Evidence map›Paper›PMID 39781089›Full record

ArticleJOR spine2025

The Relationship Between ADAMTS-4 and ADAMTS-5 Enzyme Levels in Patients With Degenerative Disc Disease: A Prospective Biochemical Study.

Cansu Tuncer, Emin Mehmet Eminoğlu, Ömer Emre Yağlı, Gülçin Baş, Ahmet Sancar Topal, Ece Onur, Habib Özdemir, Şemsi Güliz Yılmaz, Gülgün Yılmaz Ovalı, Cüneyt Temiz

Abstract read
In one paragraph

Article in JOR spine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

10 authors.

Cansu TuncerDepartment of Neurosurgery, Sorgun State Hospital Yozgat Turkey.ORCID https://orcid.org/0009-0005-3991-1586
Emin Mehmet EminoğluDepartment of Neurosurgery Celal Bayar University, Faculty of Medicine Manisa Turkey.ORCID https://orcid.org/0009-0004-5069-4669
Ömer Emre YağlıDepartment of Neurosurgery, Grandmedical Hospital Manisa Turkey.ORCID https://orcid.org/0000-0002-3737-3113
Gülçin BaşDepartment of Neurosurgery İstanbul University-Cerrahpaşa Cerrahpaşa Faculty of Medicine İstanbul Turkey.ORCID https://orcid.org/0000-0002-7070-5642
Ahmet Sancar TopalDepartment of Neurosurgery, Turhal State Hospital Tokat Turkey.ORCID https://orcid.org/0000-0002-7797-3922
Ece OnurDepartment of Medical Biochemistry Celal Bayar University, Faculty of Medicine Manisa Turkey.
Habib ÖzdemirDepartment of Medical Biochemistry Celal Bayar University, Faculty of Medicine Manisa Turkey.ORCID https://orcid.org/0000-0002-1267-7233
Şemsi Güliz YılmazDepartment of Radiology Celal Bayar University, Faculty of Medicine Manisa Turkey.ORCID https://orcid.org/0000-0003-3967-7484
Gülgün Yılmaz OvalıDepartment of Radiology Celal Bayar University, Faculty of Medicine Manisa Turkey.ORCID https://orcid.org/0000-0001-8433-5622
Cüneyt TemizDepartment of Neurosurgery Celal Bayar University, Faculty of Medicine Manisa Turkey.ORCID https://orcid.org/0000-0002-9479-1426

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Study Design: Prospective biochemical study of comparison of A Disintegrin and Metalloproteinase with Thrombospondin motifs-4 (ADAMTS-4) and A Disintegrin and Metalloproteinase with Thrombospondin motifs 5 (ADAMTS5) levels in preoperative and postoperative venous blood, as well as in disc tissue obtained during surgery, in patients undergoing surgery for intervertebral disc disease, with enzyme levels in venous blood from a control group. Objective: To compare the levels of ADAMTS-4 and ADAMTS-5 between patients with degenerative intervertebral discs and a healthy control group, aiming to identify biomarkers associated with intervertebral disc degeneration. Literature: Although numerous studies have investigated the relationship between ADAMTS-4 and ADAMTS-5 enzymes and degeneration in experimental rat models and human tissues, no study has correlated their serum levels with intervertebral disc degeneration. Method and Materials: Venous blood samples were obtained preoperatively and postoperatively from 41 patients (age: 42 ± 9.7 years, range 20-63) diagnosed with intervertebral disc disease. The affected disc levels were L4-L5 in 22 patients and L5-S1 in 19 patients. These patients were selected based on surgical indications due to radicular pain that persisted after an adequate course of conservative management, without any non-neurological deficit. Disc tissue samples were also obtained during surgery. Additionally, venous blood samples were collected from a control group with no diagnosed diseases, and lumbar MRIs of the control group showed no significant signs of degeneration. ADAMTS-4 and ADAMTS-5 levels were measured using the ELISA method on samples obtained after centrifugation of the collected blood and tissue specimens. Results: The level of ADAMTS-4 in patient serum was found to be lower compared to the control group, while the level of ADAMTS-5 was higher in the patient serum and lower in the control group. Conclusion: Elevated levels of ADAMTS-5 in the blood may be associated with intervertebral disc degeneration.

Indexed as

ADAMTS‐4ADAMTS‐5biomarkerslumbar disc degeneration

Identifiers

PMID39781089
PMCPMC11707618

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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.