Evidence map›Paper›PMID 29215065›Full record

ArticleScientific reports2017

Toll-like Receptor Activation Induces Degeneration of Human Intervertebral Discs.

Emerson Krock, Derek H Rosenzweig, J Brooke Currie, Daniel G Bisson, Jean A Ouellet, Lisbet Haglund

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

41 citing papers in PubMed, 63 citations in OpenAlex.

  1. Review
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  6. Article
  7. Review
  8. Stress-response exhaustion in intervertebral disc degeneration.Frontiers in cell and developmental biology · 2026
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
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  17. An Immune-Related Gene Signature for Predicting Survival and Immunotherapy Efficacy in Esophageal Adenocarcinoma.Medical science monitor : international medical journal of experimental and clinical research · 2023
    Article
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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

6 authors at 2 institutions in 1 country.

Emerson KrockOrthopaedic Research Lab, Department of Surgery, McGill University and the Research Institute of the McGill University Health Centre, 1650 Cedar Ave, C10-148.8, Montreal, QC, H3G 1A4, Canada.ORCID 0000-0002-8501-2945
Derek H RosenzweigOrthopaedic Research Lab, Department of Surgery, McGill University and the Research Institute of the McGill University Health Centre, 1650 Cedar Ave, C10-148.8, Montreal, QC, H3G 1A4, Canada.
J Brooke CurrieOrthopaedic Research Lab, Department of Surgery, McGill University and the Research Institute of the McGill University Health Centre, 1650 Cedar Ave, C10-148.8, Montreal, QC, H3G 1A4, Canada.
Daniel G BissonOrthopaedic Research Lab, Department of Surgery, McGill University and the Research Institute of the McGill University Health Centre, 1650 Cedar Ave, C10-148.8, Montreal, QC, H3G 1A4, Canada.
Jean A OuelletMcGill Scoliosis and Spine Group, Department of Surgery, McGill University and the Research Institute of the McGill University Health Centre, 1650 Cedar Ave, C10-148.8, Montreal, QC, H3G 1A4, Canada.
Lisbet HaglundOrthopaedic Research Lab, Department of Surgery, McGill University and the Research Institute of the McGill University Health Centre, 1650 Cedar Ave, C10-148.8, Montreal, QC, H3G 1A4, Canada. lisbet.haglund@mcgill.ca.ORCID 0000-0002-1288-2149
McGill University Health Centre · CAMontreal Children's Hospital · CA

Funding

CIHR MOP-119564
6 · The paper itself

Abstract

Toll-like receptors (TLR) are activated by endogenous alarmins such as fragmented extracellular matrix compounds found in the degenerating disc. TLRs regulate cytokine, neurotrophin, and protease expression in human disc cells in vitro, and thus control key factors in disc degeneration. However, whether TLR activation leads to degenerative changes in intact human discs is unclear. Nucleus pulposus (NP) cells isolated from non-degenerating discs increase IL-1β and nerve growth factor gene expression following treatment with Pam2CSK4 (TLR2/6 agonist) but not Pam3CSK4 (TLR1/2 agonist). Challenging NP cells with Pam2CSK4 or 30 kDa fibronectin fragments (FN-f, an endogenous TLR2 and TLR4 alarmin) increased secretion of proinflammatory cytokines. We then investigated the effect of TLR activation in intact, non-degenerate, ex vivo human discs. Discs were injected with PBS, Pam2CSK4 and FN-f, and cultured for 28 days. TLR activation increased proteoglycan and ECM protein release into the culture media and decreased proteoglycan content in the NP. Proteases, including MMP3, 13 and HTRA1, are secreted at higher levels following TLR activation. In addition, proinflammatory cytokine levels, including IL-6, TNFα and IFNγ, increased following TLR activation. These results indicate that TLR activation induces degeneration in human discs. Therefore, TLRs are potential disease-modifying therapeutic targets to slow disc degeneration.

Indexed as

Cells, CulturedCytokinesExtracellular Matrix ProteinsFibronectinsHumansIntervertebral DiscIntervertebral Disc DegenerationNucleus PulposusProteoglycansToll-Like ReceptorsCytokinesExtracellular Matrix ProteinsFibronectinsProteoglycansToll-Like Receptors

Identifiers

PMID29215065
PMCPMC5719358
OpenAlexW2773643222

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.