Abstract:
STUDY DESIGN:A review of the current literature on the role of matrix metalloproteinases in intervertebral disc degeneration. OBJECTIVE:To detail the characteristics of matrix metalloproteinases (classification, structure, substrate specificity and regulation) and to report previous studies of intervertebral discs. SUMMARY OF BACKGROUND DATA:Degeneration of the intervertebral disc, a probable prerequisite to disc herniation, is a complex phenomenon, and its physiopathologic course remains unclear. Matrix metalloproteinases probably play an important role but have received sparse attention in the literature. METHODS:A systematic review of studies reporting a role of matrix metalloproteinases in intervertebral disc degeneration. RESULTS:In several studies, investigators have reported the presence of proteolytic enzymes from disc culture systems and disc tissue extracts in degenerated human intervertebral discs, especially collagenase-1 (MMP-1) and stromelysin-1 (MMP-3). The matrix metalloproteinases are regulated by specific inhibitors (tissue inhibitors of metalloproteinases, or TIMPS), cytokines (interleukin-1), and growth factors. CONCLUSIONS:This field of application is of particular interest because conventional treatments are disappointing in chronic low back pain. Clinical trials with specific inhibitors of metalloproteinases are beginning in osteoarthritis.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Goupille P,Jayson MI,Valat JP,Freemont AJdoi
10.1097/00007632-199807150-00021subject
Has Abstractpub_date
1998-07-15 00:00:00pages
1612-26issue
14eissn
0362-2436issn
1528-1159journal_volume
23pub_type
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