PMID- 19770597 OWN - NLM STAT- MEDLINE DCOM- 20100118 LR - 20090922 IS - 1528-1159 (Electronic) IS - 0362-2436 (Linking) VI - 34 IP - 16 DP - 2009 Jul 15 TI - Matrix metalloproteinase-3 on ligamentum flavum in degenerative lumbar spondylolisthesis. PG - E552-7 LID - 10.1097/BRS.0b013e3181aa0232 [doi] AB - STUDY DESIGN: Human ligamentum flavum (LF) was examined for the activity level of matrix metalloproteinase-3 (MMP-3) in degenerative spondylolithesis (DS) patients using immunohistochemistry, Western blot, reverse transcriptase-polymerase chain reaction (RT-PCR), and quantitative real-time PCR. OBJECTIVE: To investigate the hypothesis that the activity of MMP-3 is elevated in LF of DS patients, which might contribute to DS pathogenesis. SUMMARY OF BACKGROUND DATA: MMP-3 is a proteinase produced by connective tissue cells and is responsible for the degradation and modification of extracellular matrix molecules. MMP-3 activity has been established in articular cartilage, synovial membrane, and intervertebral discs, but not in the LF. METHODS: The experimental group consisted of 18 patients with DS and the control group consisted of 18 patients with spinal stenosis (SS) without any instabilities. MMP-3 expression was measured with in situ using immunohistochemistry and both for mRNA and protein levels. RESULTS: The MMP-3 positive cell ratio in the LF observed in DS patients was substantially higher than in SS patients (P = 0.030). In Western blot, the average optical density (OD) of MMP-3 was higher in LF of DS than of SS (P = 0.028). There was greater MMP-3 expression in DS patients as quantified by RT-PCR (P = 0.004). CONCLUSION: Our study shows that MMP-3 expression in the LF of DS patients was significantly higher than in SS patients. Increased MMP-3 expression may be associated with the degenerative changes of LF in DS patients comprising one of the mechanisms of pathogenesis in DS. FAU - Oh, In-Soo AU - Oh IS AD - Department of Orthopaedic Surgery, Kang-Nam St Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. FAU - Ha, Kee-Yong AU - Ha KY LA - eng PT - Journal Article PL - United States TA - Spine (Phila Pa 1976) JT - Spine JID - 7610646 RN - EC 3.4.24.17 (Matrix Metalloproteinase 3) SB - IM MH - Aged MH - Blotting, Western MH - Female MH - Humans MH - Immunohistochemistry MH - Ligamentum Flavum/*enzymology/metabolism MH - Lumbar Vertebrae/enzymology/metabolism/pathology MH - Matrix Metalloproteinase 3/genetics/*metabolism MH - Middle Aged MH - Reverse Transcriptase Polymerase Chain Reaction MH - Spinal Stenosis/*enzymology/genetics MH - Spondylolisthesis/*enzymology/genetics EDAT- 2009/09/23 06:00 MHDA- 2010/01/19 06:00 CRDT- 2009/09/23 06:00 PHST- 2009/09/23 06:00 [entrez] PHST- 2009/09/23 06:00 [pubmed] PHST- 2010/01/19 06:00 [medline] AID - 00007632-200907150-00022 [pii] AID - 10.1097/BRS.0b013e3181aa0232 [doi] PST - ppublish SO - Spine (Phila Pa 1976). 2009 Jul 15;34(16):E552-7. doi: 10.1097/BRS.0b013e3181aa0232.