Open Access, Peer-reviewed
pISSN 2093-4378
eISSN 2093-4386
    J Korean Soc Spine Surg. 2002 Mar;9(1):1-7. Korean.
    Published online Mar 31, 2002.
    https://doi.org/10.4184/jkss.2002.9.1.1
    Copyright © 2002 Korean Society of Spine Surgery
    Original Article

    Macrophage Infiltrations and Expressions of Matrix Metallproteinases in Intervertebral Disc

    Chang-Hoon Jeon, M.D., Seung-Yeon Ha, M.D.,* and Han-Kyeom Kim, M.D.**
      • Department of Orthopaedic Surgery, Ajou University School of Medicine, Suwon, Korea.
      • *Department of Pathology, Gacheon Medical College, Medical Center, Incheon, Korea.
      • **Department of Pathology, Korea University School of Medicine, Seoul, Korea.
    • Address reprint requests to Chang-Hoon Jeon, M.D. Department of Orthopaedic Surgery, Ajou University School of Medicine, #San 5, Wonchon-dong, Paldal-gu, SuWon 442-721, Korea. Tel: 82-31-219-5220, Fax: 82-31-219-5229, Email: chjeon@madang.ajou.ac.kr

    Abstract

    Study Design

    Immunohistologic staining of Intervertebral discs at surgery was performed using CD68, matrix metalloproteinase- 1(MMP-1) and matrix metalloproteinase-3(MMP-3).

    Objectives

    1. To investigate the histologic characteristics of the macrophage infiltrations in herniated discs and degenerative discs. 2. To investigate the difference of immumoexpression of MMP-1 and MMP-3 activity to herniated discs and degenerative discs. 3. To investigate the possible correlation between the macrophage infiltrations, MMP-1 and MMP-3 in herniated discs and degenerative discs.

    Summary of Literature Review

    Spontaneous absorption of herniated disc is associated with infiltrating macrophages and matrix metalloproteinases. Matrix metalloproteinases(MMP) are main matrix degradative enzymes in intervertebral disc.

    Materials and Methods

    Sixty-seven specimens of degenerative disc specimens and one hundred and two specimens of lumbar disc herniation were immunostained with monoclonal antibodies to CD68, anti-MMP-1, and anti-MMP-3.

    Results

    The granulation tissue containing many CD68-positive macrophages was commonly observed in herniated disc and not in degenerative disc. The immunoexpression of MMP-1 and MMP-3 were observed in herniated and degenerative disc and there were the differences of intensity and localization of MMP-1 and MMP-3 expression in herniated disc and not in degenerative disc. There was no correlation between the macrophage infiltrations, MMP-1 and MMP-3 expression.

    Conclusions

    The macrophage infiltrations were specific in the granulation tissue of herniated discs. The differents patterns of immunoexpressions of MMP-1 and MMP-3 were observed in herniated and degenerative discs.

    Keywords
    Intervertebral disc; Macrophage; Matrix metalloproteinase

    Figures

    Fig. 1
    Prominent infiltration in macrophage in herniated disc tissue.(×200)

    Fig. 2
    Immunostain for MMP-1 in herniated disc tissue.(×200)

    Fig. 3
    Immunostain for MMP-3 in herniated disc tissue.(×200)

    Fig. 4
    MMP-1 positive cell is observed in degenerated disc tissue.(×400)

    Fig. 5
    MMP-3 positive cell is observed in degenerated disc tissue.(×200)

    Tables

    Table 1
    The results of immunostain with CD 68, MMP-1 and MMP-3 in the herniated disc.

    Table 2
    The results of immunostain with CD 68, MMP-1 and MMP-3 in the degenerative disc.

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    MeSH Terms
    Absorption
    Antibodies, Monoclonal
    Granulation Tissue
    Intervertebral Disc Displacement
    Intervertebral Disc*
    Macrophages*
    Matrix Metalloproteinases
    Metrics
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    Tables
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