DEGENERATIVE SPINE INJURY ASSOCIATED WITH BACK PAIN: MORPHOGENETIC ASPECTS

Degeneration of the intervertebral disk (IVD) is a pathological process resulting from an interplay between genetic and environmental factors causing structural and functional damage of the IVD and neighboring structures. It is the first stage of degenerative cascade in the vertebral motion segment....

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Main Authors: N. G. Pravdyuk, N. A. Shostak
Format: Article
Language:Russian
Published: ABV-press 2018-06-01
Series:Klinicist
Subjects:
Online Access:https://klinitsist.abvpress.ru/Klin/article/view/321
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author N. G. Pravdyuk
N. A. Shostak
author_facet N. G. Pravdyuk
N. A. Shostak
author_sort N. G. Pravdyuk
collection DOAJ
description Degeneration of the intervertebral disk (IVD) is a pathological process resulting from an interplay between genetic and environmental factors causing structural and functional damage of the IVD and neighboring structures. It is the first stage of degenerative cascade in the vertebral motion segment. Initiation and progression of IVD degenerative processes traditionally involves several factors: inadequate mechanical load, decreased diffusion of nutrients through the arch laminae, and genetic factors playing a significant role in the development  of degenerative changes. Three categories of candidate genes whose coding variants are associated with different forms of degenerative changes in the IVD are identified, a conceptual model of genetic interactions in degenerative disease of the disk is developed. The study  of the role of structural changes in back pain genesis, evaluation of risk factors allow to optimize the tactics of patient care and find new therapeutic solutions preventing disease progression.
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series Klinicist
spelling doaj-art-d3d6347723bb465d8cb2a357f27554812025-08-20T04:00:43ZrusABV-pressKlinicist1818-83382018-06-01113-4172210.17650/1818-8338-2017-11-3-4-17-22279DEGENERATIVE SPINE INJURY ASSOCIATED WITH BACK PAIN: MORPHOGENETIC ASPECTSN. G. Pravdyuk0N. A. Shostak1N.I. Pirogov Russian National Research Medical University, Ministry of Health of RussiaN.I. Pirogov Russian National Research Medical University, Ministry of Health of RussiaDegeneration of the intervertebral disk (IVD) is a pathological process resulting from an interplay between genetic and environmental factors causing structural and functional damage of the IVD and neighboring structures. It is the first stage of degenerative cascade in the vertebral motion segment. Initiation and progression of IVD degenerative processes traditionally involves several factors: inadequate mechanical load, decreased diffusion of nutrients through the arch laminae, and genetic factors playing a significant role in the development  of degenerative changes. Three categories of candidate genes whose coding variants are associated with different forms of degenerative changes in the IVD are identified, a conceptual model of genetic interactions in degenerative disease of the disk is developed. The study  of the role of structural changes in back pain genesis, evaluation of risk factors allow to optimize the tactics of patient care and find new therapeutic solutions preventing disease progression.https://klinitsist.abvpress.ru/Klin/article/view/321back painintervertebral disk degenerationgenetic polymorphismcandidate genesrisk factorsmicrotraumaobesityinflammationvertebral motion segmentdisk degeneration diseasematrix metalloproteasesaggrecan genecomt gene
spellingShingle N. G. Pravdyuk
N. A. Shostak
DEGENERATIVE SPINE INJURY ASSOCIATED WITH BACK PAIN: MORPHOGENETIC ASPECTS
Klinicist
back pain
intervertebral disk degeneration
genetic polymorphism
candidate genes
risk factors
microtrauma
obesity
inflammation
vertebral motion segment
disk degeneration disease
matrix metalloproteases
aggrecan gene
comt gene
title DEGENERATIVE SPINE INJURY ASSOCIATED WITH BACK PAIN: MORPHOGENETIC ASPECTS
title_full DEGENERATIVE SPINE INJURY ASSOCIATED WITH BACK PAIN: MORPHOGENETIC ASPECTS
title_fullStr DEGENERATIVE SPINE INJURY ASSOCIATED WITH BACK PAIN: MORPHOGENETIC ASPECTS
title_full_unstemmed DEGENERATIVE SPINE INJURY ASSOCIATED WITH BACK PAIN: MORPHOGENETIC ASPECTS
title_short DEGENERATIVE SPINE INJURY ASSOCIATED WITH BACK PAIN: MORPHOGENETIC ASPECTS
title_sort degenerative spine injury associated with back pain morphogenetic aspects
topic back pain
intervertebral disk degeneration
genetic polymorphism
candidate genes
risk factors
microtrauma
obesity
inflammation
vertebral motion segment
disk degeneration disease
matrix metalloproteases
aggrecan gene
comt gene
url https://klinitsist.abvpress.ru/Klin/article/view/321
work_keys_str_mv AT ngpravdyuk degenerativespineinjuryassociatedwithbackpainmorphogeneticaspects
AT nashostak degenerativespineinjuryassociatedwithbackpainmorphogeneticaspects