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白细胞介素6在腰椎间盘突出症中的研究

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白细胞介素6(interleukin 6,IL-6)是最常见的炎症因子,具有抗炎和促炎的双向性,在炎症反应中发挥着巨大的作用.故其在炎症反应性疾病中具有高表达的特性,腰椎间盘突出可导致局部的炎症反应,造成IL-6的高表达,而IL-6等炎性细胞因子的高表达可导致痛觉过敏,从而导致椎间盘源性腰痛和神经根疼痛的发生.目前已经有研究提示阻断IL-6/IL-6R轴可以有效的治疗炎症相关的自身免疫性疾病,希望通过干预IL-6的反应过程,阻断局部的炎症反应,有效治疗盘源性腰痛和神经根痛.本文综述了IL-6的炎症反应机制以及对腰椎间盘突出的影响,期以提供腰椎间盘突出靶向药物治疗的部分依据.
Study of Interleukin 6 in Lumbar Disc Herniation
Interleukin 6(IL-6)is the most common inflammatory factor,with anti-inflammatory and pro-inflammatory bidirectional,and plays a huge role in the inflammatory response.Therefore,it is highly expressed in in-flammatory diseases.Lumbar disc herniation can lead to local inflammatory response,resulting in the high expression of IL-6,and the high expression of inflammatory cytokines such as IL-6 can lead to obvious hyperalgesia and partici-pate in the occurrence process of discogenic low back pain and nerve radicalgia.At present,studies have suggested that blocking the IL-6/IL-6R axis can effectively treat inflammation-related autoimmune diseases.It is hoped that by intervening the IL-6 reaction process and blocking the local inflammatory response,disk-derived low back pain and radicular pain can be effectively treated.This article reviews the mechanism of IL-6 inflammation and its effect on lumbar disc herniation,hoping to provide some basis for finding targeted drugs for the treatment of lumbar disc hernia-tion.

Interleukin 6Inflammatory reactionLumbar disc herniationMechanismTargeted drugs

李亮、曲俊鹏、郭玲玲

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淄博市中心医院中医科,山东 淄博 255000

青岛大学医学部/青岛眼科医院眼科,山东 青岛 266071

淄博市中心医院中西医结合正骨科,山东 淄博 255000

白细胞介素6 炎症反应 腰椎间盘突出 机制 靶向药物

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(16)