Evidence map›Paper›PMID 36600636›Full record

ArticleOrthopaedic surgery2023

The Effect of Gut Microbiota on the Progression of Intervertebral Disc Degeneration.

Bo Yao, Youquan Cai, Weiguo Wang, Jia Deng, Lei Zhao, Ziwei Han, Li Wan

Open access · goldAbstract read
In one paragraph

Article in Orthopaedic surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
6.6field-weighted citation impact, top 3% 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

19 citing papers in PubMed, 24 citations in OpenAlex.

  1. Review
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  7. Exploring the role of gut microbiota in intervertebral disc degeneration: insights from bidirectional Mendelian randomization analysis.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 · 2025
    Article
  8. Article
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  12. Genetic analysis of the causal relationship between gut microbiota and intervertebral disc degeneration: a two-sample Mendelian randomized study.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 · 2024
    Article
  13. The Role of the Gut Microbiome in Orthopedic Surgery-a Narrative Review.Current reviews in musculoskeletal medicine · 2024
    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

7 authors at 2 institutions in 1 country.

Bo YaoDepartment of Spine Surgery, Want want hospital, Changsha, Hunan, China.
Youquan CaiDepartment of Spine Surgery, Want want hospital, Changsha, Hunan, China.
Weiguo WangDepartment of Spine Surgery, the Third Xiangya Hospital, Central South University, Changsha, Hunan, China.
Jia DengDepartment of Spine Surgery, Want want hospital, Changsha, Hunan, China.
Lei ZhaoDepartment of Spine Surgery, Want want hospital, Changsha, Hunan, China.
Ziwei HanDepartment of Spine Surgery, Want want hospital, Changsha, Hunan, China.ORCID https://orcid.org/0000-0002-0168-1026
Li WanDepartment of Spine Surgery, Want want hospital, Changsha, Hunan, China.
Hunan Children's Hospital · CNCentral South University · CN

Funding

General items of Hunan Provincial Health Commission 202204074627Hunan Health Commission's 2019 Medical Service and Support Capability Improvement Subsidy Fund 2019-57
6 · The paper itself

Abstract

objectiveIntervertebral disc degeneration (IDD) is the main cause of back pain, and its treatment is a serious socio-economic burden. The safety and treatment of fecal microbiota transplantation (FMT) has been established. However, the relationship between FMT and IDD still unclear. We aimed to explore whether FMT plays a role in IDD to provide a reference for the treatment of IDD.

methodsAn experimental model of IDD was established using 2-month-old male Sprague-Dawley rats. FMT was performed by intragastric gavage of IDD rats with a fecal bacterial solution. Rat serum, feces, and vertebral disc tissue were collected after surgery for 2 months. The levels of TNF-α, IL-1β, IL-6, matrix metalloproteinase (MMP)-3, MMP-13, Collagen II, and aggrecan in the serum or vertebral disc tissue were measured by an enzyme-linked immunosorbent assay, immunohistochemistry, quantitative real-time polymerase chain reaction, or western blotting. We also examined the pathology of the vertebral disc tissue using hematoxylin and eosin (HE) and safranin O-fast green staining. Finally, we examined the gut microbiota in rat feces using 16 S rRNA gene sequencing.

resultsWe found that the expression of TNF-α, IL-1β, IL-6, MMP-3, MMP-13, NLRP3 and Caspase-1 increased in the IDD group rats. In contrast, Collagen II and aggrecan levels were downregulated. Additionally, vertebral disc tissue was severely damaged in the IDD group, with disordered cell arrangement and uneven safranin coloration. FMT reversed the effects of IDD modeling on these factors and alleviated cartilage tissue damage. In addition, FMT increased the gut microbiota diversity and microbial abundance in rats treated with IDD.

conclusionOur findings suggest that FMT has a positive effect in maintaining cellular stability in the vertebral disc and alleviating histopathological damage. It affects the diversity and abundance of gut microbiota in rats with IDD. Therefore, FMT may serve as a promising target for amelioration of IDD.

Indexed as

Gastrointestinal MicrobiomeIntervertebral DiscIntervertebral Disc DegenerationAggrecansAnimalsCollagenInterleukin-6MaleMatrix Metalloproteinase 13RatsRats, Sprague-DawleyTumor Necrosis Factor-alphaAggrecansCollagenInterleukin-6Matrix Metalloproteinase 13Tumor Necrosis Factor-alphaAutophagyFecal Microbiota TransplantationGut MicrobiotaInflammationIntervertebral Disc Degeneration

Identifiers

PMID36600636
PMCPMC9977585
OpenAlexW4313499150

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.