PMID- 31852328 OWN - NLM STAT- MEDLINE DCOM- 20210615 LR - 20210615 IS - 1753-4267 (Electronic) IS - 1753-4259 (Print) IS - 1753-4259 (Linking) VI - 26 IP - 5 DP - 2020 Jul TI - Serum CXCL12/SDF-1 level is positively related with lumbar intervertebral disc degeneration and clinical severity. PG - 341-350 LID - 10.1177/1753425919895086 [doi] AB - This study aimed to examine whether stromal cell-derived factor-1 (SDF-1) or C-X-C chemokine ligand 12 (CXCL12) participates in the development of lumbar disc degeneration, as implicated earlier by the level of CXCL12 correlating with this disease. It enrolled 145 patients with symptomatic lumbar intervertebral disc degeneration (IDD) and 130 asymptomatic healthy controls with no indication of IDD. Radiological assessment of the IDD patients was targeted at the lumbar vertebra region, based on Pfirrmann grade. Degeneration of the multifidus and psoas major muscles was evaluated using Goutallier classification. Visual Analogue Scale (VAS) and Oswestry Disability Index (ODI) scores were obtained for assessing the severity of manifestation. The levels of serum CXCL12, IL-6 and TNF-alpha were determined by ROC curve analysis, resulting in their prognostic value for Pfirrmann grading. Higher levels of serum CXCL12 were found in patients with IDD than in asymptomatic individuals, and were positively related to the Pfirrmann grade as well as multifidus muscle degeneration. Furthermore, serum CXCL12 concentration showed a significant correlation with the VAS and ODI scores. In addition, elevated serum CXCL12 levels were related to serum levels of TNF-alpha and IL-6. The ROC curve analysis implicated that CXCL12 could function as a biomarker of the early-mediate phase of IDD development. In summary, the serum CXCL12/SDF-1 level is positively related with lumbar IDD and its clinical severity. FAU - Er, Zhao-Juan AU - Er ZJ AD - Department of Rehabilitation, Tianjin Baodi Hospital, Baodi Clinical College of Tianjin Medical University, Tianjin, China. FAU - Yin, Chun-Fang AU - Yin CF AD - Department of Orthopedics, Tianjin Baodi Hospital, Baodi Clinical College of Tianjin Medical University, Tianjin, China. FAU - Wang, Wen-Jing AU - Wang WJ AD - Department of Clinical Laboratory, Tianjin Baodi Hospital, Baodi Clinical College of Tianjin Medical University, Tianjin, China. FAU - Chen, Xue-Jun AU - Chen XJ AUID- ORCID: 0000-0002-1568-4383 AD - Department of Anesthesiology, Tianjin Baodi Hospital, Baodi Clinical College of Tianjin Medical University, Tianjin, China. LA - eng PT - Journal Article DEP - 20191218 PL - United States TA - Innate Immun JT - Innate immunity JID - 101469670 RN - 0 (Biomarkers) RN - 0 (CXCL12 protein, human) RN - 0 (Chemokine CXCL12) RN - 0 (Interleukin-6) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Adult MH - Biomarkers/blood MH - Chemokine CXCL12/*blood MH - Disease Progression MH - Humans MH - Interleukin-6/blood MH - Intervertebral Disc/*diagnostic imaging MH - Intervertebral Disc Degeneration/diagnosis/*metabolism MH - Male MH - Middle Aged MH - Prognosis MH - ROC Curve MH - Severity of Illness Index MH - Tumor Necrosis Factor-alpha/blood MH - Visual Analog Scale PMC - PMC7903533 OTO - NOTNLM OT - C-X-C chemokine ligand 12 OT - Stromal cell-derived factor-1 OT - disease progression OT - intervertebral disc degeneration COIS- The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. EDAT- 2019/12/20 06:00 MHDA- 2021/06/16 06:00 PMCR- 2019/12/18 CRDT- 2019/12/20 06:00 PHST- 2019/12/20 06:00 [pubmed] PHST- 2021/06/16 06:00 [medline] PHST- 2019/12/20 06:00 [entrez] PHST- 2019/12/18 00:00 [pmc-release] AID - 10.1177_1753425919895086 [pii] AID - 10.1177/1753425919895086 [doi] PST - ppublish SO - Innate Immun. 2020 Jul;26(5):341-350. doi: 10.1177/1753425919895086. Epub 2019 Dec 18.