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동의어 포함
Objective : Surgically removed herniated lumbar disc specimen are immunostained to evaluate the production of
MMPs(Matrix metalloproteinases) -1,2,3 for the investigation of the possible correlation of MMPs in lumbar disc
herniation depending on the types of disc herniation.
Methods : The study population consists of 30 patients with lumbar disc herniation. There were 18 men and 12
women with patient age averaging 43.4 years(19-68years). The types of disc herniation identified at the time of
surgery were classified as follow ; protruded type(Group 1, 10cases), extruded type(Group 2, 10cases), sequestrated
type(Group 3, 10cases). Immunohistochemical study for the MMPs of the herniated disc tissue was performed and
results of staining were graded to examine differences in histology among three types of disc herniation .
Results : The MMPs immunopositive cells were increased in old patients but statistically it was not
significant(p=0.074). A significantly increased incidence of positive cells for MMP-1,2 was found in the herniated
lumbar disc tissue than the control group(p=0.02) but there were no significant differences among the three types
of disc herniation. The MMP-3 positive cells were predominantly detected in the sequestrated disc tissue
group(p=0.037) more than other groups.
Conclusion : These results suggest that the MMP-1,2,3 may play important roles in the process of degeneration,
herniation, and resorption of the lumbar intervertebral discs and that the MMP-3 may express the severity of lumbar
disc herniation and play a role in resorption of the sequestrated disc tissue.| 번호 | 참고문헌 | 국회도서관 소장유무 |
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