Evidence map›Paper›PMID 39828732›Full record

ArticleBone research2025

Fibrocyte enrichment and myofibroblastic adaptation causes nucleus pulposus fibrosis and associates with disc degeneration severity.

Yi Sun, Yan Peng, Zezhuo Su, Kyle K H So, Qiuji Lu, Maojiang Lyu, Jianwei Zuo, Yongcan Huang, Zhiping Guan, Kenneth M C Cheung and 3 more

Abstract read
In one paragraph

Article in Bone research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

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  14. Mechanisms of prostatic inflammation-mediated male lower urinary tract symptoms.American journal of clinical and experimental urology · 2025
    Review
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

13 authors.

Yi Sun *Department of Sports Medicine, Peking University Shenzhen Hospital, Shenzhen, Guangdong, China.ORCID 0000-0002-9728-2205
Yan Peng *Department of Orthopaedics and Traumatology, The University of Hong Kong, Hong Kong SAR, China.
Zezhuo Su *Department of Orthopaedics and Traumatology, The University of Hong Kong, Hong Kong SAR, China.ORCID 0000-0001-5915-1602
Kyle K H SoDepartment of Orthopaedics and Traumatology, The University of Hong Kong, Hong Kong SAR, China.
Qiuji LuDepartment of Orthopaedics and Traumatology, The University of Hong Kong, Hong Kong SAR, China.
Maojiang LyuDepartment of Sports Medicine, Peking University Shenzhen Hospital, Shenzhen, Guangdong, China.
Jianwei ZuoDepartment of Sports Medicine, Peking University Shenzhen Hospital, Shenzhen, Guangdong, China.
Yongcan HuangDepartment of Spine Surgery, Shenzhen Engineering Laboratory of Orthopaedic Regenerative Technologies, Peking University Shenzhen Hospital, Shenzhen, Guangdong, China.
Zhiping GuanDepartment of Spine Surgery, Shenzhen Engineering Laboratory of Orthopaedic Regenerative Technologies, Peking University Shenzhen Hospital, Shenzhen, Guangdong, China.
Kenneth M C CheungDepartment of Orthopaedics and Traumatology, The University of Hong Kong, Hong Kong SAR, China.
Zhaomin ZhengDepartment of Spine Surgery, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China.
Xintao ZhangDepartment of Sports Medicine, Peking University Shenzhen Hospital, Shenzhen, Guangdong, China.
Victor Y L LeungDepartment of Orthopaedics and Traumatology, The University of Hong Kong, Hong Kong SAR, China. vicleung@hku.hk.ORCID 0000-0002-3406-7225

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fibrotic remodeling of nucleus pulposus (NP) leads to structural and mechanical anomalies of intervertebral discs that prone to degeneration, leading to low back pain incidence and disability. Emergence of fibroblastic cells in disc degeneration has been reported, yet their nature and origin remain elusive. In this study, we performed an integrative analysis of multiple single-cell RNA sequencing datasets to interrogate the cellular heterogeneity and fibroblast-like entities in degenerative human NP specimens. We found that disc degeneration severity is associated with an enrichment of fibrocyte phenotype, characterized by CD45 and collagen I dual positivity, and expression of myofibroblast marker α-smooth muscle actin. Refined clustering and classification distinguished the fibrocyte-like populations as subtypes in the NP cells - and immunocytes-clusters, expressing disc degeneration markers HTRA1 and ANGPTL4 and genes related to response to TGF-β. In injury-induced mouse disc degeneration model, fibrocytes were found recruited into the NP undergoing fibrosis and adopted a myofibroblast phenotype. Depleting the fibrocytes in CD11b-DTR mice in which myeloid-derived lineages were ablated by diphtheria toxin could markedly attenuate fibrous modeling and myofibroblast formation in the NP of the degenerative discs, and prevent disc height loss and histomorphological abnormalities. Marker analysis supports that disc degeneration progression is dependent on a function of CD45

Indexed as

FibroblastsIntervertebral Disc DegenerationMyofibroblastsNucleus PulposusAdultAnimalsFemaleFibrosisHumansMaleMiceMice, Inbred C57BLMiddle Aged

Identifiers

PMID39828732
PMCPMC11743603

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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.