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Adolescent Idiopathic Scoliosis: a Perfect Storm of Functional Anatomy, Biomechanics and Mechanobiology during Growth?

Description du projet

Identifier la cause de la SIA

Touchant plus de 4 % des adolescents en Europe, la scoliose idiopathique de l’adolescent (SIA) est la forme la plus courante de déformation du rachis survenant entre 10 et 18 ans. Il s’agit d’une courbure anormale de la colonne vertébrale – au lieu de se développer de manière droite, elle présente une rotation, généralement en forme de «S» ou de «C» allongé. Bien qu’elle ait été identifiée depuis l’époque d’Hippocrate (400 av. J.-C.) sa cause est inconnue, et il n’existe pas de traitement efficace. Le projet ScoliStorm, financé par le CER, tentera d’identifier la cause de la SIA afin de la prévenir ou de proposer un traitement précoce. Plus spécifiquement, le projet examinera l’ensemble complexe et idéal de causes anatomiques, biomécaniques et mécanobiologiques dans le disque intervertébral et analysera le mécanisme de la maladie.

Objectif

Adolescent idiopathic scoliosis (AIS) is a 3D deformity of the spine affecting previously healthy children, substantially reducing their quality of life and creating a life-long burden of disease. Although it has been indentified since the time of Hippocrates (400 BC), we have not been able to rationally develop effective treatments and provide a cure for these children suffering from AIS because its cause and mechanism of disease are still unknown. ScoliStorm will create a paradigm shift in AIS research by uncovering its complex perfect storm of anatomical, biomechanical and mechanobiological causes in the intervertebral disc and exploring this disease mechanism whereby predictive triggers are identified that can be used for prevention and early treatment. We will study human subjects non-invasively through disease initiation and progression, creating for the first time a comprehensive dataset of healthy and scoliotic human spines that can be used for early detection and treatment of juvenile spine conditions. We will create safe non-radiographic accurate imaging of the osseous spine, available in most hospitals, which can become the standard for diagnosis and monitoring of osseous injury and disease in juveniles. We will develop high-throughput creation and use of subject specific in silico models, allowing simulation of organ and tissue function such that morphological imaging data can provide functional analysis of the patient for diagnosis and treatment. Mechanisms affecting tissue adaptation will be mapped and show that normal processes by their coincidence can create an aberrant response and disease, providing an explanation applicable for other multifactorial diseases. Thus, a unique dedicated and complete multidisciplinary process, combining 1) bioengineering analysis, exploiting imaging, in silico modeling, in vitro and ex vivo approaches in humans, and 2) clinical medicine, also applicable for exploring other multifactorial diseases, will be created.

Champ scientifique

CORDIS classe les projets avec EuroSciVoc, une taxonomie multilingue des domaines scientifiques, grâce à un processus semi-automatique basé sur des techniques TLN.

Régime de financement

ERC-ADG - Advanced Grant

Institution d’accueil

TECHNISCHE UNIVERSITEIT EINDHOVEN
Contribution nette de l'UE
€ 1 824 687,50
Adresse
GROENE LOPER 3
5612 AE Eindhoven
Pays-Bas

Voir sur la carte

Région
Zuid-Nederland Noord-Brabant Zuidoost-Noord-Brabant
Type d’activité
Higher or Secondary Education Establishments
Liens
Coût total
€ 1 824 687,50

Bénéficiaires (2)