000 03642nam a22003737a 4500
008 240723s20242024 xxu||||| |||| 00| 0 eng d
022 _a1547-5646
040 _aOvid MEDLINE(R)
099 _a38608299
245 _aBiomarkers related to hypertrophy of the ligamentum flavum: a systematic review of the literature.
251 _aJournal of Neurosurgery Spine. :1-13, 2024 Apr 12
252 _aJ Neurosurg Spine. :1-13, 2024 Apr 12
253 _aJournal of neurosurgery. Spine
260 _c2024
260 _p2024 Apr 12
265 _saheadofprint
265 _tPublisher
266 _d2024-07-23
501 _aAvailable online from MWHC library: 1999 - present, Available in print through MWHC library: 1999 - 2006
520 _aCONCLUSIONS: Biomarkers such as TGF-beta, IL-6, and collagen I and III have been consistently correlated with the development of HLF. However, the pathogenesis of HLF remains unclear due to the heterogeneity of the studies, patient populations, and research at the molecular level. Further studies are necessary to better characterize the pathogenesis of HLF and provide a more comprehensive understanding of how these biomarkers may aid in the diagnosis and treatment of HLF.
520 _aMETHODS: A literature search was conducted using PubMed, Embase, Web of Science, and Cochrane Library. The search strategy looked for the titles, abstracts, and keywords of studies that contained a combination of the following phrases: "ligamentum flavum OR yellow ligament," "biomarkers," and "hypertrophy." Recorded data included study design, demographic characteristics (number of patients of each gender and mean age), study period, country where the study was conducted, biomarkers, and diagnostic modalities used. Risk of bias was assessed using the Newcastle-Ottawa Scale for case-control studies.
520 _aOBJECTIVE: Spinal stenosis is one of the most common spinal disorders in the elderly. Hypertrophy of the ligamentum flavum (HLF) can contribute to spinal stenosis. The current literature suggests that various biomarkers may play important roles in the pathogenesis of HLF. However, the connection between these biomarkers and the development of HLF is still not well understood. This systematic review aims to explore the current literature on biomarkers related to the development of HLF.
520 _aRESULTS: The authors identified 39 studies. After screening, 26 full-text original articles assessing one or more biomarkers related to HLF were included. The included studies were conducted over a 22-year period. The most popular biomarkers studied, in order of frequency reported, were collagen types I and III (n = 10), transforming growth factor beta (TGF-beta) (n = 8), and interleukin (IL)-6 (n = 6). The authors found that mechanical stretching forces, tissue inhibitor of metalloproteinases 2 (TIMP-2) induction, and TGF-beta were associated with increased amounts of collagen I and III. IL-6 expression was increased by microRNA-21, as well as by leptin, through the nuclear factor kappa-light-chain-enhancer of activated B cells (NF-kappaB) pathway.
546 _aEnglish
650 _zAutomated
650 _aIN PROCESS -- NOT YET INDEXED
656 _aMedStar Georgetown University Hospital/MedStar Washington Hospital Center
656 _aNeurosurgery Residency
657 _aJournal Article
700 _aChesney, Kelsi
_bMGUH
_cNeurosurgery Residency
_dMD
790 _aMualem W, Liu J, Balu A, Chesney K, Nair MN
856 _uhttps://dx.doi.org/10.3171/2024.2.SPINE23991
_zhttps://dx.doi.org/10.3171/2024.2.SPINE23991
942 _cART
_dArticle
999 _c14177
_d14177