了解椎间盘退化:背景因素和初始损伤的作用
Anna E Karchevskaya1,2,3, Yuri M Poluektov3,4, Vasiliy A Korolishin5
1Institute of Higher Nervous Activity and Neurophysiology, Russian Academy of Sciences, 5A Butlerova Str., 117485 Moscow, Russia.
Biomedicines
|October 28, 2023
概括
椎间盘退化 (IVDD) 有复杂的原因,遗传和免疫因素作为危险因素. 自免疫损伤假设为IVDD病变发生提供了一个有希望的,统一的解释.
科学领域:
- 整形外科 整形外科 整形外科
- 免疫学 免疫学 免疫学
- 遗传学 是一个遗传学.
背景情况:
- 椎间盘退化 (IVDD) 的病因是复杂的和多因素的,缺乏完全的理解.
- 改善对IVDD病原学的知识对于改进治疗方法和减少手术干预至关重要.
研究的目的:
- 审查和总结最近关于IVDD病变的研究.
- 探索遗传和免疫因素在IVDD发展中的作用.
主要方法:
- 关于IVDD病变发生的最新研究数据的文献综述.
- 对涉及IVDD的遗传和免疫因素的分析.
主要成果:
- IVDD的发病是一个复杂的,多因素的过程,没有明确的起点.
- 遗传因素,包括结构蛋白和免疫酶的突变,是风险因素,但单独对疾病发展不够.
- 机械损伤也是IVDD的一个危险因素.
结论:
- 对于IVDD的病原性,没有单一的共识.
- 椎间盘自身免疫损伤假设被认为是最有前途的临床应用,因为它的广泛适用性.
- 目前的遗传因素对于预测模型来说是不够的,但可以帮助人口的风险分层.
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