1992
DOI: 10.1097/00007632-199209000-00012
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The Effect of Lactate and pH on Proteoglycan and Protein Synthesis Rates in the Intervertebral Disc

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Cited by 211 publications
(155 citation statements)
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“…For both disc and cartilage cells cultured for 48 h in alginate beads, the production of matrix components showed a biphasic response to pH (Fig. 1), as seen previously after short exposures of disc explants and cartilage cells in suspension culture to changes in extracellular pH [39,54]. Rates were highest at around pH 7.0-7.2 (the estimated pH in normal discs [19]), where they were 10-20% greater than at pH 7.4 (the extracellular pH of most body fluids).…”
Section: Discussionsupporting
confidence: 79%
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“…For both disc and cartilage cells cultured for 48 h in alginate beads, the production of matrix components showed a biphasic response to pH (Fig. 1), as seen previously after short exposures of disc explants and cartilage cells in suspension culture to changes in extracellular pH [39,54]. Rates were highest at around pH 7.0-7.2 (the estimated pH in normal discs [19]), where they were 10-20% greater than at pH 7.4 (the extracellular pH of most body fluids).…”
Section: Discussionsupporting
confidence: 79%
“…1a). Protein synthesis appeared less sensitive to pH, as observed in similar systems [39,54], but was still strongly inhibited under acid conditions (Fig. 1b).…”
Section: Discussionsupporting
confidence: 70%
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“…17 Accumulation of lactic acid decreases disc pH (to near pH 6.3) and is detrimental to the matrix as it decreases glycosaminoglycan production, tissue inhibitor of metalloproteinase (TIMP) production, and cell viability. 16,[18][19][20] Further, serum deprivation results in decreased cell proliferation and increased cell senescence. 21 The direct effect of hypoxia is mixed.…”
Section: Pathophysiology Of Clbpmentioning
confidence: 99%