Evidence map›Paper›PMID 32133213›Full record

ArticleBone research2020

Melatonin alleviates intervertebral disc degeneration by disrupting the IL-1β/NF-κB-NLRP3 inflammasome positive feedback loop.

Fan Chen, Guowei Jiang, Hui Liu, Zemin Li, Yuxin Pei, Hua Wang, Hehai Pan, Haowen Cui, Jun Long, Jianru Wang and 1 more

Open access · goldAbstract read
In one paragraph

Article in Bone research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 143 papers.

0numbers the graph read from it
0cells of the map it votes in
143citing papers in PubMed
12.9field-weighted citation impact, top 1% 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

143 citing papers in PubMed, 240 citations in OpenAlex.

  1. Article
  2. The role of sleep and circadian rhythms in intervertebral disc degeneration.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 · 2026
    Review
  3. MnOMaterials today. Bio · 2026
    Article
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83 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Fan Chen *1Department of Spine Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080 China.
Guowei Jiang *1Department of Spine Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080 China.
Hui Liu1Department of Spine Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080 China.
Zemin Li1Department of Spine Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080 China.
Yuxin Pei2Department of Pediatric Intensive Care Unit, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080 China.
Hua Wang1Department of Spine Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080 China.
Hehai Pan1Department of Spine Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080 China.
Haowen Cui1Department of Spine Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080 China.
Jun Long1Department of Spine Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080 China.
Jianru Wang1Department of Spine Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080 China.
Zhaomin Zheng1Department of Spine Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080 China.
Sun Yat-sen University · CNThe First Affiliated Hospital, Sun Yat-sen University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The inflammatory response is induced by the overexpression of inflammatory cytokines, mainly interleukin (IL)-1β, and is one of the main causes of intervertebral disc degeneration (IVDD). NLR pyrin domain containing 3 (NLRP3) inflammasome activation is an important source of IL-1β. As an anti-inflammatory neuroendocrine hormone, melatonin plays various roles in different pathophysiological conditions. However, its roles in IVDD are still not well understood and require more examination. First, we demonstrated that melatonin delayed the progression of IVDD and relieved IVDD-related low back pain in a rat needle puncture IVDD model; moreover, NLRP3 inflammasome activation (NLRP3, p20, and IL-1β levels) was significantly upregulated in severely degenerated human discs and a rat IVDD model. Subsequently, an IL-1β/NF-κB-NLRP3 inflammasome activation positive feedback loop was found in nucleus pulposus (NP) cells that were treated with IL-1β. In these cells, expression of NLRP3 and p20 was significantly increased, NF-κB signaling was involved in this regulation, and mitochondrial reactive oxygen species (mtROS) production increased. Furthermore, we found that melatonin disrupted the IL-1β/NF-κB-NLRP3 inflammasome activation positive feedback loop in vitro and in vivo. Melatonin treatment decreased NLRP3, p20, and IL-1β levels by inhibiting NF-κB signaling and downregulating mtROS production. Finally, we showed that melatonin mediated the disruption of the positive feedback loop of IL-1β in vivo. In this study, we showed for the first time that IL-1β promotes its own expression by upregulating NLRP3 inflammasome activation. Furthermore, melatonin disrupts the IL-1β positive feedback loop and may be a potential therapeutic agent for IVDD.

Indexed as

MetabolismNeurophysiology

Identifiers

PMID32133213
PMCPMC7028926
OpenAlexW3006300232

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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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.