Yıl 2025,
Cilt: 38 Sayı: 1, 62 - 67, 29.01.2025
Pınar Kuru Bektaşoğlu
,
Jülide Hazneci
,
Adnan Somay
Ali Börekci
,
Bora Gürer
Kaynakça
- Williams MG, Wafai AM, Podmore MD. Functional outcomes
of laminectomy and laminotomy for the surgical management
lumbar spine stenosis. J Spine Surg 2017;3:580-6. doi:
10.21037/jss.2017.10.08.
- Ross JS, Robertson JT, Frederickson RC, et al. Association
between peridural scar and recurrent radicular pain after
lumbar discectomy: magnetic resonance evaluation.
ADCON-L European Study Group. Neurosurgery
1996;38:855-61.
- Bozkurt H, Bozkurt EC, Ozpinar H, et al. Comparison of the
effects of contractubex gel and benzothiazole after topical
application in an experimental model of epidural fibrosis in
rats. World Neurosurg 2018;117:e403-e410. doi: 10.1016/j.
wneu.2018.06.044.
- Bozkurt H, Kuru Bektaşoğlu P, Borekci A, et al. Antifibrotic
effect of boric acid in rats with epidural fibrosis.
World Neurosurg 2019;122:e989-e994. doi: 10.1016/j.
wneu.2018.10.187.
- Gürer B, Kahveci R, Gökçe EC, Ozevren H, Turkoglu E,
Gökçe A. Evaluation of topical application and systemic
administration of rosuvastatin in preventing epidural fibrosis in
rats. Spine J 2015;15:522-9. doi:10.1016/j.spinee.2014.10.018.
- Keane TJ, Horejs CM, Stevens MM. Scarring vs. functional
healing: Matrix-based strategies to regulate tissue repair.
Adv Drug Deliv Rev 2018;129:407-19. doi: 10.1016/j.
addr.2018.02.002.
- Cox N. The anti-inflammatory potential of quercetin and
L-2-oxothiazolidine-4-carboxylate (OTC) in developing
scar tissue. September 2008, Master Thesis, University of
Saskatchewan.
- Turkoglu E, Dinc C, Tuncer C, Oktay M, Serbes G, Sekerci
Z. Use of decorin to prevent epidural fibrosis in a postlaminectomy
rat model. Eur J Pharmacol 2014;724:86-91. doi:
10.1016/j.ejphar.2013.12.017.
- Bochaton-Piallat ML, Gabbiani G, Hinz B. The myofibroblast
in wound healing and fibrosis: answered and unanswered
questions. F1000Res 2016;5:F1000 Faculty Rev-752. doi:
10.12688/f1000research.8190.1.
- McGrath J, Feron F, Eyles D, Mackay-Sim A. Vitamin D: the
neglected neurosteroid? Trends. Neurosci 2001;24:570-2.
- Chojnacki M, Lemieszek MK. Role of vitamin D3 in selected
pulmonary diseases with particular emphasis on lung fibrosis.
Ann Agric Environ Med 2023;30:31-44. doi: 10.26444/
aaem/161583.
- Gürer B, Karakoç A, Bektaşoğlu PK, et al. Comparative effects
of vitamin D and methylprednisolone against ischemia/
reperfusion injury of rabbit spinal cords. Eur J Pharmacol
2017;813:50-60. doi: 10.1016/j.ejphar.2017.07.028.
- Ma D, Peng L. Vitamin D and pulmonary fibrosis: a review of
molecular mechanisms. Int J Clin Exp Pathol 2019;12:3171-8.
- Rydell N. Decreased granulation tissue reaction after
installment of hyaluronic acid. Acta Orthop Scand
1970;41:307-11. doi: 10.3109/174.536.77008991516.
- Bektaşoğlu PK, Somay A, Hazneci J, Borekci A, Gürer B.
Cinnamaldehyde has antifibrotic effects on rats with epidural
fibrosis. World Neurosurg 2024;183:e395-e400. doi: 10.1016/j.
wneu.2023.12.106.
- Erbayraktar S, Acar F, Tekinsoy B, Acar U, Güner EM.
Outcome analysis of reoperations after lumbar discectomies:
A report of 22 patients. Kobe J Med Sci 2002;48:33-41.
- Denaro V, Di Martino A, Longo UG, et al. Effectiveness of
a mucolythic agent as a local adjuvant in revision lumbar
spine surgery. Eur Spine J 2008;17:1752-6. doi: 10.1007/
s00586.008.0802-y.
