Evidence map›Paper›PMID 33441130›Full record

ArticleBMC musculoskeletal disorders2021

Elevated lymphotoxin-α (TNFβ) is associated with intervertebral disc degeneration.

Zhu Guo, Chensheng Qiu, Christina Mecca, Yang Zhang, Jiang Bian, Yan Wang, Xiaolin Wu, Tianrui Wang, Weiliang Su, Xianglin Li and 3 more

Open access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.8field-weighted citation impact, top 32% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
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  5. Review
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

13 authors at 5 institutions in 2 countries.

Zhu GuoDepartment of Orthopedic Surgery, the Affiliated Hospital of Qingdao University, Qingdao, 266000, Shandong, China.
Chensheng QiuDepartment of Orthopedic Surgery, the Affiliated Hospital of Qingdao University, Qingdao, 266000, Shandong, China.
Christina MeccaDepartment of Anesthesiology, Medical College of Wisconsin, Milwaukee, WI, 53226, USA.
Yang ZhangDepartment of Spine Surgery, Weifang People's Hospital, Weifang, 261041, Shandong, China.
Jiang BianQingdao Eye Hospital of Shandong First Medical University, Qingdao, 266000, Shandong, China.
Yan WangDepartment of Orthopedic Surgery, the Affiliated Hospital of Qingdao University, Qingdao, 266000, Shandong, China.
Xiaolin WuDepartment of Orthopedic Surgery, the Affiliated Hospital of Qingdao University, Qingdao, 266000, Shandong, China.
Tianrui WangDepartment of Orthopedic Surgery, the Affiliated Hospital of Qingdao University, Qingdao, 266000, Shandong, China.
Weiliang SuDepartment of Orthopedic Surgery, the Affiliated Hospital of Qingdao University, Qingdao, 266000, Shandong, China.
Xianglin LiSchool of Medical Imaging, Bin Zhou Medical University, Yantai, 264003, China.
Wei ZhangSchool of Medical Imaging, Bin Zhou Medical University, Yantai, 264003, China.
Bohua ChenDepartment of Orthopedic Surgery, the Affiliated Hospital of Qingdao University, Qingdao, 266000, Shandong, China. bhchenqd@126.com.ORCID http://orcid.org/0000-0003-1490-4871
Hongfei XiangDepartment of Orthopedic Surgery, the Affiliated Hospital of Qingdao University, Qingdao, 266000, Shandong, China. ymdx2004qd@126.com.
Qingdao University · CNBinzhou University · CNMedical College of Wisconsin · USShandong Eye Hospital · CNWeifang People's Hospital · CN

Funding

University of Florida Older Americans Independence Center (OAIC)P30AG028740 · NIA · UNIVERSITY OF FLORIDA · PI Peihua Qiu · 2007 to 2026
$22.8M
Applied Basic Research Project of Qingdao 19-6-2-51-cgNational Natural Science Foundation of China 81772412National Natural Science Foundation of China 81802190NIA NIH HHS P30 AG028740Postdoctoral Science Foundation of China 2019M652329Shandong Medical and Health Technology Development Plan Project 2017WS033Shandong Provincial Science Foundation, China ZR2019BH084Taishan Scholars Program tsqn201909190Youth Fund Project of the Affiliated Hospital of Qingdao University 2017
6 · The paper itself

Abstract

backgroundIntervertebral disc degeneration (IVDD) is a primary cause of degenerative disc diseases; however, the mechanisms underlying the degeneration remain unclear. The immunoinflammatory response plays an important role in IVDD progression. The inflammatory cytokine lymphotoxin-α (LTα), formerly known as TNFβ, is associated with various pathological conditions, while its role in the pathogenesis of IVDD remains elusive.

methodsReal-time quantitative polymerase chain reaction (RT-qPCR), Western blotting (WB), and enzyme-linked immunosorbent assays were used to assess the levels of LTα in human nucleus pulposus (NP) tissues between degeneration and control groups. The plasma concentrations of LTα and C-reactive protein (CRP) were compared between healthy and IVDD patients. Rat primary NP cells were cultured and identified via immunofluorescence. Methyl-thiazolyl-tetrazolium assays and flow cytometry were used to evaluate the effects of LTα on rat NP cell viability. After NP cells were treated with LTα, degeneration-related molecules (Caspase-3, Caspase-1, matrix metalloproteinase (MMP) -3, aggrecan and type II collagen) were measured via RT-qPCR and WB.

resultsThe levels of both the mRNA and protein of LTα in human degenerated NP tissue significantly increased. Plasma LTα and CRP did not differ between healthy controls and IVDD patients. Rat primary NP cells were cultured, and the purity of primary NP cells was > 90%. Cell experiments showed inversely proportional relationships among the LTα dose, treatment time, and cell viability. The optimal conditions (dose and time) for LTα treatment to induce rat NP cell degeneration were 5 μg/ml and 48 ~ 72 h. The apoptosis rate and the levels of Caspase-3, Caspase-1, and MMP-3 significantly increased after LTα treatment, while the levels of type II collagen and aggrecan were decreased, and the protein expression levels were consistent with their mRNA expression levels.

conclusionsThis study demonstrated that elevated LTα is closely associated with IVDD and that LTα may induce NP cell apoptosis and reduce important extracellular matrix (ECM) proteins, which cause adverse effects on IVDD progress. Moreover, the optimal conditions for LTα treatment to induce NP cell degeneration were determined.

Indexed as

Intervertebral DiscIntervertebral Disc DegenerationNucleus PulposusAggrecansAnimalsCollagen Type IIHumansLymphotoxin-alphaRatsAggrecansCollagen Type IILymphotoxin-alphaCytokineInflammatory responseIntervertebral disc degenerationLymphotoxin-αTNFβ

Identifiers

PMID33441130
PMCPMC7807514
OpenAlexW3118425112

What OpenQuestion holds

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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.