Serum biomarkers in patients with ossification of the posterior longitudinal ligament (OPLL): Inflammation in OPLL

Ossification of the posterior longitudinal ligament (OPLL) is characterized by replacement of ligamentous tissue by ectopic new bone formation. OPLL causes narrowing of the spinal canal, resulting in neurological impairment. However, the pathogenesis of OPLL has not been fully elucidated. We investi...

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Veröffentlicht in:PloS one 2017-05, Vol.12 (5), p.e0174881-e0174881
Hauptverfasser: Kawaguchi, Yoshiharu, Nakano, Masato, Yasuda, Taketoshi, Seki, Shoji, Suzuki, Kayo, Yahara, Yasuhito, Makino, Hiroto, Kitajima, Isao, Kimura, Tomoatsu
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container_start_page e0174881
container_title PloS one
container_volume 12
creator Kawaguchi, Yoshiharu
Nakano, Masato
Yasuda, Taketoshi
Seki, Shoji
Suzuki, Kayo
Yahara, Yasuhito
Makino, Hiroto
Kitajima, Isao
Kimura, Tomoatsu
description Ossification of the posterior longitudinal ligament (OPLL) is characterized by replacement of ligamentous tissue by ectopic new bone formation. OPLL causes narrowing of the spinal canal, resulting in neurological impairment. However, the pathogenesis of OPLL has not been fully elucidated. We investigated whether inflammation occurs in OPLL or not using high-sensitivity CRP (hs-CRP) in a case-control study. This study included 103 patients with OPLL in the patient group and 95 age- and sex-matched volunteers with degenerative spinal disease in the control group. Of the 103 OPLL patients, 88 patients who were available for more than 2 years follow-up were checked for OPLL progression. A blood sample was obtained and Hs-CRP, and other routine data, including total protein (TP), albumin (ALB), lactate dehydrogenase (LDH), alkaline phosphatase (ALP), glucose (Glu), calcium (Ca), inorganic phosphate (Pi), white blood cell count (WBC), hemoglobin (Hb) and platelet (PLT), were analyzed. The data were compared between the patients with OPLL and the controls. The severity of the ossified lesions in the whole spine were evaluated by the ossification index (OS index) in patients with OPLL. The data were also compared between the patients with OPLL progression (the progression group) and the patients without OPLL progression (the non-progression group). In the results, the mean hs-CRP in the OPLL group was higher than that in the controls. The Pi in the OPLL group was lower than that in the control group. A negative correlation was found between the Pi and the OS index. The mean hs-CRP in the progression group was higher than that in the non-progression group. There was a positive correlation between the average length of the OPLL progression per year and the hs-CRP. The results may suggest the occurrence of local inflammation in OPLL and the inflammation might cause OPLL progression. These facts are important for understanding the pathology of OPLL.
doi_str_mv 10.1371/journal.pone.0174881
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OPLL causes narrowing of the spinal canal, resulting in neurological impairment. However, the pathogenesis of OPLL has not been fully elucidated. We investigated whether inflammation occurs in OPLL or not using high-sensitivity CRP (hs-CRP) in a case-control study. This study included 103 patients with OPLL in the patient group and 95 age- and sex-matched volunteers with degenerative spinal disease in the control group. Of the 103 OPLL patients, 88 patients who were available for more than 2 years follow-up were checked for OPLL progression. A blood sample was obtained and Hs-CRP, and other routine data, including total protein (TP), albumin (ALB), lactate dehydrogenase (LDH), alkaline phosphatase (ALP), glucose (Glu), calcium (Ca), inorganic phosphate (Pi), white blood cell count (WBC), hemoglobin (Hb) and platelet (PLT), were analyzed. The data were compared between the patients with OPLL and the controls. 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These facts are important for understanding the pathology of OPLL.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>28467440</pmid><doi>10.1371/journal.pone.0174881</doi><oa>free_for_read</oa></addata></record>
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source MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free Full-Text Journals in Chemistry; Public Library of Science (PLoS)
subjects Age
Aged
Alkaline phosphatase
Bioindicators
Biological markers
Biology and Life Sciences
Biomarkers
Biomarkers - blood
Blood
Bone growth
Calcium
Calcium phosphates
Cardiovascular disease
Control methods
Coronary vessels
Correlation
Data processing
Diagnosis
Disease control
Disease prevention
Disease Progression
Female
Health aspects
Heart attacks
Hemoglobin
Humans
Inflammation
Inflammation - blood
Inflammation - complications
Joint surgery
L-Lactate dehydrogenase
Lactate dehydrogenase
Lactic acid
Lesions
Leukocytes
Ligaments
Male
Medical examination
Medicine and Health Sciences
Middle Aged
Neurological complications
Ossification
Ossification of Posterior Longitudinal Ligament - blood
Ossification of Posterior Longitudinal Ligament - complications
Ossification of Posterior Longitudinal Ligament - pathology
Osteogenesis
Pathogenesis
Patients
Phosphates
Proteins
Spine
Studies
Surgery
Systematic review
Trauma
White blood cells
Womens health
title Serum biomarkers in patients with ossification of the posterior longitudinal ligament (OPLL): Inflammation in OPLL
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