- Makhchoune M, Collard X, Triffaux M, DE Witte O, Lubansu
A. The utility of the CADISS® system in the dissection of
epidural fibrosis in revision lumbar spine surgery (A case
series). Ann Med Surg (Lond) 2022;83:104718. doi: 10.1016/j.
amsu.2022.104718.
- Turkoglu E, Tuncer C, Dinc C, Serbes G, Oktay M, Sekerci
Z. The effect of etanercept on spinal epidural fibrosis in a
postlaminectomy rat model. Turk Neurosurg 2014;24:506-11.
doi: 10.5137/1019-5149.JTN.9006-13.1.
- Aydincak O, Yilmaz MB, Emmez H, et al. The effect of
temozolomide on the prevention of epidural fibrosis
developing after lumbar laminectomy in rats. Turk Neurosurg
2012;22:706-11. doi: 10.5137/1019-5149.JTN.5966-12.1.
- Karatay M, Erdem Y, Koktekir E, Erkoc YS, Caydere M, Bayar
MA. The effect of bevacizumab on spinal epidural fibrosis in
a postlaminectomy rat model. Turk Neurosurg 2012;22:753-7.
doi: 10.5137/1019-5149.JTN.6155-12.1.
- Savran M, Bekar A, Cansev M, Tolunay S, Ulus IH,
Taskapilioglu MO. Prevention of epidural fibrosis in rats by
local or systemic administration of citicoline. Turk Neurosurg
2012;22:634-40. doi: 10.5137/1019-5149.JTN.6008-12.0.
- Borcek AO, Borcek P, Civi S, Emmez H, Sen A, Aykol S.
Hyperbaric oxygen in epidural fibrosis: is there a potential
for treatment? Turk Neurosurg 2013;23:607-10. doi:
10.5137/1019-5149.JTN.7217-12.2.
- Mohi Eldin MM, Abdel Razek NM. Epidural fibrosis after
lumbar disc surgery: prevention and outcome evaluation.
Asian Spine J 2015;9:370-85. doi: 10.4184/asj.2015.9.3.370.
- Laurent GJ, Chambers RC, Hill MR, McAnulty RJ. Regulation
of matrix turnover: fibroblasts, forces, factors and fibrosis.
Biochem Soc Trans 2007;35:647-51. doi: 10.1042/BST0350647.
- Masopust V, Häckel M, Netuka D, Bradác O, Rokyta R, Vrabec
M. Postoperative epidural fibrosis. Clin J Pain 2009;25:600-6.
doi:10.1097/AJP.0b013e3181a5b665.
[
Zhu J, Li Y, Shen W, et al. Relationships between transforming
growth factor-beta1, myostatin, and decorin: implications for
skeletal muscle fibrosis. J Biol Chem 2007;282:25852-63. doi:
10.1074/jbc.M704146200.
- Baeke F, Gysemans C, Korf H, Mathieu C. Vitamin D
insufficiency: implications for the immune system. Pediatr
Nephrol 2010;25:1597-606. doi: 10.1007/s00467.010.1452-y.
- Chen S, Sims GP, Chen XX, Gu YY, Chen S, Lipsky PE.
Modulatory effects of 1,25-dihydroxyvitamin D3 on human
B cell differentiation. J Immunol 2007;179:1634-47. doi:
10.4049/jimmunol.179.3.1634.
- Haussler MR, Haussler CA, Whitfield GK, et al. The nuclear
vitamin D receptor controls the expression of genes encoding
factors which feed the “Fountain of Youth” to mediate
healthful aging. J Steroid Biochem Mol Biol 2010;121:88-97.
doi: 10.1016/j.jsbmb.2010.03.019.
- Prietl B, Treiber G, Pieber TR, Amrein K. Vitamin D and
immune function. Nutrients 2013;5:2502-21.
- Samuel S, Sitrin MD. Vitamin D’s role in cell proliferation and
differentiation. Nutr Rev 2008;66: S116-24.
- Meredith A, Boroomand S, Carthy J, Luo Z, McManus
B. 1,25 Dihydroxyvitamin D3 ınhibits TGFβ1-mediated
primary human cardiac myofibroblast activation. PLoS One
2015;10:e0128655.
- Sari DCR, Putri MW, Leksono TP, et al. Calcitriol ameliorates
kidney ınjury through reducing podocytopathy, tubular
ınjury, ınflammation and fibrosis in 5/6 subtotal nephrectomy
model in rats. Kobe J Med Sci 2020;65:E153-E163.
