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1. 武警重庆总队医院骨科
2. 第三军医大学新桥医院骨科
纸质出版日期:2009,
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[1]曹兴,曹国永,周跃,龙毅,邓淼.TACE在自体髓核移植背根节致根性神经痛中的作用机制研究[J].重庆医科大学学报,2009,34(02):186-189.
CAO Xing, et al. Study of TACE in the mechanism of hyperalgesia derived by auto-transplantation of nucleus pulposus to DRGs[J]. Journal of Chongqing Medical University, 2009,34(2):186-189.
目的:探讨TACE在椎间盘突出致坐骨神经痛发病机制中的作用。方法:采用自体髓核移植至L4、5神经节
建立根性神经痛的动物模型
应用Von Frey针丝及RTY-Ⅰ型热痛测仪对神经行为的改变进行检测
采用免疫组化法检测TACE在神经节及神经根中的表达
采用RT-PCR的方法检测TACE和TNF-αmRNA表达
并分析其与神经行为改变之间的相关性。结果:自体髓核移植可以导致明显的机械刺激痛觉过敏现象
而无明显的热刺激痛觉过敏
TACE在自体髓核移植术后4d表达开始增强(P<0.05)
术后1周表达最强(P<0.01)
术后3周逐渐恢复正常
与TNF-α的表达及TACE的表达之间存在显著相关性。结论:TACE作为释放活性TNF-α的特异性蛋白酶
自体髓核移植至DRG后
其蛋白表达升高
TNF-αmRNA、TACEmRNA表达之间存在线性相关
说明TACE可能是抗TNF-α治疗的新靶点
在治疗椎间盘突出引起的根性神经痛中具有重要作用。
Objective:To investigate the role of TACE in the mechanism of sciatica due to disc herniation.Methods:Autologous nucleus pulposus was applied to the peripheral of the L4 and L5 nerve roots and DRGs to construst animal model.Then Von Frey filaments and a thermal testing device(RTX-1 type)were used to quantify behavior test.Immunocytochemistry and RT-PCR were used to detect the ex-pression changes of TNF-αand TACE to analyze their correlation with the nerve behavior change.Results:The mRNA expression of TNF-αand TACE increased significantly(P<0.05)in DRGs
and nerve roots 4 days after operation
especially 1 week(P<0.01)after op-eration.Three weeks after operation
the expression restored gradually to normal.There was a time correlation between the mRNA ex-pression of TNF-αand TACE.Conclusion:TACE causes the shedding of the active TNF-αfrom cell membrane
and it’s a new thera-py target to inhibit the action of TNF-α
so the antogonist of TACE may play an important role in the treatment of sciatica.
髓核坐骨神经痛TNF-α肿瘤坏死因子α转换酶神经节
Nucleus pulpususSciaticaTumor necrosis factor alpha(TNF-α)Tumor necrosis factor-αconverting enzymeGanglion
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