Evidence map›Paper›PMID 39877797›Full record

ArticleJOR spine2025

Gut Microbiome and Metabolome Changes in Chronic Low Back Pain Patients With Vertebral Bone Marrow Lesions.

Wentian Li, Ji Tu, Jinjian Zheng, Abhirup Das, Qi Yan, Xiaotao Jiang, Wenyuan Ding, Xupeng Bai, Kaitao Lai, Sidong Yang and 4 more

Erratum issuedAbstract 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. An erratum has been issued. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

Wentian LiSpine Labs, St. George and Sutherland Clinical School University of new South Wales Kogarah Australia.ORCID https://orcid.org/0000-0001-7268-557X
Ji TuSpine Labs, St. George and Sutherland Clinical School University of new South Wales Kogarah Australia.
Jinjian ZhengDepartment of Spine Surgery, the First Affiliated Hospital Sun Yat-Sen University Guangzhou China.
Abhirup DasSpine Labs, St. George and Sutherland Clinical School University of new South Wales Kogarah Australia.
Qi YanDepartment of Orthopedic Surgery The First Affiliated Hospital of Soochow University Suzhou China.
Xiaotao JiangUNSW Microbiome Research Centre, St George and Sutherland Clinical Campuses, School of Clinical Medicine, UNSW Medicine and Health The University of new South Wales Sydney Australia.
Wenyuan DingDepartment of Spinal Surgery The Third Hospital of Hebei Medical University Shijiazhuang China.
Xupeng BaiZhejiang Provincial Key Laboratory of Pancreatic Disease, the First Affiliated Hospital Zhejiang University School of Medicine Hangzhou China.
Kaitao LaiNorthcott Neuroscience Laboratory ANZAC Research Institute, Concord Hospital Sydney Australia.
Sidong YangDepartment of Spinal Surgery The Third Hospital of Hebei Medical University Shijiazhuang China.
Cao YangSpine Service Department of Orthopaedic Surgery, St. George Hospital Kogarah Australia.
Jun ZouDepartment of Orthopedic Surgery The First Affiliated Hospital of Soochow University Suzhou China.
Ashish D DiwanSpine Labs, St. George and Sutherland Clinical School University of new South Wales Kogarah Australia.ORCID https://orcid.org/0000-0003-1037-8421
Zhaomin ZhengSpine Labs, St. George and Sutherland Clinical School University of new South Wales Kogarah Australia.ORCID https://orcid.org/0000-0001-6232-1326

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Chronic low back pain (LBP) is a significant global health concern, often linked to vertebral bone marrow lesions (BML), particularly fatty replacement (FR). This study aims to explore the relationship between the gut microbiome, serum metabolome, and FR in chronic LBP patients. Methods: Serum metabolomic profiling and gut microbiome analysis were conducted in chronic LBP patients with and without FR (LBP + FR, Results: Chronic LBP patients with FR exhibit depleted BCAA levels in their serum metabolome, along with alterations in the gut microbiome. Specific microbial species, including Conclusion: This study sheds light on the intricate relationship between the disturbed gut ecosystem, serum metabolites, and FR in chronic LBP. Dysbiosis in the gut microbiome may contribute to altered BCAA degradation, subsequently promoting BM-MSCs adipogenesis and FR. Understanding these interactions provides insights for targeted therapeutic strategies to mitigate chronic LBP associated with FR by restoring gut microbial balance and modulating serum metabolite profiles.

Indexed as

BM‐MSCsbone marrow lesionschronic low back painfatty replacementgut microbiomeserum metabolomics

Identifiers

PMID39877797
PMCPMC11772216

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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.