- Wallbaum P, Rohde S, Ehlers L, et al. Antifibrogenic effects
of vitamin D derivatives on Mouse pancreatic stellate cells.
World J Gastroenterol 2018;24:170-8.
- Lee CJ, Subeq YM, Lee RP, Liou HH, Hsu BG. Calcitriol
decreases TGF-β1 and angiotensin II production and protects
against chlorhexide digluconate-induced liver peritoneal
fibrosis in rats. Cytokine 2014;65:105-18.
- Ricca C, Aillon A, Viano M, Bergandi L, Aldieri E, Silvagno
F. Vitamin D inhibits the epithelial-mesenchymal transition
by a negative feedback regulation of TGF-β activity. J Steroid
Biochem Mol Biol 2019;187:97-105.
- Zheng S, Yang J, Hu X, et al. Vitamin D attenuates lung injury via
stimulating epithelial repair, reducing epithelial cell apoptosis
and inhibits TGF-β induced epithelial to mesenchymal
transition. Biochem Pharmacol 2020;177:113955.
- Zhang H, Deng W, Yang Y, Wei S, Xue L, Tao S. Pharmaceutic
application of vitamin D3 on particle-induced fibrotic effects
through induction of Nrf2 signals. Toxicol Res (Camb)
2020;9:55-66. doi: 10.1093/toxres/tfaa003.
- Voisin T, Joannes A, Morzadec C, et al. Antifibrotic effects
of vitamin D3 on human lung fibroblasts derived from
patients with idiopathic pulmonary fibrosis. J Nutr Biochem
2024;125:109558. doi: 10.1016/j.jnutbio.2023.109558.
Vitamin D3 has antifibrotic effects on rats with epidural fibrosis
Yıl 2025,
Cilt: 38 Sayı: 1, 62 - 67, 29.01.2025
Pınar Kuru Bektaşoğlu
,
Jülide Hazneci
,
Adnan Somay
Ali Börekci
,
Bora Gürer
Öz
Objective: One unfavorable outcome of spinal operations is epidural fibrosis. Recurrent back pain and radiculopathy could negatively
impact the patient’s quality of life. In this study, using a rat laminectomy model, we sought to examine any potential antifibrotic
benefits of vitamin D3.
Patients and Methods: Control, local, and systemic vitamin D3 groups (n = 6 rats per group) were randomly assigned. Laminectomy
alone was carried out in the control group. Vitamin D3 application onto the dura was done in the local D3 group. Intraperitoneal
delivery of the systemic vitamin D3 was carried out in the systemic vitamin D3 group. Epidural fibrosis was studied macroscopically
and histopathologically four weeks later.
Results: The macroscopic epidural fibrosis score was lower in the local and systemic vitamin D3 groups compared to the control
group (p<0.001, for both groups). Comparing the local and systemic vitamin D3 groups to the control group, fibrosis thickness was
significantly decreased (p<0.01, for both groups).
Conclusion: Vitamin D3 could be an alternative treatment for preventing spinal epidural fibrosis.
Kaynakça
- Williams MG, Wafai AM, Podmore MD. Functional outcomes
of laminectomy and laminotomy for the surgical management
lumbar spine stenosis. J Spine Surg 2017;3:580-6. doi:
10.21037/jss.2017.10.08.
- Ross JS, Robertson JT, Frederickson RC, et al. Association
between peridural scar and recurrent radicular pain after
lumbar discectomy: magnetic resonance evaluation.
ADCON-L European Study Group. Neurosurgery
1996;38:855-61.
- Bozkurt H, Bozkurt EC, Ozpinar H, et al. Comparison of the
effects of contractubex gel and benzothiazole after topical
application in an experimental model of epidural fibrosis in
rats. World Neurosurg 2018;117:e403-e410. doi: 10.1016/j.
wneu.2018.06.044.
- Bozkurt H, Kuru Bektaşoğlu P, Borekci A, et al. Antifibrotic
effect of boric acid in rats with epidural fibrosis.
World Neurosurg 2019;122:e989-e994. doi: 10.1016/j.
wneu.2018.10.187.
- Gürer B, Kahveci R, Gökçe EC, Ozevren H, Turkoglu E,
Gökçe A. Evaluation of topical application and systemic
administration of rosuvastatin in preventing epidural fibrosis in
rats. Spine J 2015;15:522-9. doi:10.1016/j.spinee.2014.10.018.
