Evidence map›Paper›PMID 22531458›Full record

ArticleOsteoarthritis and cartilage2012

Spine degeneration in a murine model of chronic human tobacco smokers.

D Wang, L A Nasto, P Roughley, A S Leme, A M Houghton, A Usas, G Sowa, J Lee, L Niedernhofer, S Shapiro and 2 more

Open access · greenAbstract read
In one paragraph

Article in Osteoarthritis and cartilage, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

67 citing papers in PubMed, 1 synthesis or guideline pooled it, 115 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Effect of Long-Term Smoking on Cervical Disc Degeneration: A Retrospective Study.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Article
  8. Inflammatory Biomarkers in Smokers: Implications for Ligamentum Flavum Hypertrophy.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
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  17. Review
  18. Review
  19. Article
  20. Article

7 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 4 countries.

D WangBeijing Haidian Hospital, Department of Orthopaedics, 29 Zhong-Guan-Cun Street, Beijing 100080, China.
L A Nasto
P Roughley
A S Leme
A M Houghton
A Usas
G Sowa
J Lee
L Niedernhofer
S Shapiro
J Kang
N Vo
University of Pittsburgh · USAgostino Gemelli University Polyclinic · ITBeijing Haidian Hospital · CNShriners Hospitals for Children - Canada · CA

Funding

The contribution of DNA interstrand crosslinks to agingR01ES016114 · NIEHS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI NIEDERNHOFER, LAURA JANE · 2007 to 2011
$2.5M
MECHANISM OF DISC PROTEOGLYCAN LOSS IN A MOUSE MODEL OF ACCELERATED AGINGR21AG033046 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI VO, NAM V · 2010 to 2011
$328k
NIA NIH HHS AG033046NIA NIH HHS R21 AG033046NIEHS NIH HHS ES016114NIEHS NIH HHS R01 ES016114
6 · The paper itself

Abstract

objectiveTo investigate the mechanisms by which chronic tobacco smoking promotes intervertebral disc degeneration (IDD) and vertebral degeneration in mice.

methodsThree month old C57BL/6 mice were exposed to tobacco smoke by direct inhalation (4 cigarettes/day, 5 days/week for 6 months) to model long-term smoking in humans. Total disc proteoglycan (PG) content [1,9-dimethylmethylene blue (DMMB) assay], aggrecan proteolysis (immunobloting analysis), and cellular senescence (p16INK4a immunohistochemistry) were analyzed. PG and collagen syntheses ((35)S-sulfate and (3)H-proline incorporation, respectively) were measured using disc organotypic culture. Vertebral osteoporosity was measured by micro-computed tomography.

resultsDisc PG content of smoke-exposed mice was 63% of unexposed control, while new PG and collagen syntheses were 59% and 41% of those of untreated mice, respectively. Exposure to tobacco smoke dramatically increased metalloproteinase-mediated proteolysis of disc aggrecan within its interglobular domain (IGD). Cellular senescence was elevated two-fold in discs of smoke-exposed mice. Smoke exposure increased vertebral endplate porosity, which closely correlates with IDD in humans.

conclusionsThese findings further support tobacco smoke as a contributor to spinal degeneration. Furthermore, the data provide a novel mechanistic insight, indicating that smoking-induced IDD is a result of both reduced PG synthesis and increased degradation of a key disc extracellular matrix protein, aggrecan. Cleavage of aggrecan IGD is extremely detrimental as this results in the loss of the entire glycosaminoglycan-attachment region of aggrecan, which is vital for attracting water necessary to counteract compressive forces. Our results suggest identification and inhibition of specific metalloproteinases responsible for smoke-induced aggrecanolysis as a potential therapeutic strategy to treat IDD.

Indexed as

AggrecansAnimalsCellular SenescenceCollagenDisease Models, AnimalIntervertebral Disc DegenerationMiceMice, Inbred C57BLOsteoporosisProteoglycansProteolysisSmokingX-Ray MicrotomographyAggrecansCollagenProteoglycans

Identifiers

PMID22531458
PMCPMC3389285
OpenAlexW2071262681

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.