Evidence map›Paper›PMID 40371269›Full record

ArticleJOR spine2025

Human Disc Degeneration Is Accompanied by a Loss of Anterior Annulus Fibrosus Interlamellar Matrix Integrity as Assessed by Peel Tests.

Manmeet S Dhiman, Mohammed A Salaam, Taylor J Bader, Fred Nicholls, W Bradley Jacobs, Kenneth C Thomas, Jacques Bouchard, Paul T Salo, David A Hart, Ganesh Swamy and 1 more

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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

11 authors.

Manmeet S DhimanMcCaig Institute for Bone and Joint Health University of Calgary Calgary Alberta Canada.ORCID https://orcid.org/0009-0002-5386-8762
Mohammed A SalaamMcCaig Institute for Bone and Joint Health University of Calgary Calgary Alberta Canada.
Taylor J BaderMcCaig Institute for Bone and Joint Health University of Calgary Calgary Alberta Canada.
Fred NichollsDepartment of Surgery, Cumming School of Medicine University of Calgary Calgary Alberta Canada.
W Bradley JacobsDepartment of Surgery, Cumming School of Medicine University of Calgary Calgary Alberta Canada.
Kenneth C ThomasDepartment of Surgery, Cumming School of Medicine University of Calgary Calgary Alberta Canada.
Jacques BouchardDepartment of Surgery, Cumming School of Medicine University of Calgary Calgary Alberta Canada.
Paul T SaloMcCaig Institute for Bone and Joint Health University of Calgary Calgary Alberta Canada.
David A HartMcCaig Institute for Bone and Joint Health University of Calgary Calgary Alberta Canada.
Ganesh SwamyMcCaig Institute for Bone and Joint Health University of Calgary Calgary Alberta Canada.ORCID https://orcid.org/0000-0002-3446-3105
Neil A DuncanMcCaig Institute for Bone and Joint Health University of Calgary Calgary Alberta Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Disc degeneration (DD) is accompanied by biomechanical changes in the intervertebral discs. The lamellae of the annulus fibrosus (AF) are interconnected through the interlamellar matrix (ILM). The ILM contains interlamellar cross-bridges, connecting the lamellae radially in three dimensions. Weakening of the ILM and the cross-bridges could contribute to delamination between the lamellae, reducing their ability to resist loads and thus contributing to loss of AF integrity associated with the development and progression of degeneration. The objective of the present study was to quantify the differences in interlamellar mechanical properties of fresh AF samples from surgical DD individuals compared to AF samples from non-DD donors. Methods: An interlamellar peel test was performed on fresh AF tissue collected from DD surgeries ( Results: Samples from DD individuals had lower Peel Stiffness ( Discussion: The mechanical integrity of the ILM was determined to be lower in surgical DD individuals compared to non-DD donors. Aging alone may not have affected the results, and rather, loss of the integrity of ILM during disease progression appeared to have significantly contributed to the differences observed. This study provides new mechanical insights into the delamination often observed in the AF of surgical DD individuals. Future biochemical and immunolocalization studies, integrated with mechanical data, will aim to understand the role of collagen and elastin structure and composition in the decreased mechanical integrity of affected tissues.

Indexed as

annulus fibrosusdegenerative disc diseaseinterlamellar cross‐bridgesinterlamellar matrixinterlamellar peel mechanicsintervertebral disclow Back pain

Identifiers

PMID40371269
PMCPMC12077525

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.