- Keane TJ, Horejs CM, Stevens MM. Scarring vs. functional
healing: Matrix-based strategies to regulate tissue repair.
Adv Drug Deliv Rev 2018;129:407-19. doi: 10.1016/j.
addr.2018.02.002.
- Cox N. The anti-inflammatory potential of quercetin and
L-2-oxothiazolidine-4-carboxylate (OTC) in developing
scar tissue. September 2008, Master Thesis, University of
Saskatchewan.
- Turkoglu E, Dinc C, Tuncer C, Oktay M, Serbes G, Sekerci
Z. Use of decorin to prevent epidural fibrosis in a postlaminectomy
rat model. Eur J Pharmacol 2014;724:86-91. doi:
10.1016/j.ejphar.2013.12.017.
- Bochaton-Piallat ML, Gabbiani G, Hinz B. The myofibroblast
in wound healing and fibrosis: answered and unanswered
questions. F1000Res 2016;5:F1000 Faculty Rev-752. doi:
10.12688/f1000research.8190.1.
- McGrath J, Feron F, Eyles D, Mackay-Sim A. Vitamin D: the
neglected neurosteroid? Trends. Neurosci 2001;24:570-2.
- Chojnacki M, Lemieszek MK. Role of vitamin D3 in selected
pulmonary diseases with particular emphasis on lung fibrosis.
Ann Agric Environ Med 2023;30:31-44. doi: 10.26444/
aaem/161583.
- Gürer B, Karakoç A, Bektaşoğlu PK, et al. Comparative effects
of vitamin D and methylprednisolone against ischemia/
reperfusion injury of rabbit spinal cords. Eur J Pharmacol
2017;813:50-60. doi: 10.1016/j.ejphar.2017.07.028.
- Ma D, Peng L. Vitamin D and pulmonary fibrosis: a review of
molecular mechanisms. Int J Clin Exp Pathol 2019;12:3171-8.
- Rydell N. Decreased granulation tissue reaction after
installment of hyaluronic acid. Acta Orthop Scand
1970;41:307-11. doi: 10.3109/174.536.77008991516.
- Bektaşoğlu PK, Somay A, Hazneci J, Borekci A, Gürer B.
Cinnamaldehyde has antifibrotic effects on rats with epidural
fibrosis. World Neurosurg 2024;183:e395-e400. doi: 10.1016/j.
wneu.2023.12.106.
- Erbayraktar S, Acar F, Tekinsoy B, Acar U, Güner EM.
Outcome analysis of reoperations after lumbar discectomies:
A report of 22 patients. Kobe J Med Sci 2002;48:33-41.
- Denaro V, Di Martino A, Longo UG, et al. Effectiveness of
a mucolythic agent as a local adjuvant in revision lumbar
spine surgery. Eur Spine J 2008;17:1752-6. doi: 10.1007/
s00586.008.0802-y.
- Makhchoune M, Collard X, Triffaux M, DE Witte O, Lubansu
A. The utility of the CADISS® system in the dissection of
epidural fibrosis in revision lumbar spine surgery (A case
series). Ann Med Surg (Lond) 2022;83:104718. doi: 10.1016/j.
amsu.2022.104718.
- Turkoglu E, Tuncer C, Dinc C, Serbes G, Oktay M, Sekerci
Z. The effect of etanercept on spinal epidural fibrosis in a
postlaminectomy rat model. Turk Neurosurg 2014;24:506-11.
doi: 10.5137/1019-5149.JTN.9006-13.1.
- Aydincak O, Yilmaz MB, Emmez H, et al. The effect of
temozolomide on the prevention of epidural fibrosis
developing after lumbar laminectomy in rats. Turk Neurosurg
2012;22:706-11. doi: 10.5137/1019-5149.JTN.5966-12.1.
- Karatay M, Erdem Y, Koktekir E, Erkoc YS, Caydere M, Bayar
MA. The effect of bevacizumab on spinal epidural fibrosis in
a postlaminectomy rat model. Turk Neurosurg 2012;22:753-7.
doi: 10.5137/1019-5149.JTN.6155-12.1.
- Savran M, Bekar A, Cansev M, Tolunay S, Ulus IH,
Taskapilioglu MO. Prevention of epidural fibrosis in rats by
local or systemic administration of citicoline. Turk Neurosurg
2012;22:634-40. doi: 10.5137/1019-5149.JTN.6008-12.0.
- Borcek AO, Borcek P, Civi S, Emmez H, Sen A, Aykol S.
