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January 17, 2014PLoS ONEOpen Access

Angiopoietin-Like Protein 2 Induced by Mechanical Stress Accelerates Degeneration and Hypertrophy of the Ligamentum Flavum in Lumbar Spinal Canal Stenosis

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Key result

Angptl2 expression is significantly increased in hypertrophied ligamentum flavum tissue from patients with lumbar spinal canal stenosis and positively correlates with tissue thickness (R=0.60, P<0.01).

Population

58 ligamentum flavum samples from 31 patients undergoing lumbar surgery, comprising an LSCS group and a…

Comparison

In vitro mechanical stretching stress… vs Non-LSCS LF tissue, unstretched cells, and…

Design

Preclinical

Authors

TNTakayuki NakamuraKumamoto University HospitalTOTatsuya OkadaToray (United States)MEMotoyoshi EndoUniversity of Occupational and Environmental Health Japan

Discussion

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Implication

Angptl2 may promote ligamentum flavum hypertrophy; hypothesis-generating for targeted inhibition in spinal stenosis.

Study Design

Type

Observational (n=31)

Multicenter

Yes

Structured PICO

P
Population
31 patients undergoing lumbar surgery, providing 58 ligamentum flavum samples to compare those with lumbar spinal canal stenosis to those with other lumbar diseases.
E
Exposure
In vitro mechanical stretching stress, recombinant Angptl2 protein, Angptl2 siRNA, and calcineurin inhibitor (FK506).
C
Comparator
Non-LSCS LF tissue, unstretched cells, and control siRNA.
O
Outcome
Angptl2 and TGF-β1 expression levels, and their correlation with LF thickness and histological degeneration.surrogate

Main Result

Effect estimate: R = 0.60

p-value: p=<0.01

Mechanical stress induces Angptl2 expression in ligamentum flavum fibroblasts, which promotes tissue degeneration and hypertrophy via TGF-β1/Smad signaling in lumbar spinal canal stenosis.

Cite This Study

Nakamura et al. (2014) conducted an observational in Lumbar Spinal Canal Stenosis (n=31). Lumbar spinal canal stenosis (hypertrophied ligamentum flavum) vs. Non-LSCS lumbar diseases was evaluated on Correlation between Angptl2 mRNA expression and ligamentum flavum thickness (R = 0.60, p=<0.01). Angptl2 expression is significantly increased in hypertrophied ligamentum flavum tissue from patients with lumbar spinal canal stenosis and positively correlates with tissue thickness (R=0.60, P<0.01).

synapsesocial.com/papers/6a987ea771e15303dcacf34fhttps://doi.org/10.1371/journal.pone.0085542
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Also Consider

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