应力诱导椎间盘退变的研究进展  

Advances in stress-induced intervertebral disc degeneration

作　　者：张存鑫 王倩[2] 吕超亮[2] 王德春 ZHANG Cun-xin;WANG Qian;LV Chao-liang;WANG Dechun(Department of Spine Surgery,Qingdao Municipal Hospital,Shandong University,Qingdao 266071,China;Department of Spine Sur-gery,Jining First People's Hospital,Jining 272011,China)

机构地区：[1]青岛市市立医院脊柱外科,山东青岛266071 [2]济宁市第一人民医院脊柱外科,山东济宁272011

出　　处：《中国矫形外科杂志》2024年第9期842-846,共5页Orthopedic Journal of China

基　　金：山东省医药卫生科技发展计划项目(编号:202104070383);济宁市重点研发计划项目(编号:2020JKNS008,2021YXNS050)。

摘　　要：腰背痛是一种常见的脊柱退行性疾病,目前已经发展成为严重的社会问题。近期研究表明,椎间盘退变(intervertebral disc degeneration,IDD)是导致腰背痛的首要原因,抑制IDD是防治腰背痛的重要靶点。导致IDD的原因包括老龄、遗传、机械负荷、营养缺乏等。近年来,越来越多的研究报道了机械应力(mechanical stress,MS)导致的IDD,MS诱导IDD的分子机制复杂多变,包括调控凋亡、焦亡、铁死亡、衰老、自噬、氧化应激、内质网应激、炎性反应和ECM降解等,但其确切机制尚不明确。本文拟对MS诱导IDD的机制进行综述,为临床预防和治疗腰背痛提供理论参考。Low back pain is a common degenerative disease of the spine that has developed to be a serious social problem.Recent stud⁃ies have shown that intervertebral disc degeneration(IDD)is the primary cause of low back pain,whereas inhibiting IDD is an important tar⁃get for preventing and treating LBP.Causes of IDD include ageing,genetics,mechanical stress,and nutritional deficiencies.In recent years,an increasing number of studies have reported IDD caused by mechanical stress(MS),but the exact mechanism is still unclear.This paper in⁃tends to review the mechanisms of MS-induced IDD and provide theoretical references for clinical prevention and treatment of low back pain.

关 键 词：腰背痛 椎间盘 椎间盘退变 机械应力 直接损伤 继发损伤 

分 类 号：R681.5[医药卫生—骨科学]