年龄和脊柱水平作为人类和小鼠腰椎间盘退变的预测因素:比较分析。

IF 3.9 3区 医学 Q1 ORTHOPEDICS
JOR Spine Pub Date : 2025-10-07 DOI:10.1002/jsp2.70122
Ravij Mehta, Sarthak Mohanty, Andrew Parker Hallmark, Veeraj Shah, Tom Ross, Eric A. Bogner, Tejbir S. Pannu, Mathieu Bannwarth, Sohrab Virk, Sravisht Iyer, James C. Farmer, Russel C. Huang, Darren R. Lebl, Bernard A. Rawlins, Harvinder S. Sandhu, Han Jo Kim, Matthew E. Cunningham, Sheeraz Qureshi, Todd J. Albert, Chitra L. Dahia
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引用次数: 0

摘要

背景:衰老是IVD变性和慢性腰痛的主要危险因素。比较人类和小鼠的退行性模式是一种常用的临床前模型,对于临床前机制研究的验证至关重要。该研究的目的是比较年龄和脊柱水平对人和小鼠腰椎ivd退变的影响。方法:采用Pfirrmann分级系统对腰椎t2加权MRI图像进行分级。采用Melgoza和Chenna系统对小鼠腰椎ivd的h&e染色中冠状切片进行评分。分别采用年龄、性别、IVD水平、腰椎IVD退变评分对各物种进行统计分析。采用线性回归和单因素方差分析与事后Tukey分析比较回归斜率和截距。从小鼠到人类的年龄转换是根据杰克逊实验室的小鼠年龄和人类等效物的轮廓进行的。使用广义估计方程(GEE)对连续退化评分进行建模,考虑到每个受试者多个IVD水平导致的受试者内部相关性。主要影响包括性别、IVD水平(L1-S1)和年龄,并有一个相互作用项评估年龄对各水平的影响。指定了一种自回归相关结构。结果:年龄与人类IVD退行性变显著相关(p p)结论:年龄和脊柱IVD水平影响人类和小鼠腰椎IVD退行性变,两者腰骶交界处的退行性变率更高。这些发现表明,小鼠是研究IVD变性和相关神经症状的细胞和分子基础的合适模型,其中L6-S1水平是最相关的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Age and Spinal Level as Predictors of Lumbar Disc Degeneration in Humans and Mice: A Comparative Analysis

Age and Spinal Level as Predictors of Lumbar Disc Degeneration in Humans and Mice: A Comparative Analysis

Background

Aging is a major risk factor for IVD degeneration and chronic lower back pain. Comparing degenerative patterns in human and mice, a commonly used pre-clinical model, is crucial for validating it in preclinical mechanistic research. The goal of the study was to compare the effect of age and spine level on degeneration in human and mouse lumbar IVDs.

Methods

T2-weighted MRI images of human lumbar spine were graded using the Pfirrmann system. H&E-stained mid-coronal sections of mouse lumbar IVDs were scored using the Melgoza and Chenna system. Age, gender, IVD level, and lumbar IVD degeneration scores, respectively, were used for statistical analysis in each species. Linear regression and one-way ANOVA with post hoc Tukey analysis were used to compare regression slopes and intercepts. Age conversion from mouse to human was performed according to the Jackson Laboratory's outline of mouse age and its human equivalents. Generalized estimating equations (GEE) were used to model continuous degeneration scores, accounting for intra-subject correlation due to multiple IVD levels per subject. Main effects included sex, IVD level (L1–S1), and age, with an interaction term assessing the impact of age across levels. An autoregressive correlation structure was specified.

Results

Age significantly correlated with IVD degeneration in humans (p < 0.0001) and mice (p < 0.0002). And the IVD level predicted degeneration in both species (L5–S1 in human, and L6–S1 in mice). Normalizing age and pathology revealed an earlier onset of degeneration in humans than in mice.

Conclusions

Age and spinal IVD level influence lumbar IVD degeneration in both human and mice with a higher rate of degeneration at the lumbosacral junction in both species. These findings suggest that mice are a suitable model for studying the cellular and molecular basis of IVD degeneration and associated neurological symptoms, with the L6–S1 level being the most relevant.

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JOR Spine
JOR Spine ORTHOPEDICS-
CiteScore
6.40
自引率
18.90%
发文量
42
审稿时长
10 weeks
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