Evidence map›Paper›PMID 32613166›Full record

ArticleJOR spine2020

Intervertebral disc herniation effects on multifidus muscle composition and resident stem cell populations.

Obiajulu Agha, Andreas Mueller-Immergluck, Mengyao Liu, He Zhang, Alekos A Theologis, Aaron Clark, Hubert T Kim, Xuhui Liu, Brian T Feeley, Jeannie F Bailey

Open access · goldAbstract read
In one paragraph

Article in JOR spine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.3field-weighted citation impact, top 21% 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

16 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Review
  5. PdgfrαGenes & diseases · 2025
    Review
  6. FAPs orchestrate homeostasis of muscle physiology and pathophysiology.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2024
    Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Microenergy acoustic pulses promotes muscle regeneration through in situ activation of muscle stem cells.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2022
    Article
  12. Investigating the active contractile function of the rat paraspinal muscles reveals unique cross-bridge kinetics in the multifidus.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 · 2022
    Article
  13. Review
  14. Article
  15. Review
  16. Article
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

10 authors at 1 institution in 2 countries.

Obiajulu AghaDepartment of Orthopaedic Surgery University of California San Francisco California USA.ORCID https://orcid.org/0000-0003-2439-2638
Andreas Mueller-ImmergluckDepartment of Orthopaedic Surgery University of California San Francisco California USA.
Mengyao LiuDepartment of Orthopaedic Surgery University of California San Francisco California USA.
He ZhangDepartment of Orthopaedic Surgery University of California San Francisco California USA.
Alekos A TheologisDepartment of Orthopaedic Surgery University of California San Francisco California USA.
Aaron ClarkDepartment of Neurosurgery University of California San Francisco California USA.
Hubert T KimDepartment of Orthopaedic Surgery University of California San Francisco California USA.
Xuhui LiuDepartment of Orthopaedic Surgery University of California San Francisco California USA.ORCID https://orcid.org/0000-0002-2418-0291
Brian T FeeleyDepartment of Orthopaedic Surgery University of California San Francisco California USA.
Jeannie F BaileyDepartment of Orthopaedic Surgery University of California San Francisco California USA.
University of California, San Francisco · US

Funding

Utilizing beige fat to improve muscle function after rotator cuff repairR01AR072669 · NIAMS · NORTHERN CALIFORNIA INSTITUTE/RES/EDU · PI FEELEY, BRIAN · 2018 to 2022
$2.2M
TGFb and BMP signaling in muscle atrophy and degradation after massive RCTI01BX002680 · VA · VETERANS AFFAIRS MED CTR SAN FRANCISCO · PI KIM, HUBERT T. · 2016 to 2020
–
BLRD VA I01 BX002680NIAMS NIH HHS R01 AR072669
6 · The paper itself

Abstract

backgroundParaspinal muscles are crucial for vertebral stabilization and movement. These muscles are prone to develop fatty infiltration (FI), fibrosis, and atrophy in many spine conditions. Fibro-adipogenic progenitors (FAPs), a resident muscle stem cell population, are the main contributors of muscle fibrosis and FI. FAPs are involved in a complex interplay with satellite cells (SCs), the primary myogenic progenitor cells within muscle. Little is known about the stem cell composition of the multifidus. The aim of this study is to examine FAPs and SCs in the multifidus in disc herniation patients. Multifidus muscle samples were collected from 10 patients undergoing decompressive spine surgery for lumbar disc herniation. Hamstring muscle was collected from four patients undergoing hamstring autograft ACL reconstruction as an appendicular control. Multifidus tissue was analyzed for FI and fibrosis using Oil-Red-O and Masson's trichrome staining. FAPs and SCs were visualized using immunostaining and quantified with fluorescence-activated cell sorting (FACS) sorting. Gene expression of these cells from the multifidus were analyzed with reverse transcription-polymerase chain reaction and compared to those from hamstring muscle. FI and fibrosis accounted for 14.2%± 7.4% and 14.8%±4.2% of multifidus muscle, respectively. The multifidus contained more FAPs (11.7%±1.9% vs 1.4%±0.2%;

conclusionThe multifidus in patients with disc herniation contains large percentages of FAPs and SCs with different gene expression profiles compared to those in the hamstring. These results may help explain the tendency for the multifidus to atrophy and form FI and fibrosis as well as elucidate potential approaches for mitigating these degenerative changes by leveraging these muscle stem cell populations.

Indexed as

atrophyfatty infiltrationfibro‐adipogenic progenitorsfibrosismultifidusparaspinal musclesatellite cells

Identifiers

PMID32613166
PMCPMC7323461
OpenAlexW3022428738

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.