Evidence map›Paper›PMID 36203866›Full record

ArticleJOR spine2022

Neoepitope fragments as biomarkers for different phenotypes of intervertebral disc degeneration.

Shangbin Cui, Wenyue Li, Graciosa Q Teixeira, Cornelia Neidlinger-Wilke, Hans-Joachim Wilke, Lisbet Haglund, Hongwei Ouyang, R Geoff Richards, Sibylle Grad, Mauro Alini and 1 more

Open access · goldAbstract read
In one paragraph

Article in JOR spine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 31% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
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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 5 institutions in 4 countries.

Shangbin CuiAO Research Institute Davos Davos Switzerland.
Wenyue LiAO Research Institute Davos Davos Switzerland.
Graciosa Q TeixeiraInstitute of Orthopedic Research and Biomechanics, Centre for Trauma Research Ulm (ZTF Ulm) Ulm University Ulm Germany.
Cornelia Neidlinger-WilkeInstitute of Orthopedic Research and Biomechanics, Centre for Trauma Research Ulm (ZTF Ulm) Ulm University Ulm Germany.
Hans-Joachim WilkeInstitute of Orthopedic Research and Biomechanics, Centre for Trauma Research Ulm (ZTF Ulm) Ulm University Ulm Germany.
Lisbet HaglundDepartment of Surgery and Shriners Hospital for Children McGill University Montreal Canada.ORCID https://orcid.org/0000-0002-1288-2149
Hongwei OuyangZhejiang University-University of Edinburgh Institute (ZJU-UoE Institute) Zhejiang University Haining China.
R Geoff RichardsAO Research Institute Davos Davos Switzerland.
Sibylle GradAO Research Institute Davos Davos Switzerland.ORCID https://orcid.org/0000-0001-9552-3653
Mauro AliniAO Research Institute Davos Davos Switzerland.ORCID https://orcid.org/0000-0002-0262-1412
Zhen LiAO Research Institute Davos Davos Switzerland.ORCID https://orcid.org/0000-0002-9754-6389
AO Foundation · CHUniversität Ulm · DESun Yat-sen University · CNMontreal Children's Hospital · CAZhejiang University-University of Edinburgh Institute · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: During the intervertebral disc (IVD) degeneration process, initial degenerative events occur at the extracellular matrix level, with the appearance of neoepitope peptides formed by the cleavage of aggrecan and collagen. This study aims to elucidate the spatial and temporal alterations of aggrecan and collagen neoepitope level during IVD degeneration. Methods: Bovine caudal IVDs were cultured under four different conditions to mimic different degenerative situations. Samples cultured after 1- or 8-days were collected for analysis. Human IVD samples were obtained from patients diagnosed with lumbar disc herniation (LDH) or adolescent idiopathic scoliosis (AIS). After immunohistochemical (IHC) staining of Aggrecanase Cleaved C-terminus Aggrecan Neoepitope (NB100), MMP Cleaved C-terminus Aggrecan Neoepitope (MMPCC), Collagen Type 1α1 1/4 fragment (C1α1) and Collagenase Cleaved Type I and II Collagen Neoepitope (C1,2C), staining optical density (OD)/area in extracellular matrix (OECM) and pericellular zone (OPCZ) were analyzed. Conditioned media of the bovine IVD was collected to measure protein level of inflammatory cytokines and C1,2C. Results: For the bovine IVD sections, the aggrecan MMPCC neoepitope was accumulated in nucleus pulposus (NP) and cartilage endplate (EP) regions following mechanical overload in the one strike model after long-term culture; as for the TNF-α induced degeneration, the OECM and OPCZ of collagen C1,2C neoepitope was significantly increased in the outer AF region after long-term culture; moreover, the C1,2C was only detected in conditioned medium from TNF-α injection + Degenerative loading group after 8 days of culture. LDH patients showed higher MMPCC OECM in NP and higher C1,2C OECM in AF region compared with AIS patients. Conclusions: In summary, aggrecan and collagen neoepitope profiles showed degeneration induction trigger- and region-specific differences in the IVD organ culture models. Different IVD degeneration types are correlated with specific neoepitope expression profiles. These neoepitopes may be helpful as biomarkers of ECM degradation in early IVD degeneration and indicators of different degeneration phenotypes.

Indexed as

biomarkerbioreactorintervertebral disc degenerationneoepitopeorgan culture model

Identifiers

PMID36203866
PMCPMC9520770
OpenAlexW4284885535

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Registered trials

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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.