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Osteoarthritis and intervertebral disc degeneration: Quite different, quite similar
Intervertebral disc degeneration describes the vicious cycle of the deterioration of intervertebral discs and can eventually result in degenerative disc disease (DDD), which is accompanied by low‐back pain, the musculoskeletal disorder with the largest socioeconomic impact world‐wide. In more severe...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley & Sons, Inc.
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6686805/ https://www.ncbi.nlm.nih.gov/pubmed/31463450 http://dx.doi.org/10.1002/jsp2.1033 |
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author | Rustenburg, Christine M.E. Emanuel, Kaj S. Peeters, Mirte Lems, Willem F. Vergroesen, Pieter‐Paul A. Smit, Theodoor H. |
author_facet | Rustenburg, Christine M.E. Emanuel, Kaj S. Peeters, Mirte Lems, Willem F. Vergroesen, Pieter‐Paul A. Smit, Theodoor H. |
author_sort | Rustenburg, Christine M.E. |
collection | PubMed |
description | Intervertebral disc degeneration describes the vicious cycle of the deterioration of intervertebral discs and can eventually result in degenerative disc disease (DDD), which is accompanied by low‐back pain, the musculoskeletal disorder with the largest socioeconomic impact world‐wide. In more severe stages, intervertebral disc degeneration is accompanied by loss of joint space, subchondral sclerosis, and osteophytes, similar to osteoarthritis (OA) in the articular joint. Inspired by this resemblance, we investigated the analogy between human intervertebral discs and articular joints. Although embryonic origin and anatomy suggest substantial differences between the two types of joint, some features of cell physiology and extracellular matrix in the nucleus pulposus and articular cartilage share numerous parallels. Moreover, there are great similarities in the response to mechanical loading and the matrix‐degrading factors involved in the cascade of degeneration in both tissues. This suggests that the local environment of the cell is more important to its behavior than embryonic origin. Nevertheless, OA is widely regarded as a true disease, while intervertebral disc degeneration is often regarded as a radiological finding and DDD is undervalued as a cause of chronic low‐back pain by clinicians, patients and society. Emphasizing the similarities rather than the differences between the two diseases may create more awareness in the clinic, improve diagnostics in DDD, and provide cross‐fertilization of clinicians and scientists involved in both intervertebral disc degeneration and OA. |
format | Online Article Text |
id | pubmed-6686805 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | John Wiley & Sons, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-66868052019-08-28 Osteoarthritis and intervertebral disc degeneration: Quite different, quite similar Rustenburg, Christine M.E. Emanuel, Kaj S. Peeters, Mirte Lems, Willem F. Vergroesen, Pieter‐Paul A. Smit, Theodoor H. JOR Spine Reviews Intervertebral disc degeneration describes the vicious cycle of the deterioration of intervertebral discs and can eventually result in degenerative disc disease (DDD), which is accompanied by low‐back pain, the musculoskeletal disorder with the largest socioeconomic impact world‐wide. In more severe stages, intervertebral disc degeneration is accompanied by loss of joint space, subchondral sclerosis, and osteophytes, similar to osteoarthritis (OA) in the articular joint. Inspired by this resemblance, we investigated the analogy between human intervertebral discs and articular joints. Although embryonic origin and anatomy suggest substantial differences between the two types of joint, some features of cell physiology and extracellular matrix in the nucleus pulposus and articular cartilage share numerous parallels. Moreover, there are great similarities in the response to mechanical loading and the matrix‐degrading factors involved in the cascade of degeneration in both tissues. This suggests that the local environment of the cell is more important to its behavior than embryonic origin. Nevertheless, OA is widely regarded as a true disease, while intervertebral disc degeneration is often regarded as a radiological finding and DDD is undervalued as a cause of chronic low‐back pain by clinicians, patients and society. Emphasizing the similarities rather than the differences between the two diseases may create more awareness in the clinic, improve diagnostics in DDD, and provide cross‐fertilization of clinicians and scientists involved in both intervertebral disc degeneration and OA. John Wiley & Sons, Inc. 2018-10-19 /pmc/articles/PMC6686805/ /pubmed/31463450 http://dx.doi.org/10.1002/jsp2.1033 Text en © 2018 The Authors. JOR Spine published by Wiley Periodicals, Inc. on behalf of Orthopaedic Research Society This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Reviews Rustenburg, Christine M.E. Emanuel, Kaj S. Peeters, Mirte Lems, Willem F. Vergroesen, Pieter‐Paul A. Smit, Theodoor H. Osteoarthritis and intervertebral disc degeneration: Quite different, quite similar |
title | Osteoarthritis and intervertebral disc degeneration: Quite different, quite similar |
title_full | Osteoarthritis and intervertebral disc degeneration: Quite different, quite similar |
title_fullStr | Osteoarthritis and intervertebral disc degeneration: Quite different, quite similar |
title_full_unstemmed | Osteoarthritis and intervertebral disc degeneration: Quite different, quite similar |
title_short | Osteoarthritis and intervertebral disc degeneration: Quite different, quite similar |
title_sort | osteoarthritis and intervertebral disc degeneration: quite different, quite similar |
topic | Reviews |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6686805/ https://www.ncbi.nlm.nih.gov/pubmed/31463450 http://dx.doi.org/10.1002/jsp2.1033 |
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