Evidence map›Paper›PMID 33072735›Full record

ArticleFrontiers in cell and developmental biology2020

CRLF1 Is a Key Regulator in the Ligamentum Flavum Hypertrophy.

Zhenyu Zheng, Xiang Ao, Peng Li, Zhengnan Lian, Tao Jiang, Zhongmin Zhang, Liang Wang

Registry-linked trialAbstract read
In one paragraph

Article in Frontiers in cell and developmental biology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07026552 (Proteomic and Histological Analysis of Ligamentum Flavum Hypertrophy and Degeneration in Lumbar Spinal Stenosis), which is not on this map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
–field-weighted citation impact
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.

NCT07026552 recruitingnot on this mapstarted 2025, after this paper: background citation

Proteomic and Histological Analysis of Ligamentum Flavum Hypertrophy and Degeneration in Lumbar Spinal Stenosis: Clinical, Surgical, and Therapeutic Implications

TypeobservationalSponsorFondazione Policlinico Universitario Agostino Gemelli IRCCSRan2025 to 2028Enrolled100ConditionsSpinal Stenosis of Lumbar Region, Spine Degeneration
3 · Its place in the literature

Who cites it

27 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Comprehensive review of the cervical ligamenta flava.Surgical and radiologic anatomy : SRA · 2025
    Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. CRLF1 and CLCF1 in Development, Health and Disease.International journal of molecular sciences · 2022
    Review
  19. Article
  20. 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

7 authors.

Zhenyu ZhengDepartment of Orthopedics, The Third Affiliated Hospital, Southern Medical University, Guangzhou, China.
Xiang AoDepartment of Orthopedics, The Third Affiliated Hospital, Southern Medical University, Guangzhou, China.
Peng LiDepartment of Orthopedics, The Third Affiliated Hospital, Southern Medical University, Guangzhou, China.
Zhengnan LianDepartment of Orthopedics, The Third Affiliated Hospital, Southern Medical University, Guangzhou, China.
Tao JiangDepartment of Orthopedics, The Third Affiliated Hospital, Southern Medical University, Guangzhou, China.
Zhongmin ZhangDepartment of Orthopedics, The Third Affiliated Hospital, Southern Medical University, Guangzhou, China.
Liang WangDepartment of Orthopedics, The Third Affiliated Hospital, Southern Medical University, Guangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hypertrophy of the ligamentum flavum (HLF) is one of the common causes of lumbar spinal stenosis (LSS). The key molecules and mechanisms responsible for HLF remain unclear. Here, we used an integrated transcriptome and proteomics analysis of human ligamentum flavum (LF), and subsequent immunohistochemistry and real-time PCR assays, to show upregulation of CRLF1 to be the dominant response to HLF. TGF-β1 significantly increased mRNA expression of CRLF1 through SMAD3 pathway. CRLF1 enhanced LF fibrosis via ERK signaling pathway at the post-transcriptional level and was required for the pro-fibrotic effect of TGF-β1. Knockdown of CRLF1 was shown here to reduce fibrosis caused by inflammatory cytokines and mechanical stress. Furthermore, we found that bipedal standing posture can cause HLF and upregulation of CRLF1 expression in mice LF. Overexpression of CRLF1 was indicated to cause HLF

Indexed as

CRLF1fibrosisligamentum flavum hypertrophymouse modelproteomics analysis

Identifiers

PMID33072735
PMCPMC7533558

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Registered trials

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.