Evidence map›Paper›PMID 34593020›Full record

ArticleArthritis research & therapy2021

Integrative analysis of genome-wide DNA methylation and single-nucleotide polymorphism identified ACSM5 as a suppressor of lumbar ligamentum flavum hypertrophy.

Yanlin Cao, Yenan Zhan, Sujun Qiu, Zhong Chen, Kaiqin Gong, Songjia Ni, Yang Duan

Open access · goldAbstract read
In one paragraph

Article in Arthritis research & therapy, 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
4.1field-weighted citation impact, top 5% 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

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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, 30 citations in OpenAlex.

  1. Article
  2. Comprehensive review of the cervical ligamenta flava.Surgical and radiologic anatomy : SRA · 2025
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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

7 authors at 1 institution in 1 country.

Yanlin Cao *Department of Spine Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou, 510280, China.
Yenan Zhan *Department of Neurosurgery, Zhujiang Hospital, Southern Medical University, Guangzhou, 510280, China.
Sujun QiuDepartment of Spine Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou, 510280, China.
Zhong ChenDepartment of Spine Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou, 510280, China.
Kaiqin GongDepartment of Spine Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou, 510280, China.
Songjia NiDepartment of Orthopaedic Trauma, Zhujiang Hospital, Southern Medical University, Guangzhou, 510280, China. warriorkof@163.com.
Yang DuanDepartment of Spine Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou, 510280, China. duanxy@smu.edu.cn.ORCID 0000-0003-4809-9516
Zhujiang Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHypertrophy of ligamentum flavum (HLF) is a common lumbar degeneration disease (LDD) with typical symptoms of low back pain and limb numbness owing to an abnormal pressure on spinal nerves. Previous studies revealed HLF might be caused by fibrosis, inflammatory, and other bio-pathways. However, a global analysis of HLF is needed severely.

methodsA genome-wide DNA methylation and single-nucleotide polymorphism analysis were performed from five LDD patients with HLF and five LDD patients without HLF. Comprehensive integrated analysis was performed using bioinformatics analysis and the validated experiments including Sanger sequencing, methylation-specific PCR, qPCR and ROC analysis. Furthermore, the function of novel genes in ligamentum flavum cells (LFCs) was detected to explore the molecular mechanism in HLF through knock down experiment, overexpression experiment, CCK8 assay, apoptosis assay, and so on.

resultsWe identified 69 SNP genes and 735 661 differentially methylated sites that were enriched in extracellular matrix, inflammatory, and cell proliferation. A comprehensive analysis demonstrated key genes in regulating the development of HLF including ACSM5. Furthermore, the hypermethylation of ACSM5 that was mediated by DNMT1 led to downregulation of ACSM5 expression, promoted the proliferation and fibrosis, and inhibited the apoptosis of LFCs.

conclusionThis study revealed that DNMT1/ACSM5 signaling could enhance HLF properties in vitro as a potential therapeutic strategy for HLF.

Indexed as

Ligamentum FlavumSpinal StenosisCoenzyme A LigasesDNA (Cytosine-5-)-Methyltransferase 1DNA MethylationHumansHypertrophyLumbar VertebraePolymorphism, Single Nucleotidebutyryl-CoA synthetaseCoenzyme A LigasesDNA (Cytosine-5-)-Methyltransferase 1DNMT1 protein, humanACSM5Cell fibrosisGenome-wide DNA methylationHypertrophy of ligamentum flavumSingle-nucleotide polymorphism

Identifiers

PMID34593020
PMCPMC8482693
OpenAlexW3204174406

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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.