Evidence map›Paper›PMID 31463459›Full record

ReviewJOR spine2019

Therapeutic potential of growth differentiation factors in the treatment of degenerative disc diseases.

Tom Hodgkinson, Bojiang Shen, Ashish Diwan, Judith A Hoyland, Stephen M Richardson

Open access · goldAbstract readReview
In one paragraph

Review in JOR spine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed
8.6field-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

53 citing papers in PubMed, 90 citations in OpenAlex.

  1. Trial
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  7. Review
  8. Effects of GDF6 on active protein synthesis by cells of degenerated intervertebral disc.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025
    Article
  9. Article
  10. Journal of orthopaedic translation · 2025
    Article
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  12. Review
  13. Article
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  16. Review
  17. Review
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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

5 authors at 2 institutions in 2 countries.

Tom HodgkinsonDivision of Cell Matrix Biology and Regenerative Medicine, School of Biological Sciences, Faculty of Biology, Medicine and Health, University of Manchester Manchester Academic Health Sciences Centre Manchester UK.ORCID https://orcid.org/0000-0002-3242-1593
Bojiang ShenSt. George Clinical School University of New South Wales Sydney New South Wales Australia.
Ashish DiwanSt. George Clinical School University of New South Wales Sydney New South Wales Australia.ORCID https://orcid.org/0000-0003-1037-8421
Judith A HoylandDivision of Cell Matrix Biology and Regenerative Medicine, School of Biological Sciences, Faculty of Biology, Medicine and Health, University of Manchester Manchester Academic Health Sciences Centre Manchester UK.ORCID https://orcid.org/0000-0003-4876-5208
Stephen M RichardsonDivision of Cell Matrix Biology and Regenerative Medicine, School of Biological Sciences, Faculty of Biology, Medicine and Health, University of Manchester Manchester Academic Health Sciences Centre Manchester UK.ORCID https://orcid.org/0000-0002-7637-4135
Manchester Academic Health Science Centre · GBUNSW Sydney · AU

Funding

Medical Research Council MC_PC_14112Medical Research Council MR/K026682/1
6 · The paper itself

Abstract

Intervertebral disc (IVD) degeneration is a major contributing factor to chronic low back pain and disability, leading to imbalance between anabolic and catabolic processes, altered extracellular matrix composition, loss of tissue hydration, inflammation, and impaired mechanical functionality. Current treatments aim to manage symptoms rather than treat underlying pathology. Therefore, IVD degeneration is a target for regenerative medicine strategies. Research has focused on understanding the molecular process of degeneration and the identification of various factors that may have the ability to halt and even reverse the degenerative process. One such family of growth factors, the growth differentiation factor (GDF) family, have shown particular promise for disc regeneration in in vitro and in vivo models of IVD degeneration. This review outlines our current understanding of IVD degeneration, and in this context, aims to discuss recent advancements in the use of GDF family members as anabolic factors for disc regeneration. An increasing body of evidence indicates that GDF family members are central to IVD homeostatic processes and are able to upregulate healthy nucleus pulposus cell marker genes in degenerative cells, induce mesenchymal stem cells to differentiate into nucleus pulposus cells and even act as chemotactic signals mobilizing resident cell populations during disc injury repair. The understanding of GDF signaling and its interplay with inflammatory and catabolic processes may be critical for the future development of effective IVD regeneration therapies.

Indexed as

annulus fibrosusbone morphogenetic proteincartilage derived morphogenetic protein (CDMP)growth differentiation factor (GDF)intervertebral disc degeneration, nucleus pulposusmesenchymal stem cell

Identifiers

PMID31463459
PMCPMC6686806
OpenAlexW2912664379

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.