Evidence map›Paper›PMID 33392461›Full record

ArticleJOR spine2020

Spatial mapping of collagen content and structure in human intervertebral disk degeneration.

Lawrence Zeldin, Grace E Mosley, Damien Laudier, Zachary S Gallate, Jennifer Gansau, Robert C Hoy, Jashvant Poeran, James C Iatridis

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 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

20 citing papers in PubMed, 30 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. The triadic relationship between spinal posture, loading, and degeneration.Frontiers in bioengineering and biotechnology · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. The Chemistry and Biology of Collagen Hybridization.Journal of the American Chemical Society · 2023
    Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. 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

8 authors at 1 institution in 1 country.

Lawrence ZeldinLeni & Peter W. May Department of Orthopedics Icahn School of Medicine at Mount Sinai New York New York USA.ORCID https://orcid.org/0000-0002-3953-219X
Grace E MosleyLeni & Peter W. May Department of Orthopedics Icahn School of Medicine at Mount Sinai New York New York USA.ORCID https://orcid.org/0000-0002-8971-8080
Damien LaudierLeni & Peter W. May Department of Orthopedics Icahn School of Medicine at Mount Sinai New York New York USA.
Zachary S GallateLeni & Peter W. May Department of Orthopedics Icahn School of Medicine at Mount Sinai New York New York USA.ORCID https://orcid.org/0000-0001-7512-9122
Jennifer GansauLeni & Peter W. May Department of Orthopedics Icahn School of Medicine at Mount Sinai New York New York USA.ORCID https://orcid.org/0000-0002-1951-2933
Robert C HoyLeni & Peter W. May Department of Orthopedics Icahn School of Medicine at Mount Sinai New York New York USA.ORCID https://orcid.org/0000-0001-9000-5793
Jashvant PoeranLeni & Peter W. May Department of Orthopedics Icahn School of Medicine at Mount Sinai New York New York USA.ORCID https://orcid.org/0000-0001-7058-5102
James C IatridisLeni & Peter W. May Department of Orthopedics Icahn School of Medicine at Mount Sinai New York New York USA.ORCID https://orcid.org/0000-0002-2186-0590
Icahn School of Medicine at Mount Sinai · US

Funding

MOUNT SINAI MEDICAL SCIENTIST TRAINING PROGRAMT32GM007280 · NIGMS · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI BARON, MARGARET H · 1985 to 2021
$22.8M
Model of Human Disc Regeneration in the spectrum of Degenerative Disc DiseaseR01AR057397 · NIAMS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI IATRIDIS, JAMES C. · 2011 to 2021
$5.1M
Diabetes Induced Disc Degeneration and PreventionR01AR069315 · NIAMS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI IATRIDIS, JAMES C. · 2016 to 2020
$2.7M
Multiphoton Laser Scanning MicroscopeS10RR026639 · NCRR · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI FRIEDRICH, VICTOR LOUIS · 2010 to 2010
$500k
Interaction of sex effects and intervertebral disc degeneration in a rat model of chronic back pain pathogenesisF30AT010088 · NCCIH · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI MOSLEY, GRACE ELLEN · 2018 to 2020
$150k
NCCIH NIH HHS F30 AT010088NCRR NIH HHS S10 RR026639NIAMS NIH HHS R01 AR057397NIAMS NIH HHS R01 AR069315NIGMS NIH HHS T32 GM007280
6 · The paper itself

Abstract

Collagen plays a key structural role in both the annulus fibrosus (AF) and nucleus pulposus (NP) of intervertebral disks (IVDs). Changes in collagen content with degeneration suggest a shift from collagen type II to type I within the NP, and the activation of pro-inflammatory factors is indicative of fibrosis throughout. While IVD degeneration is considered a fibrotic process, an increase in collagen content with degeneration, reflective of fibrosis, has not been demonstrated. Additionally, changes in collagen content and structure in human IVDs with degeneration have not been characterized with high spatial resolution. The collagen content of 23 human lumbar L2/3 or L3/4 IVDs was quantified using second harmonic generation imaging (SHG) and multiple image processing algorithms, and these parameters were correlated with the Rutges histological degeneration grade. In the NP, SHG intensity increased with degeneration grade, suggesting fibrotic collagen deposition. In the AF, the entropy of SHG intensity was reduced with degeneration indicating increased collagen uniformity and suggesting less-organized lamellar structure. Collagen orientation entropy decreased throughout most IVD regions with increasing degeneration grade, further supporting a loss in collagen structural complexity. Overall, SHG imaging enabled visualization and quantification of IVD collagen content and organization with degeneration. There was an observed shift from an initially complex structure to more uniform structure with loss of microstructural elements and increased NP collagen polarity, suggesting fibrotic remodeling.

Indexed as

collagendegenerationentropyhumanintervertebral disksecond harmonic generation

Identifiers

PMID33392461
PMCPMC7770200
OpenAlexW3095912759

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.