Evidence map›Paper›PMID 33537810›Full record

ReviewMolecular medicine reports2021

The potential role and trend of HIF‑1α in intervertebral disc degeneration: Friend or foe? (Review).

Yongjin Li, Shen Liu, Dayu Pan, Baoshan Xu, Xuewu Xing, Hengxing Zhou, Bin Zhang, Suzhe Zhou, Guangzhi Ning, Shiqing Feng

Open access · hybridAbstract readReview
In one paragraph

Review in Molecular medicine reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
3.6field-weighted citation impact, top 6% 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

28 citing papers in PubMed, 35 citations in OpenAlex.

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  19. The NFATc1/P2X7 receptor relationship in human intervertebral disc cells.Frontiers in cell and developmental biology · 2024
    Article
  20. 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

10 authors at 4 institutions in 1 country.

Yongjin Li *Department of Orthopedics, Tianjin Medical University General Hospital, Tianjin 300052, P.R. China.
Shen Liu *Department of Orthopedics, Tianjin Medical University General Hospital, Tianjin 300052, P.R. China.
Dayu Pan *Department of Orthopedics, Tianjin Medical University General Hospital, Tianjin 300052, P.R. China.
Baoshan XuDepartment of Spine Surgery, Tianjin Hospital, Tianjin 300000, P.R. China.
Xuewu XingDepartment of Orthopedic Surgery, First Central Clinical of Tianjin Medical University, Tianjin 300052, P.R. China.
Hengxing ZhouDepartment of Orthopedics, Tianjin Medical University General Hospital, Tianjin 300052, P.R. China.
Bin ZhangDepartment of Orthopedics, Tianjin Medical University General Hospital, Tianjin 300052, P.R. China.
Suzhe ZhouDepartment of Orthopedics, The Affiliated Zhongshan Hospital of Fudan University, Shanghai 200034, P.R. China.
Guangzhi NingDepartment of Orthopedics, Tianjin Medical University General Hospital, Tianjin 300052, P.R. China.
Shiqing FengDepartment of Orthopedics, Tianjin Medical University General Hospital, Tianjin 300052, P.R. China.
Tianjin Medical University General Hospital · CNTianjin Hospital · CNTianjin Medical University · CNZhongshan Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lower back pain (LBP) is one of the most common reasons for seeking medical advice in orthopedic clinics. Increasingly, research has shown that symptomatic intervertebral disc degeneration (IDD) is mostly related to LBP. This review first outlines the research and findings of studies into IDD, from the physiological structure of the intervertebral disc (IVD) to various pathological cascades. The vicious cycles of IDD are re‑described in relation to the analysis of the relationship among the pathological mechanisms involved in IDD. Interestingly, a 'chief molecule' was found, hypoxia‑inducible factor‑1α (HIF‑1α), that may regulate all other mechanisms involved in IDD. When the vicious cycle is established, the low oxygen tension activates the expression of HIF‑1α, which subsequently enters into the hypoxia‑induced HIF pathways. The HIF pathways are dichotomized as friend and foe pathways according to the oxygen tension of the IVD microenvironment. Combined with clinical outcomes and previous research, the trend of IDD development has been predicted in this paper. Lastly, an early precautionary diagnosis and treatment method is proposed whereby nucleus pulposus tissue for biopsy can be obtained through IVD puncture guided by B‑ultrasound when the patient is showing symptoms but MRI imaging shows negative results. The assessment criteria for biopsy and the feasibility, superiority and challenges of this approach have been discussed. Overall, it is clear that HIF‑1α is an indispensable reference indicator for the accurate diagnosis and treatment of IDD.

Indexed as

AnimalsHumansHypoxia-Inducible Factor 1, alpha SubunitIntervertebral Disc DegenerationLow Back PainHIF1A protein, humanHypoxia-Inducible Factor 1, alpha Subunitangiogenesisapoptosisautophagyextracellular matrixhypoxia‑inducible factor‑1αinflammationmatrix metalloproteinasesnon‑coding RNAsntervertebral disc degenerationnucleus pulposus

Identifiers

PMID33537810
PMCPMC7893690
OpenAlexW3126050503

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.