2017
DOI: 10.7759/cureus.1137
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Update on the Notochord Including its Embryology, Molecular Development, and Pathology: A Primer for the Clinician

Abstract: The notochord is a rod-like embryological structure, which plays a vital role in the development of the vertebrate. Though embryological, remnants of this structure have been observed in the nucleus pulposus of the intervertebral discs of normal adults. Pathologically, these remnants can give rise to slow-growing and recurrent notochord-derived tumors called chordomas. Using standard search engines, the literature was reviewed regarding the anatomy, embryology, molecular development, and pathology of the human… Show more

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Cited by 19 publications
(16 citation statements)
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“…Cell-based regenerative therapy constitutes a highly promising and attractive strategy for restoration of NP cellularity and reconstitution of the healthy disc structure (Chan & Gantenbein-Ritter, 2012;Leung, Chan, & Cheung, 2006;Sakai, 2008). The NP of adult human is derived from a rod-like midline structure of mesodermal origin known as notochord (Ramesh et al, 2017). Since adult NP do not possess self regeneration capabilities, the NP cell renewal depends upon availability of progenitor cells which commit to the NP lineage and undergo terminal differentiation and produce an appropriate proteoglycan-rich matrix which is essential for the functioning of IVD (Stemple, 2005;Velikonja et al, 2014).…”
Section: Introductionmentioning
confidence: 99%
“…Cell-based regenerative therapy constitutes a highly promising and attractive strategy for restoration of NP cellularity and reconstitution of the healthy disc structure (Chan & Gantenbein-Ritter, 2012;Leung, Chan, & Cheung, 2006;Sakai, 2008). The NP of adult human is derived from a rod-like midline structure of mesodermal origin known as notochord (Ramesh et al, 2017). Since adult NP do not possess self regeneration capabilities, the NP cell renewal depends upon availability of progenitor cells which commit to the NP lineage and undergo terminal differentiation and produce an appropriate proteoglycan-rich matrix which is essential for the functioning of IVD (Stemple, 2005;Velikonja et al, 2014).…”
Section: Introductionmentioning
confidence: 99%
“…This structure is essential for the neural and endodermal patterning of e.g., the intestine, liver, and lungs. In vertebrates signaling molecules such as hedgehog proteins secreted by the notochord play key roles regarding differentiation and growth of the surrounding tissues ( 21 , 22 ).…”
Section: Recapitulation Of Human Organogenesismentioning
confidence: 99%
“…As stated earlier, chordoma are assumed to arise from remnants of the foetal notochord. The notochord is a rod-shaped embryologic structure that develops in the third week of gestation, and serves as an molecular inducer for vertebral column formation [ 69 ]. As the vertebral column develops, the notochord degrades into clusters in what later becomes the nucleus pulposus [ 70 ].…”
Section: Differential Diagnosismentioning
confidence: 99%