Hyperbaric oxygen in epidural fibrosis: is there a potential
for treatment? Turk Neurosurg 2013;23:607-10. doi:
10.5137/1019-5149.JTN.7217-12.2.
- Mohi Eldin MM, Abdel Razek NM. Epidural fibrosis after
lumbar disc surgery: prevention and outcome evaluation.
Asian Spine J 2015;9:370-85. doi: 10.4184/asj.2015.9.3.370.
- Laurent GJ, Chambers RC, Hill MR, McAnulty RJ. Regulation
of matrix turnover: fibroblasts, forces, factors and fibrosis.
Biochem Soc Trans 2007;35:647-51. doi: 10.1042/BST0350647.
- Masopust V, Häckel M, Netuka D, Bradác O, Rokyta R, Vrabec
M. Postoperative epidural fibrosis. Clin J Pain 2009;25:600-6.
doi:10.1097/AJP.0b013e3181a5b665.
[
Zhu J, Li Y, Shen W, et al. Relationships between transforming
growth factor-beta1, myostatin, and decorin: implications for
skeletal muscle fibrosis. J Biol Chem 2007;282:25852-63. doi:
10.1074/jbc.M704146200.
- Baeke F, Gysemans C, Korf H, Mathieu C. Vitamin D
insufficiency: implications for the immune system. Pediatr
Nephrol 2010;25:1597-606. doi: 10.1007/s00467.010.1452-y.
- Chen S, Sims GP, Chen XX, Gu YY, Chen S, Lipsky PE.
Modulatory effects of 1,25-dihydroxyvitamin D3 on human
B cell differentiation. J Immunol 2007;179:1634-47. doi:
10.4049/jimmunol.179.3.1634.
- Haussler MR, Haussler CA, Whitfield GK, et al. The nuclear
vitamin D receptor controls the expression of genes encoding
factors which feed the “Fountain of Youth” to mediate
healthful aging. J Steroid Biochem Mol Biol 2010;121:88-97.
doi: 10.1016/j.jsbmb.2010.03.019.
- Prietl B, Treiber G, Pieber TR, Amrein K. Vitamin D and
immune function. Nutrients 2013;5:2502-21.
- Samuel S, Sitrin MD. Vitamin D’s role in cell proliferation and
differentiation. Nutr Rev 2008;66: S116-24.
- Meredith A, Boroomand S, Carthy J, Luo Z, McManus
B. 1,25 Dihydroxyvitamin D3 ınhibits TGFβ1-mediated
primary human cardiac myofibroblast activation. PLoS One
2015;10:e0128655.
- Sari DCR, Putri MW, Leksono TP, et al. Calcitriol ameliorates
kidney ınjury through reducing podocytopathy, tubular
ınjury, ınflammation and fibrosis in 5/6 subtotal nephrectomy
model in rats. Kobe J Med Sci 2020;65:E153-E163.
- Wallbaum P, Rohde S, Ehlers L, et al. Antifibrogenic effects
of vitamin D derivatives on Mouse pancreatic stellate cells.
World J Gastroenterol 2018;24:170-8.
- Lee CJ, Subeq YM, Lee RP, Liou HH, Hsu BG. Calcitriol
decreases TGF-β1 and angiotensin II production and protects
against chlorhexide digluconate-induced liver peritoneal
fibrosis in rats. Cytokine 2014;65:105-18.
- Ricca C, Aillon A, Viano M, Bergandi L, Aldieri E, Silvagno
F. Vitamin D inhibits the epithelial-mesenchymal transition
by a negative feedback regulation of TGF-β activity. J Steroid
Biochem Mol Biol 2019;187:97-105.
- Zheng S, Yang J, Hu X, et al. Vitamin D attenuates lung injury via
stimulating epithelial repair, reducing epithelial cell apoptosis
and inhibits TGF-β induced epithelial to mesenchymal
transition. Biochem Pharmacol 2020;177:113955.
- Zhang H, Deng W, Yang Y, Wei S, Xue L, Tao S. Pharmaceutic
application of vitamin D3 on particle-induced fibrotic effects
through induction of Nrf2 signals. Toxicol Res (Camb)
2020;9:55-66. doi: 10.1093/toxres/tfaa003.
- Voisin T, Joannes A, Morzadec C, et al. Antifibrotic effects
of vitamin D3 on human lung fibroblasts derived from
patients with idiopathic pulmonary fibrosis. J Nutr Biochem
2024;125:109558. doi: 10.1016/j.jnutbio.2023.109558.