Evidence map›Paper›PMID 39962475›Full record

ArticleBMC musculoskeletal disorders2025

Exploring the correlation between magnetic resonance diffusion tensor imaging (DTI) parameters and aquaporin expression and biochemical composition content in degenerative intervertebral disc nucleus pulposus tissue: a clinical experimental study.

Shuang Chen, Shenglu Sun, Nan Wang, Xiaoyang Fang, Lin Xie, Fei Hu, Zhipeng Xi

Abstract read
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Article in BMC musculoskeletal disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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0cells of the map it votes in
5citing papers in PubMed
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1 · What the graph read from it

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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.

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3 · Its place in the literature

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5 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Shuang Chen *Department of Spine Surgery, Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing, China.
Shenglu Sun *Department of Spine Surgery, Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing, China.
Nan WangDepartment of Spine Surgery, Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing, China.
Xiaoyang FangDepartment of Spine Surgery, Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing, China.
Lin XieDepartment of Spine Surgery, Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing, China. xielin6508@163.com.
Fei HuDepartment of Orthopedics, Traditional Chinese Medicine Hospital of Ili Kazak Autonomous Prefecture, Yining, China. 18999583620@163.com.
Zhipeng XiDepartment of Spine Surgery, Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing, China. xizhipeng1985@163.com.

Funding

Project of National Clinical Research Base of Traditional Chinese Medicine in Jiangsu Province JD2022SZXMS07Scientific Research Project of Jiangsu Provincial Health Commission M2022095the Seventh Batch of National Chinese Medicine Experts' Academic Experience Inheritance Work Project 22QGSC6Yili Prefecture Science and Technology Plan Project YJC2024A21
6 · The paper itself

Abstract

objectiveThis study investigates the correlation between magnetic resonance diffusion tensor imaging (DTI) parameters and biochemical composition in degenerative intervertebral disc nucleus pulposus tissue, offering a potential reference for the clinical diagnosis and efficacy evaluation of intervertebral disc degeneration.

methodsHuman lumbar intervertebral disc nucleus pulposus tissue samples were collected via full endoscopic minimally invasive surgery. DTI was employed to quantitatively measure fractional anisotropy (FA) and apparent diffusion coefficient (ADC) values in the degenerative nucleus pulposus, examining the relationship between Pfirrmann grading and these DTI parameters. Western blotting was used to detect the expression levels of aquaporin 1 (AQP1) and aquaporin 3 (AQP3) in the degenerative tissue. The glycosaminoglycan (GAG) content was quantified using the dimethylmethylene blue (DMMB) colorimetric assay, and collagen content was assessed with the Sircol soluble collagen assay kit. The relationship between Pfirrmann grading and biochemical composition was also analyzed. Finally, correlation analysis was performed between the FA and ADC values from the human nucleus pulposus tissue and their GAG and collagen contents.

resultsA total of 39 patients (19 males, 20 females) with lumbar disc herniation (LDH), averaging 54.41 years of age, were included. As the degree of Pfirrmann degeneration increased, FA values rose, while ADC values continuously declined. Concurrently, as degeneration progressed, expression of AQP1 and AQP3 proteins decreased, GAG content significantly diminished, and collagen content increased. FA values exhibited a moderate negative correlation with GAG content (r = -0.5974, P < 0.0001) and a strong positive correlation with collagen content (r = 0.8694, P < 0.0001). ADC values showed a moderate positive correlation with GAG content (r = 0.6873, P < 0.0001) and a strong negative correlation with collagen content (r = -0.8502, P < 0.0001).

conclusionThe FA and ADC values derived from magnetic resonance DTI, along with the protein expression levels of AQPs, can reflect the severity of intervertebral disc degeneration to a certain extent. Additionally, the content of glycosaminoglycans and collagen in the nucleus pulposus of the intervertebral disc correlates with the FA and ADC values of the DTI parameters. Therefore, magnetic resonance DTI quantitative imaging provides a means to assess the biochemical composition changes within the intervertebral discs, offering valuable insights for the clinical diagnosis and evaluation of therapeutic efficacy in intervertebral disc degenerative diseases.

trial registrationChinese Clinical Trial Registry, ChiCTR2000041151, Registered on 19 December, 2020, https://www.chictr.org.cn/showproj.html?proj=206119 .

Indexed as

Aquaporin 1Aquaporin 3Diffusion Tensor ImagingIntervertebral Disc DegenerationLumbar VertebraeNucleus PulposusAdultAgedCollagenFemaleGlycosaminoglycansHumansMaleMiddle AgedAQP1 protein, humanAQP3 protein, humanAquaporin 1Aquaporin 3CollagenGlycosaminoglycansAquaporinsCollagen contentDiffusion tensor imaging (DTI)Glycosaminoglycan contentIntervertebral disc degeneration (IDD)

Identifiers

PMID39962475
PMCPMC11831834

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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.