Evidence map›Paper›PMID 34169354›Full record

ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2021

Interleukin-1β and cathepsin D modulate formation of the terminal complement complex in cultured human disc tissue.

Graciosa Q Teixeira, Zhiyao Yong, Amelie Kuhn, Jana Riegger, Raquel M Goncalves, Michael Ruf, Uwe M Mauer, Markus Huber-Lang, Anita Ignatius, Rolf E Brenner and 1 more

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In one paragraph

Article in 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, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

10 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Cytokine Imbalance as a Biomarker of Intervertebral Disk Degeneration.International journal of molecular sciences · 2023
    Review
  9. Article
  10. 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

11 authors at 4 institutions in 2 countries.

Graciosa Q TeixeiraInstitute of Orthopaedic Research and Biomechanics, Trauma Research Centre, Ulm University, Ulm, Germany. graciosa.teixeira@uni-ulm.de.ORCID 0000-0003-4206-6326
Zhiyao YongInstitute of Orthopaedic Research and Biomechanics, Trauma Research Centre, Ulm University, Ulm, Germany.
Amelie KuhnDivision for Biochemistry of Joint and Connective Tissue Diseases, Department of Orthopedics, Ulm University, Ulm, Germany.
Jana RieggerDivision for Biochemistry of Joint and Connective Tissue Diseases, Department of Orthopedics, Ulm University, Ulm, Germany.
Raquel M GoncalvesInstitute of Orthopaedic Research and Biomechanics, Trauma Research Centre, Ulm University, Ulm, Germany.
Michael RufCenter for Spine Surgery, Orthopedics, and Traumatology, SRH-Klinikum Karlsbad-Langensteinbach, Karlsbad, Germany.
Uwe M MauerDepartment of Neurosurgery, German Armed Forces Hospital, Ulm, Germany.
Markus Huber-LangInstitute of Clinical and Experimental Trauma Immunology, University Hospital Ulm, Ulm, Germany.
Anita IgnatiusInstitute of Orthopaedic Research and Biomechanics, Trauma Research Centre, Ulm University, Ulm, Germany.
Rolf E BrennerInstituto de Ciências Biomédicas Abel Salazar (ICBAS), Universidade do Porto, Porto, Portugal.
Cornelia Neidlinger-WilkeInstitute of Orthopaedic Research and Biomechanics, Trauma Research Centre, Ulm University, Ulm, Germany.
Universität Ulm · DEUniversidade do Porto · PTSRH Klinikum Karlsbad-Langensteinbach · DEUniversity Hospital Ulm · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeFormation of terminal complement complex (TCC), a downstream complement system activation product inducing inflammatory processes and cell lysis, has been identified in degenerated discs. However, it remains unclear which molecular factors regulate complement activation during disc degeneration (DD). This study investigated a possible involvement of the pro-inflammatory cytokine interleukin-1β (IL-1β) and the lysosomal protease cathepsin D (CTSD).

methodsDisc biopsies were collected from patients suffering from DD (n = 43) and adolescent idiopathic scoliosis (AIS, n = 13). Standardized tissue punches and isolated cells from nucleus pulposus (NP), annulus fibrosus (AF) and endplate (EP) were stimulated with 5% human serum (HS) alone or in combination with IL-1β, CTSD or zymosan. TCC formation and modulation by the complement regulatory proteins CD46, CD55 and CD59 were analysed.

resultsIn DD tissue cultures, IL-1β stimulation decreased the percentage of TCC + cells in AF and EP (P < 0.05), whereas CTSD stimulation significantly increased TCC deposition in NP (P < 0.01) and zymosan in EP (P < 0.05). Overall, the expression of CD46, CD55 and CD59 significantly increased in all isolated cells during culture (P < 0.05). Moreover, cellular TCC deposition was HS concentration dependent but unaffected by IL-1β, CTSD or zymosan.

conclusionThese results suggest a functional relevance of IL-1β and CTSD in modulating TCC formation in DD, with differences between tissue regions. Although strong TCC deposition may represent a degeneration-associated event, IL-1β may inhibit it. In contrast, TCC formation was shown to be triggered by CTSD, indicating a multifunctional involvement in disc pathophysiology.

Indexed as

Intervertebral DiscIntervertebral Disc DegenerationAdolescentCathepsin DCells, CulturedComplement Membrane Attack ComplexHumansInterleukin-1betaCathepsin DComplement Membrane Attack ComplexInterleukin-1betaBack painComplement system activationInflammationInnate immunityIntervertebral disc degeneration

Identifiers

PMID34169354
OpenAlexW3173626459

What OpenQuestion holds

Textmetadata
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.