退变椎间盘神经长入的研究进展
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山西医科大学第二医院

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山西省基础研究计划自然科学基金面上资助项目


Research Progress in Nerve Ingrowth in Intervertebral Disc Degeneration
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1.Shanxi Medical University;2.The Second Hospital of Shanxi Medical University

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The project was supported by the Natural Science Foundation of Shanxi Provincial Basic Research Program

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    摘要:

    椎间盘退变(Intervertebral disc degeneration, IVDD)是下腰痛(low back pain, LBP)的主要原因。IVDD过程伴随着细胞外基质代谢异常、促炎细胞因子释放增加和神经纤维及血管长入。同时已有研究表明IVDD组织神经长入主要包括感觉神经和交感神经,神经在内层纤维环(annulus fibrosus, AF)和髓核(nucleus pulposus, NP)组织内的异位长入是LBP的主要原因。在这里我们对IVDD组织内神经长入的进展进行了概述,在神经纤维的调控和神经递质的作用进行了讨论,针对神经长入的研究有助于确定新的治疗方向。

    Abstract:

    Intervertebral disc degeneration (IVDD) is the leading cause of low back pain (LBP). The process of IVDD is accompanied by abnormal metabolism of extracellular matrix, increased release of proinflammatory cytokines, and ingrowth of nerve fibers and blood vessels. At the same time, it has been shown that the innervation of IVDD tissue mainly includes sensory nerves and sympathetic nerves, and the ectopic ingrowth of the nerve into the inner annulus fibrosus (AF) and nucleus pulposus (NP) is the main cause of LBP. Here we give an overview of the progress of nerve ingrowth in IVDD, discuss the regulation of nerve fibers and the role of neurotransmitters. The research on nerve ingrowth may help to identify new therapeutic directions.

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  • 收稿日期:2023-07-31
  • 最后修改日期:2023-11-06
  • 录用日期:2024-01-22
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