Chinese Journal of Tissue Engineering Research

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Dura mater spinalis integrity may influence cytokine levels in the cerebrospinal fluid

Bai Wan-shan1, Wang Xin-wei2, Yuan Wen2, Wang Zhan-chao2, Liang Lei2, Wang Hui-xue2   

  1. 2000031Department of Orthopedic Surgery, Dongtai People’s Hospital, Dongtai  224200, Jiangsu Province, China; 2Department of Spine Surgery, Shanghai Changzheng Hospital Affiliated to the Second Military Medical University, Shanghai  200003, China
  • Received:2013-03-04 Revised:2013-03-22 Online:2013-08-13 Published:2013-08-13
  • Contact: Wang Xin-wei, Associate chief physician, Associate professor, Department of Spine Surgery, Shanghai Changzheng Hospital Affiliated to the Second Military Medical University, Shanghai 200003, China
  • About author:Bai Wan-shan☆, M.D., Attending physician, Department of Orthopedic Surgery, Dongtai People’s Hospital, Dongtai 224200, Jiangsu Province, China Baiwanshan_01@163.com

Abstract:

BACKGROUND: Pathophysiological mechanisms after spinal cord injury are very complex, so there is no compressive and in-depth understanding on it.
OBJECTIVE: To study the effect of dura mater spinalis integrity on cytokine levels in the cerebrospinal fluid of animal models of spinal cord injury.
METHODS: The white rabbit models of spinal cord injury were established using clamp compression method, and then the models were randomly divided into four groups: no dura mater spinalis defect group, dura mater spinalis defect group, dura mater spinalis defect composite with membrane repairing group and dura mater spinalis defect composite with autologous fascia repair group. Enzyme-linked immunosorbent assay was performed to detect the changes of levels of cytokines (interleukin-6, interleukin-10 and tumor necrosis factor α) in the cerebrospinal fluid at 30 minutes, 1, 3, 6, 12 and 36 hours after surgery.   
RESULTS AND CONCLUSION: The levels of interleukin-6, interleukin-10 and tumor necrosis factor α in the cerebrospinal fluid of the dura mater spinalis defect group, dura mater spinalis defect composite with membrane repairing group and dura mater spinalis defect composite with autologous fascia repair group were significantly lower than those of the no dura mater spinalis defect group at 6 hours after surgery (P < 0.05). There were no significant differences in the levels of interleukin-6, interleukin-10 and tumor necrosis factor α at other time points between groups (P > 0.05). The results indicate that maintaining the integrity of dura mater spinalis of the spinal cord injury model can affect the levels of interleukin-6, interleukin-10 and tumor necrosis factor α in the cerebrospinal fluid, thus inhibiting the inflammatory response.

Key words: tissue construction, tissue construction and bioactive factors, spinal cord injury, interleukin-6, interleukin-10, tumor necrosis factor α, dura mater spinalis

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