PMID- 24101259 OWN - NLM STAT- MEDLINE DCOM- 20140516 LR - 20131008 IS - 2651-5032 (Electronic) IS - 1019-5149 (Linking) VI - 23 IP - 4 DP - 2013 TI - Correlation of matrix metalloproteinase-3 expression with patient age, magnetic resonance imaging and histopathological grade in lumbar disc degeneration. PG - 427-33 LID - 10.5137/1019-5149.JTN.7459-12.0 [doi] AB - AIM: The purpose of the present study is to analyze the expression of matrix metalloproteinase-3 (MMP-3), magnetic resonance imaging (MRI) grading and histopathological alterations of the intervertebral disc (IVD) for correlations with each other and with the age, gender and low back pain duration of the patients who had undergone operations for lumbar disc herniation (LDH). MATERIAL AND METHODS: Forty-two patients were admitted to our clinic with signs of LDH and underwent surgery for LDH at 48 IVD levels. In all cases, specimens for histological and immunohistochemical analyses were removed from the IVD space. Lumbar IVD degeneration on MRI of the 48 IVDs from which surgical specimens had been obtained was classified into five grades using the Pfirrmann classification. RESULTS: In the degenerated IVD, the expression of MMP-3, MRI grading and histopathological alterations of the IVD displayed significant correlation. Increased age is closely related with aforementioned alterations. There was no correlation between MMP-3 expression and age, gender and duration of the pain. CONCLUSION: For evaluating and treating IVD degeneration, MRI is a good and non-invasive diagnostic tool to determine the severity of degeneration. MMP-3 may be a therapeutic target of the degenerated IVD. FAU - Canbay, Suat AU - Canbay S AD - Oncology Training and Research Hospital, Department of Neurosurgery, Ankara, Turkey. FAU - Turhan, Nesrin AU - Turhan N FAU - Bozkurt, Melih AU - Bozkurt M FAU - Arda, Kemal AU - Arda K FAU - Caglar, Sukru AU - Caglar S LA - eng PT - Journal Article PL - Turkey TA - Turk Neurosurg JT - Turkish neurosurgery JID - 9423821 RN - EC 3.4.24.17 (Matrix Metalloproteinase 3) SB - IM MH - Adult MH - Age Factors MH - Aged MH - Aging/*metabolism MH - Female MH - Humans MH - Image Processing, Computer-Assisted MH - Immunohistochemistry MH - Intervertebral Disc Degeneration/*enzymology/*pathology MH - Linear Models MH - Low Back Pain/etiology MH - Magnetic Resonance Imaging MH - Male MH - Matrix Metalloproteinase 3/*biosynthesis MH - Middle Aged MH - Sex Factors EDAT- 2013/10/09 06:00 MHDA- 2014/05/17 06:00 CRDT- 2013/10/09 06:00 PHST- 2013/10/09 06:00 [entrez] PHST- 2013/10/09 06:00 [pubmed] PHST- 2014/05/17 06:00 [medline] AID - 10.5137/1019-5149.JTN.7459-12.0 [doi] PST - ppublish SO - Turk Neurosurg. 2013;23(4):427-33. doi: 10.5137/1019-5149.JTN.7459-12.0.