Evidence map›Paper›PMID 33514693›Full record

ReviewBone research2021

Painful intervertebral disc degeneration and inflammation: from laboratory evidence to clinical interventions.

Feng-Juan Lyu, Haowen Cui, Hehai Pan, Kenneth Mc Cheung, Xu Cao, James C Iatridis, Zhaomin Zheng

Open access · goldAbstract readReview
In one paragraph

Review in Bone research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 317 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
317citing papers in PubMed, 1 pooled it
48.6field-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

317 citing papers in PubMed, 1 synthesis or guideline pooled it, 440 citations in OpenAlex.

  1. Pooled it
  2. Article
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  6. ACSL4-Dependent Lysosomal Lipid Peroxidation Links WTAP-Mediated mAdvanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  7. Review
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  9. [Research on ferroptosis induced by RSL3, Erastin, and TBHP in rat intervertebral disc annulus fibrosus cells].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026
    Article
  10. ISSLS Prize in Basic Science 2026: Early markers of mechanical modulation in whole bovine intervertebral discs loaded in a multiaxial bioreactor.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
    Article
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  12. mMolecular medicine reports · 2026
    Review
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  16. Review
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257 more citing papers are in PubMed but not listed here.

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 at 5 institutions in 3 countries.

Feng-Juan Lyu *School of Medicine, South China University of Technology, Guangzhou, China.
Haowen Cui *Department of Spine Surgery, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.
Hehai Pan *Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Kenneth Mc CheungDepartment of Orthopedics & Traumatology, The University of Hong Kong, Hong Kong, SAR, China.
Xu CaoDepartment of Orthopedic Surgery, Johns Hopkins University, Baltimore, MD, USA.
James C IatridisLeni and Peter W. May Department of Orthopedics, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID http://orcid.org/0000-0002-2186-0590
Zhaomin ZhengDepartment of Spine Surgery, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China. zhengzm1@163.com.
Sun Yat-sen University · CNChinese University of Hong Kong · HKIcahn School of Medicine at Mount Sinai · USJohns Hopkins University · USSouth China University of Technology · CN

Funding

Mechanisms for Regenerative Healing in Intervertebral DiscsR01AR080096 · NIAMS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI James C. Iatridis · 2022 to 2026
$3.8M
Role of TNFalpha in discogenic pain progression and as a treatment targetR01AR078857 · NIAMS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI James C. Iatridis · 2022 to 2026
$3.2M
National Natural Science Foundation of China (National Science Foundation of China) 81071511National Natural Science Foundation of China (National Science Foundation of China) 81371984National Natural Science Foundation of China (National Science Foundation of China) 81572175National Natural Science Foundation of China (National Science Foundation of China) 81702191National Natural Science Foundation of China (National Science Foundation of China) 81772386National Natural Science Foundation of China (National Science Foundation of China) 81902204NIAMS NIH HHS R01 AR078857NIAMS NIH HHS R01 AR080096
6 · The paper itself

Abstract

Low back pain (LBP), as a leading cause of disability, is a common musculoskeletal disorder that results in major social and economic burdens. Recent research has identified inflammation and related signaling pathways as important factors in the onset and progression of disc degeneration, a significant contributor to LBP. Inflammatory mediators also play an indispensable role in discogenic LBP. The suppression of LBP is a primary goal of clinical practice but has not received enough attention in disc research studies. Here, an overview of the advances in inflammation-related pain in disc degeneration is provided, with a discussion on the role of inflammation in IVD degeneration and pain induction. Puncture models, mechanical models, and spontaneous models as the main animal models to study painful disc degeneration are discussed, and the underlying signaling pathways are summarized. Furthermore, potential drug candidates, either under laboratory investigation or undergoing clinical trials, to suppress discogenic LBP by eliminating inflammation are explored. We hope to attract more research interest to address inflammation and pain in IDD and contribute to promoting more translational research.

Identifiers

PMID33514693
PMCPMC7846842
OpenAlexW3125740254

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.