毛发的δ15N值也较低。组织学上,在狭窄椎间盘角区的后纵韧带中可见一组新形成的成软骨细胞,且该组通过显微分光光度计(MSP)检测发现有许多成纤维细胞。这些发现表明,主要由豆类组成的高植物蛋白饮食和高盐食物可能导致性激素失衡,并引起脊柱韧带的组织学变化。这与韧带的其他一般骨化因素可能在骨化病因中起作用。