Evidence map›Paper›PMID 34337336›Full record

ArticleJOR spine2021

A comprehensive tool box for large animal studies of intervertebral disc degeneration.

Naomi N Lee, Elias Salzer, Frances C Bach, Andres F Bonilla, James L Cook, Zulma Gazit, Sibylle Grad, Keita Ito, Lachlan J Smith, Andrea Vernengo and 3 more

Open access · goldAbstract read
In one paragraph

Article in JOR spine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
4.9field-weighted citation impact, top 4% 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

43 citing papers in PubMed, 49 citations in OpenAlex.

  1. Article
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  4. 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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  11. Ovine models of intervertebral disc degeneration.Annals of translational medicine · 2025
    Review
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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 9 institutions in 4 countries.

Naomi N LeeThompson Laboratory for Regenerative Orthopaedics University of Missouri Columbia Missouri USA.ORCID https://orcid.org/0000-0001-5399-7519
Elias SalzerOrthopaedic Biomechanics, Department of Biomedical Engineering Eindhoven University of Technology Eindhoven The Netherlands.ORCID https://orcid.org/0000-0001-8711-4243
Frances C BachDepartment of Clinical Sciences, Faculty of Veterinary Medicine Utrecht University Utrecht The Netherlands.ORCID https://orcid.org/0000-0002-4481-0051
Andres F BonillaPreclinical Surgical Research Laboratory, Department of Clinical Sciences Colorado State University Colorado USA.ORCID https://orcid.org/0000-0003-4593-3173
James L CookThompson Laboratory for Regenerative Orthopaedics University of Missouri Columbia Missouri USA.ORCID https://orcid.org/0000-0002-0862-995X
Zulma GazitDepartment of Surgery Cedars-Sinai Medical Center Los Angeles California USA.ORCID https://orcid.org/0000-0001-9176-0889
Sibylle GradAO Research Institute Davos Davos Switzerland.ORCID https://orcid.org/0000-0001-9552-3653
Keita ItoOrthopaedic Biomechanics, Department of Biomedical Engineering Eindhoven University of Technology Eindhoven The Netherlands.ORCID https://orcid.org/0000-0002-7372-4072
Lachlan J SmithDepartments of Neurosurgery and Orthopaedic Surgery University of Pennsylvania Philadelphia Pennsylvania USA.ORCID https://orcid.org/0000-0001-5823-6073
Andrea VernengoAO Research Institute Davos Davos Switzerland.ORCID https://orcid.org/0000-0002-5143-7435
Hans-Joachim WilkeInstitute of Orthopaedic Research and Biomechanics University Hospital Ulm Ulm Germany.
Julie B EngilesDepartment of Pathobiology, New Bolton Center, School of Veterinary Medicine University of Pennsylvania Kennett Square Pennsylvania USA.ORCID https://orcid.org/0000-0001-9057-2093
Marianna A TryfonidouDepartment of Clinical Sciences, Faculty of Veterinary Medicine Utrecht University Utrecht The Netherlands.ORCID https://orcid.org/0000-0002-2333-7162
AO Foundation · CHEindhoven University of Technology · NLUniversity of Missouri · USUtrecht University · NLCedars-Sinai Medical Center · USColorado State University · USHospital of the University of Pennsylvania · USUniversity Hospital Ulm · DEUniversity of Pennsylvania · US

Funding

Quantitative Multiparametric MRI to Assess the Effect of Stem Cell Therapy on Chronic Low Back PainR01AR066517 · NIAMS · CEDARS-SINAI MEDICAL CENTER · PI LI, DEBIAO · 2014 to 2024
$5.3M
Postdoctoral Training in Comparative MedicineT32OD011126 · OD · UNIVERSITY OF MISSOURI-COLUMBIA · PI Elizabeth C Bryda, Aaron Ericsson · 2012 to 2026
$3.4M
Neutralizing the degenerate disc microenvironment to enhance the efficacy of therapeutic stem cellsR01AR077435 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI MALHOTRA, NEIL, MAUCK, ROBERT L · 2021 to 2025
$2.7M
Pathogenesis and Treatment of Bone Disease in the MucopolysaccharidosesR01AR071975 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI SMITH, LACHLAN JAMES · 2017 to 2021
$1.9M
Bioactive Injectable Implants for Functional Intervertebral Disc RegenerationI01RX001321 · VA · PHILADELPHIA VA MEDICAL CENTER · PI Robert L Mauck, Lachlan James Smith · 2014 to 2026
–
NIAMS NIH HHS R01 AR066517NIAMS NIH HHS R01 AR071975NIAMS NIH HHS R01 AR077435NIH HHS T32 OD011126RRD VA I01 RX001321
6 · The paper itself

Abstract

Preclinical studies involving large animal models aim to recapitulate the clinical situation as much as possible and bridge the gap from benchtop to bedside. To date, studies investigating intervertebral disc (IVD) degeneration and regeneration in large animal models have utilized a wide spectrum of methodologies for outcome evaluation. This paper aims to consolidate available knowledge, expertise, and experience in large animal preclinical models of IVD degeneration to create a comprehensive tool box of anatomical and functional outcomes. Herein, we present a Large Animal IVD Scoring Algorithm based on three scales: macroscopic (gross morphology, imaging, and biomechanics), microscopic (histological, biochemical, and biomolecular analyses), and clinical (neurologic state, mobility, and pain). The proposed algorithm encompasses a stepwise evaluation on all three scales, including spinal pain assessment, and relevant structural and functional components of IVD health and disease. This comprehensive tool box was designed for four commonly used preclinical large animal models (dog, pig, goat, and sheep) in order to facilitate standardization and applicability. Furthermore, it is intended to facilitate comparison across studies while discerning relevant differences between species within the context of outcomes with the goal to enhance veterinary clinical relevance as well. Current major challenges in pre-clinical large animal models for IVD regeneration are highlighted and insights into future directions that may improve the understanding of the underlying pathologies are discussed. As such, the IVD research community can deepen its exploration of the molecular, cellular, structural, and biomechanical changes that occur with IVD degeneration and regeneration, paving the path for clinically relevant therapeutic strategies.

Indexed as

biomechanical testingclinical assessmentdisc diseasedoggoathistopathologyintervertebral disclow back painneck painpigsheepspine disordersspine research

Identifiers

PMID34337336
PMCPMC8313180
OpenAlexW3167642711

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.