Evidence map›Paper›PMID 30895277›Full record

ReviewJOR spine2018

Advancing cell therapies for intervertebral disc regeneration from the lab to the clinic: Recommendations of the ORS spine section.

Lachlan J Smith, Lara Silverman, Daisuke Sakai, Christine L Le Maitre, Robert L Mauck, Neil R Malhotra, Jeffrey C Lotz, Conor T Buckley

Open access · goldAbstract readReview
In one paragraph

Review in JOR spine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 75 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed, 2 pooled it
7.5field-weighted citation impact, top 2% 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

75 citing papers in PubMed, 2 syntheses or guidelines pooled it, 101 citations in OpenAlex.

  1. Pooled it
  2. Comparison of biomechanical studies of disc repair devices based on a systematic review.The spine journal : official journal of the North American Spine Society · 2020
    Pooled it
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Intervertebral disc degeneration.Nature reviews. Disease primers · 2026
    Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Regenerative strategies for intervertebral disc degeneration.Journal of orthopaedic translation · 2025
    Review
  16. Article
  17. Review
  18. Article
  19. Article
  20. Review

15 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

8 authors at 7 institutions in 4 countries.

Lachlan J SmithDepartment of Neurosurgery University of Pennsylvania Philadelphia Pennsylvania.ORCID https://orcid.org/0000-0001-5823-6073
Lara SilvermanDiscGenics Inc. Salt Lake City Utah.ORCID https://orcid.org/0000-0002-7497-847X
Daisuke SakaiDepartment of Orthopaedic Surgery, Surgical Science Tokai University School of Medicine Isehara Japan.ORCID https://orcid.org/0000-0003-4189-9270
Christine L Le MaitreBiomolecular Sciences Research Centre Sheffield Hallam University Sheffield UK.ORCID https://orcid.org/0000-0003-4489-7107
Robert L MauckDepartment of Orthopaedic Surgery University of Pennsylvania Philadelphia Pennsylvania.
Neil R MalhotraDepartment of Neurosurgery University of Pennsylvania Philadelphia Pennsylvania.
Jeffrey C LotzDepartment of Orthopaedic Surgery University of California San Francisco California.
Conor T BuckleyTrinity Centre for Bioengineering Trinity Biomedical Sciences Institute, Trinity College Dublin, The University of Dublin Dublin Ireland.ORCID https://orcid.org/0000-0001-7452-4534
Hospital of the University of Pennsylvania · USRoyal College of Surgeons in Ireland · IESheffield Hallam University · GBTokai University · JPUniversity of California, San Francisco · USUniversity of Pennsylvania · USUniversity of Tennessee Health Science Center · US

Funding

Phenotypes of pathologic vertebral endplate degenerationR01AR063705 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LOTZ, JEFFREY C. · 2013 to 2017
$3.0M
Pathogenesis and Treatment of Bone Disease in the MucopolysaccharidosesR01AR071975 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI SMITH, LACHLAN JAMES · 2017 to 2021
$1.9M
Regenerative potential of embryonic notochordal nucleus pulposus progenitorsR21AR070959 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI MALHOTRA, NEIL, SMITH, LACHLAN JAMES · 2017 to 2018
$401k
Bioactive Injectable Implants for Functional Intervertebral Disc RegenerationI01RX001321 · VA · PHILADELPHIA VA MEDICAL CENTER · PI Robert L Mauck, Lachlan James Smith · 2014 to 2026
–
Medical Research Council MR/P026796/1NIAMS NIH HHS R01 AR063705NIAMS NIH HHS R01 AR071975NIAMS NIH HHS R21 AR070959RRD VA I01 RX001321
6 · The paper itself

Abstract

Intervertebral disc degeneration is strongly associated with chronic low back pain, a leading cause of disability worldwide. Current back pain treatment approaches (both surgical and conservative) are limited to addressing symptoms, not necessarily the root cause. Not surprisingly therefore, long-term efficacy of most approaches is poor. Cell-based disc regeneration strategies have shown promise in preclinical studies, and represent a relatively low-risk, low-cost, and durable therapeutic approach suitable for a potentially large patient population, thus making them attractive from both clinical and commercial standpoints. Despite such promise, no such therapies have been broadly adopted clinically. In this perspective we highlight primary obstacles and provide recommendations to help accelerate successful clinical translation of cell-based disc regeneration therapies. The key areas addressed include: (a) Optimizing cell sources and delivery techniques; (b) Minimizing potential risks to patients; (c) Selecting physiologically and clinically relevant efficacy metrics; (d) Maximizing commercial potential; and (e) Recognizing the importance of multidisciplinary collaborations and engaging with clinicians from inception through to clinical trials.

Indexed as

biological therapiesbiomaterialspreclinical modelsstem cells

Identifiers

PMID30895277
PMCPMC6419951
OpenAlexW2890863884

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.