HISTOLOGICAL MARKERS OF DEGENERATION AND REGENERATION OF THE HUMAN INTERVERTEBRAL DISK

Author:

PELETTI-FIGUEIRÓ MANUELA1,AGUIAR ISRAEL SILVEIRA DE2,PAESI SUELEN2,MACHADO DENISE CANTARELLI3,ECHEVERRIGARAY SERGIO2,ROESCH-ELY MARIANA2,FALAVIGNA ASDRUBAL2,HENRIQUES JOÃO ANTONIO PÊGAS2

Affiliation:

1. Universidade de Caxias do Sul, Brazil; Universidade de Caxias do Sul, Brazil

2. Universidade de Caxias do Sul, Brazil

3. Pontifícia Universidade Católica do Rio Grande do Sul, Brazil

Abstract

ABSTRACT Objective: To define histological scores for intervertebral disc degeneration that would enable the definition of morphological characteristics of disease, besides improving knowledge of the lumbar degenerative disc disease by means of immunohistochemical markers. Methods: Hematoxylin and Eosin, Alcian/PAS, Masson Trichrome and Safranin O/FCF staining was used on the intervertebral disc degeneration sections of patients with lumbar degenerative disc disease. The protein markers defined in immunohistochemistry were cell proliferation (Ki-67) and apoptosis (p53). Results: The study data enabled the determination of Safranin O/FCF stain as the most effective one for evaluating parameters such as area, diameter, and number of chondrocyte clusters. The importance of using stains in association, such as Safranin O/FCF, Masson Trichrome, Alcian/PAS and Hematoxylin and Eosin, was also determined, as they are complementary for the histopathological verification of intervertebral disc degeneration. By expressing proteins using the immunohistochemistry technique, it was possible to consider two stages of disc degeneration: cell proliferation with chondrocyte cluster formation, and induction of apoptosis. Conclusion: This study enabled the histological and immunohistochemical characterization to be determined for lumbar degenerative disc disease, and its degrees of evolution, by determining new disc degeneration scores.

Publisher

FapUNIFESP (SciELO)

Subject

Clinical Neurology,Orthopedics and Sports Medicine,Surgery

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