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Published on: June 2, 2020
Extracellular matrix remodelling in degenerative cervical myelopathy
Noah D Poulin1,2,3, Sydney Brockie3, Koby Baranes1,2
1Department of Clinical Neurosciences, University of Cambridge, Cambridge CB2 0QQ, UK.
Degenerative cervical myelopathy (DCM) involves spinal cord changes similar to traumatic injury. This study found increased matrix deposition and scarring in DCM, suggesting potential therapeutic targets for spinal cord compression.
Area of Science:
- Neuroscience
- Pathology
- Biomaterials Science
Background:
- Degenerative cervical myelopathy (DCM) causes spinal cord injury due to chronic compression.
- Pathophysiological changes in DCM resemble traumatic spinal cord injury, including gliosis, demyelination, and neuron loss.
- The impact of chronic spinal cord compression on extracellular matrix composition is not well understood.
Purpose of the Study:
- To investigate extracellular matrix changes, specifically chondroitin sulphate proteoglycan (CSPG) and fibrosis, in degenerative cervical myelopathy (DCM).
- To compare matrix deposition in human post-mortem DCM tissue and a mouse model of chronic spinal cord compression.
Main Methods:
- Immunohistochemistry and transcriptomic analysis were used on human post-mortem tissue and a mouse model.
- Chondroitin sulphate proteoglycan (CSPG) and fibrosis-related matrix deposition were assessed.
- A mouse model of chronic spinal cord compression was utilized.
Main Results:
- Human DCM tissue showed elevated astrogliosis, CSPG accumulation, and fibrotic collagen deposition compared to controls.
- Gliosis and fibrosis markers in human tissue were not significantly correlated with compression severity.
- The mouse model exhibited distinct astrocyte phenotypes and significantly increased markers of vascular and interstitial fibrosis.
Conclusions:
- Astroglial CSPG deposition and fibrotic scarring are present in degenerative cervical myelopathy (DCM).
- These fibrotic changes in DCM may occur in a more diffuse pattern than in traumatic spinal cord injury.
- Findings support previous observations of vascular fibrotic thickening in DCM, indicating potential therapeutic targets.
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