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Establishment of therapy for low back pain utilizing animal model of intervertebral disc disease

Research Project

Project/Area Number 25462306
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Orthopaedic surgery
Research InstitutionWakayama Medical University

Principal Investigator

Kawakami Mamoru  和歌山県立医科大学, 医学部, 教授 (20195051)

Project Period (FY) 2013-04-01 – 2016-03-31
Project Status Completed (Fiscal Year 2015)
Budget Amount *help
¥4,940,000 (Direct Cost: ¥3,800,000、Indirect Cost: ¥1,140,000)
Fiscal Year 2015: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2014: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2013: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Keywords腰痛 / 椎間板変性 / 動物モデル / 椎間関節切除 / 歩行解析 / 椎間不安定性 / 薬物療法 / 脊椎固定 / 行動解析 / 3DマイクロCT
Outline of Final Research Achievements

There was no basic research, which directly demonstrated the relationship between degeneration of the intervertebral disc (IVD) and low back pain. We developed a rat model, in which lumbar facetectomy resulted in delayed gait abnormality seen in the low back pain models, which were induced by direct injuries of the paravertebral muscle and IVD. In our model, spinal instability and IVD degeneration were observed at the affected level, but not compression of the neural tissues such as the cauda equina and nerve roots. A variable of drugs was administered orally or into the affected IVD in this model. However, only oral administration of pregabalin resulted in improvement of gait abnormality. Intervertebral degeneration was not recovered or regenerated after any drug administrations. In addition, spine fusion at the affected level didn’t improve gait abnormality. These results suggest that IVD degeneration does induce low back pain and that the mechanism is related to neuropathic pain.

Report

(3 results)
  • 2015 Annual Research Report   Final Research Report ( PDF )
  • 2013 Research-status Report
  • Research Products

    (7 results)

All 2015

All Journal Article (2 results) (of which Peer Reviewed: 2 results,  Acknowledgement Compliant: 1 results) Presentation (5 results) (of which Int'l Joint Research: 2 results,  Invited: 2 results)

  • [Journal Article] 椎間板ヘルニアの発痛機序 その基礎研究の現状と課題2015

    • Author(s)
      川上 守
    • Journal Title

      臨床整形外科

      Volume: 50 Pages: 883-888

    • NAID

      40020567070

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Gait abnormality due to spinal instability after lumbar facetectomy in the rat2015

    • Author(s)
      Daisuke Fukui, Mamoru Kawakami, Munehito Yoshida, Shin-ichi Nakao, Toshiko Matsuoka, Hiroshi Yamada
    • Journal Title

      European Spine Journal

      Volume: 24(9) Pages: 2085-2094

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Presentation] ストレス負荷がラットの行動変化に及ぼす影響2015

    • Author(s)
      福井大輔、川上 守、内木 充、Koichi Masuda
    • Organizer
      第23回日本腰痛学会
    • Place of Presentation
      東京
    • Year and Date
      2015-11-14
    • Related Report
      2015 Annual Research Report
  • [Presentation] 3μDCTを用いたラット腰椎椎間板切除後の構造学的変化の検討2015

    • Author(s)
      福井大輔、川上 守、内木 充、井上 望、舛田浩一
    • Organizer
      第30回日本整形外科学会基礎学術集会
    • Place of Presentation
      富山市
    • Year and Date
      2015-10-22
    • Related Report
      2015 Annual Research Report
  • [Presentation] ラット腰椎椎間板切除後の歩行以上に対するストレスの影響2015

    • Author(s)
      福井大輔、川上 守、内木 充、舛田浩一
    • Organizer
      第30回日本整形外科学会基礎学術集会
    • Place of Presentation
      富山市
    • Year and Date
      2015-10-22
    • Related Report
      2015 Annual Research Report
  • [Presentation] Stress enhances gait disturbance induceted by lumbar facetectomy2015

    • Author(s)
      Fukui D, Matsumoto T, Naiki M, Masuda K, Kawakami M
    • Organizer
      Annual metting of International Society for the Study of the Lumbar Spine
    • Place of Presentation
      San Fransisco, California, USA
    • Year and Date
      2015-06-08
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] Three-dimentional micro-computed tomography analysis of the intervertebral disc after lumbar facetectomy in the rat2015

    • Author(s)
      Fukui D, Murata K, Shoju S, Chang K, Yamada K, Sato R, Naiki M, Inoue N, Masuda K, Kawakami M
    • Organizer
      Annual metting of International Society for the Study of the Lumbar Spine
    • Place of Presentation
      San Fransisco, California, USA
    • Year and Date
      2015-06-08
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research / Invited

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Published: 2014-07-25   Modified: 2019-07-29  

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