ZENG Jiaxing,LIANG Bin,YIN Dong.MMP-3, IgG and CD68 expressions in the herniated nuclea pulposus between young and elder patients[J].Chinese Journal of Spine and Spinal Cord,2013,(12):1109-1115.
MMP-3, IgG and CD68 expressions in the herniated nuclea pulposus between young and elder patients
Received:January 04, 2013  Revised:July 08, 2013
English Keywords:Lumbar intervertebral disc herniation  MMP-3  IgG  CD68  Adolescent  Elderly
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Author NameAffiliation
ZENG Jiaxing Department of Orthopaedics, the People′s Hospital of Guangxi Zhuang Autonomous Region, Nanning, 530021, China 
LIANG Bin 广西壮族自治区人民医院骨科 530021 南宁市 
YIN Dong 广西壮族自治区人民医院骨科 530021 南宁市 
温宗华  
陈 峰  
王 贤  
谷 金  
楚 野  
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English Abstract:
  【Abstract】 Objectives: To compare the expressions of cytokines MMP-3(matrix metalloproteinases, MMPs), IgG and CD68 in the herniated nuclea pulposus between young and elder patients, and to explore the pathogenesis of lumbar intervertebral disc herniation in the both aged patients. Methods: Disc samples from 40 patients with lumbar intervertebral disc herniation were collected. The patients were grouped as the young group, including 18 patients, with an avereage age of 20.6±3.4 years; the elder group, 22 patients, with the avereage age of 48.0±10.3 years. Disc degeneration was detected by HE staing. The expressions of MMP-3, IgG and CD68 was detected by immunohistochemistry. Then data were collected and measured by optical microscope. Results: Discs in the elder group showed degeneration by HE staing, the opposite for the young group, even no degenerative change was noted. There were less expressions of MMP-3 in young group(33.33%) than elder group(81.82%), more expressions of IgG in young group(66.67%) than elder group(31.82%), and more expressions of CD68 in young group(83.33%) than elder group(45.45%). Positive expressions of MMP-3, IgG and CD68 in two groups were different. Conclusions: Immunative and inflammative reaction maybe the main mechanism inducing disc herniation in the young, while in the elderly, disc degeneration maybe the main cause.
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