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Journal List > J Korean Soc Spine Surg > v.9(1) > 1036001

Jeon, Ha, and Kim: Macrophage Infiltrations and Expressions of Matrix Metallproteinases in Intervertebral Disc

Abstract

Study Design

Immunohistologic staining of Intervertebral discs at surgery was performed using CD68, matrix metallopro-teinase- 1(MMP- 1) and matrix metalloproteinase- 3(MMP- 3).

Objectives

1. To investigate the histologic characteristics of the macrophage infiltrations in herniated discs and degenerative discs. 2. To investigate the difference of immumoexpression of MMP- 1 and MMP- 3 activity to herniated discs and degenerative discs. 3. To investigate the possible correlation between the macrophage infiltrations, MMP- 1and MMP- 3 in herniated discs and degenerative discs.

Summary of Literature Review

Spontaneous absorption of herniated disc is associated with infiltrating macrophages and matrix metalloproteinases. Matrix metalloproteinases(MMP) are main matrix degradative enzymes in intervertebral disc.

Materials and Methods

Sixty- seven specimens of degenerative disc specimens and one hundred and two specimens of lumbar disc herniation were immunostained with monoclonal antibodies to CD68, anti- MMP- 1, and anti- MMP- 3.

Results

The granulation tissue containing many CD68- positive macrophages was commonly observed in herniated disc and not in degenerative disc. The immunoexpression of MMP- 1 and MMP- 3 were observed in herniated and degenerative disc and there were the differences of intensity and localization of MMP- 1and MMP- 3 expression in herniated disc and not in degenerative disc. There was no correlation between the macrophage infiltrations, MMP- 1and MMP- 3 expression.

Conclusions

The macrophage infiltrations were specific in the granulation tissue of herniated discs. The differents patterns of immunoexpressions of MMP- 1 and MMP- 3 were observed in herniated and degenerative discs.

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Figures and Tables%

jkss-9-1f1.tif
Fig. 1.
Prominent infiltration in macrophage in herniated disc tissue.(x200)
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jkss-9-1f2.tif
Fig. 2.
Immunostain for MMP-1 in herniated disc tissue.(x200)
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jkss-9-1f3.tif
Fig. 3.
Immunostain for MMP-3 in herniated disc
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jkss-9-1f4.tif
Fig. 4.
MMP-1 positive cell is observed in degenerated disc tissue.(x400)
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jkss-9-1f5.tif
Fig. 5.
MMP-3 positive cell is observed in degenerated disc tissue.(x200)
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Table 1.
The results of immunostain with CD 68, MMP-1 and MMP-3 in the herniated disc.
CD 68 MMP-1 MMP -3
+ - + - + -
Protrusion 30 14 39 5 38 6
Extrusion 25 8 32 1 32 1
Sequestration 20 5 22 3 23 2

Cochran's Q-test : P=0.4623

Table 2.
The results of immunostain with CD 68, MMP-1 and MMP-3 in the degenerative disc.
CD 68 MMP-1 MMP-3
+ - + - + -
Internal disc derangement 0 21 13 8 9 12
Spondylolysis 0 14 8 6 6 8
Spondylolisthesis 0 32 20 12 14 18

Cochran's Q-test : P= 0.8942

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