摘要
椎间盘退变和脊柱小关节炎是常见的退行性疾病,它是慢性腰痛并间歇性急性发作的重要病因,涉及力学、遗传和生物学等多因素诱发的退行性改变,表现为椎间盘和小关节结构的破坏和功能的减退。压电型机械敏感离子通道蛋白(Piezo1)被认为是力学环境下椎间盘退变和关节炎的关键因子。Piezo1在退变椎间盘组织和关节组织中异常激活,并深度参与椎间盘退变和关节炎的发病机制。因此,本文将从椎间盘和脊柱小关节的角度,进行Piezo1对椎间盘退变和关节炎的文献综述,以期了解其对椎间盘退变和小关节紊乱方面的机制,为未来研究提供方向,为该类疾病的治疗提供靶点。
Intervertebral disc degeneration and spinal facet joint arthritis are comman spinal degenerative diseases.It is important causes of chronic low back pain and intermittent acute attacks.It is a degenerative change induced by multiple factors including mechanics,genetics and biology,which is manifested in the destruction of the structure and function of intervertebral discs and facet joints.Mechanical sensitive ion channel protein Piezo1 is considered as the key factor of intervertebral disc degeneration and facet joint osteoarthritis under mechanical environment.Piezo1 is abnormally activated in degenerative intervertebral disc tissue and joint tissue,and deeply participates in the pathogenesis of intervertebral disc degeneration and osteoarthritis.Therefore,this article made a review from the perspective of Piezo1 on intervertebral disc degeneration and osteoarthritis,in order to understand its mechanism on intervertebral disc degeneration and facet joint disorder,provide direction for future research,and provide a therapeutic targets for those diseases.
作者
王宇涛
陈嘉欣
卢申怡
黄艺琪
郭伟正
梁健朗
黄兆科
刘祺
Wang Yutao;Chen Jiaxin;Lu Shenyi;Huang Yiqi;Guo Weizheng;Liang Jianlang;Huang Zhaoke;Liu Qi(The Second Clinical College of Guangzhou Medical University,Guangzhou 510260,China;The department of Orthopeadic Surgery,The Second Affiliated Hospital of Guangzhou Medical University,Guangzhou 510260,China)
出处
《中华关节外科杂志(电子版)》
CAS
CSCD
2022年第6期756-761,共6页
Chinese Journal of Joint Surgery(Electronic Edition)
基金
广东省基础与应用基础研究基金项目(2020A1515110631)
广州市科技计划项目(2020A1515110631)
广州医科大学学生创新能力提升计划项目(2022)
关键词
椎间盘退行性变
椎关节突关节
腰痛
Intervertebral disc degeneration
Zygapophyseal joint
Low back pain