Evidence map›Paper›PMID 35977717›Full record

ArticleACS biomaterials science & engineering2022

Toward the Next Generation of Spine Bioreactors: Validation of an Ex Vivo Intervertebral Disc Organ Model and Customized Specimen Holder for Multiaxial Loading.

Amra Šećerović, Aapo Ristaniemi, Shangbin Cui, Zhen Li, Astrid Soubrier, Mauro Alini, Stephen J Ferguson, Gilles Weder, Sarah Heub, Diane Ledroit and 1 more

Open access · greenAbstract read
In one paragraph

Article in ACS biomaterials science & engineering, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

21 citing papers in PubMed, 27 citations in OpenAlex.

  1. 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
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  15. SiACS biomaterials science & engineering · 2025
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  20. Role of non‑coding RNAs in cartilage endplate (Review).Experimental and therapeutic medicine · 2023
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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

11 authors at 4 institutions in 2 countries.

Amra ŠećerovićAO Research Institute Davos, Clavadelerstrasse 8, Davos 7270, Switzerland.
Aapo RistaniemiAO Research Institute Davos, Clavadelerstrasse 8, Davos 7270, Switzerland.
Shangbin CuiAO Research Institute Davos, Clavadelerstrasse 8, Davos 7270, Switzerland.
Zhen LiAO Research Institute Davos, Clavadelerstrasse 8, Davos 7270, Switzerland.ORCID 0000-0002-9754-6389
Astrid SoubrierAO Research Institute Davos, Clavadelerstrasse 8, Davos 7270, Switzerland.
Mauro AliniAO Research Institute Davos, Clavadelerstrasse 8, Davos 7270, Switzerland.
Stephen J FergusonInstitute for Biomechanics, ETH Zürich, Zürich 8093, Switzerland.
Gilles WederCSEM, Swiss Center for Electronics and Microtechnology, Rue Jaquet-Droz 1, Neuchatel 2002, Switzerland.
Sarah HeubCSEM, Swiss Center for Electronics and Microtechnology, Rue Jaquet-Droz 1, Neuchatel 2002, Switzerland.
Diane LedroitCSEM, Swiss Center for Electronics and Microtechnology, Rue Jaquet-Droz 1, Neuchatel 2002, Switzerland.
Sibylle GradAO Research Institute Davos, Clavadelerstrasse 8, Davos 7270, Switzerland.ORCID 0000-0001-9552-3653
AO Foundation · CHSwiss Center for Electronics and Microtechnology (Switzerland) · CHETH Zurich · CHSun Yat-sen University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A new generation of bioreactors with integrated six degrees of freedom (6 DOF) aims to mimic more accurately the natural intervertebral disc (IVD) load. We developed and validated in a biological and mechanical study a specimen holder and corresponding ex vivo IVD organ model according to the bioreactor requirements for multiaxial loading and a long-term IVD culture. IVD height changes and cell viability were compared between the 6 DOF model and the standard 1 DOF model throughout the 3 weeks of cyclic compressive loading in the uniaxial bioreactor. Furthermore, the 6 DOF model and holder were loaded for 9 days in the multiaxial bioreactor under development using the same conditions, and the IVDs were evaluated for cell viability. The interface of the IVD model and specimen holder, enhanced with fixation screws onto the bone, was tested in compression, torsion, lateral bending, and tension. Additionally, critical motions such as tension and bending were assessed for a combination of side screws and top screws or side screws and adhesive. The 6 DOF model loaded in the uniaxial bioreactor maintained similar cell viability in the IVD regions as the 1 DOF model. The viability was high after 2 weeks throughout the whole IVD and reduced by more than 30% in the inner annulus fibrous after 3 weeks. Similarly, the IVDs remained highly viabile when cultured in the multiaxial bioreactor. In both models, IVD height changes after loading were in the range of typical physiological conditions. When differently directed motions were applied, the holder-IVD interface remained stable under hyper-physiological loading levels using a side screw approach in compression and torsion and the combination of side and top screws in tension and bending. We thus conclude that the developed holding system is mechanically reliable and biologically compatible for application in a new generation of multiaxial bioreactors.

Indexed as

Intervertebral DiscBioreactorsOrgan Culture Techniques6 DOFbioreactorintervertebral discmultiaxial loadingorgan modelspecimen holder

Identifiers

PMID35977717
PMCPMC9472220
OpenAlexW4292483049

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.